Student Program Withdrawal Form
I am immediately withdrawing from my program and will not be completing my current term of study. I understand by
doing so I will be withdrawing from all registered courses for this term, and that in order to be re-admitted to the College,
I will need to re-apply.
Eective Date of Withdrawal (Date the form is submitted or received by the Office of the Registrar): __________________________
Signature: ____________________________________________________
Please indicate one of the following reasons for your withdrawal. Please note that this information is only required
for statistical and reporting purposes.
Student Name: _______________________________________________________Student ID Number: ______________________
Current Program of Study:
If you choose other please speciy:______________________________________________________________________________
Medical reasons
Family reasons
Secured employment
Unsuitable program
Changed career goals
Transfer to another institution
Not satised with classes or instruction
Program too dicult
Consent Regarding My Personal Information
The personal information collected on this form or in conjunction with this form is collected under the authority of the Freedom of Information and Protection of Privacy Act
(Alberta) and the Post-secondary Learning Act (Alberta). This personal information is required to administer my enrolment in courses at Bow Valley College (the “College”).
For more information regarding the collection or use of your personal information, contact the Office of the Registrar at 345-6th Avenue SE, Calgary, Alberta, T2G 4V1. Phone
403-410-1400 or toll-free in Alberta 1-866-428-2669. I hereby consent to the collection and disclosure of my personal information as described above.
Please submit electronically to or in Person to the Oce of the Registrar
Date: __________________________
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Program Withdrawal: Important Notes
What happens if I just want to take a break in my studies before I decide to withdraw from my program?
At Bow Valley College, we understand that certain personal issues may arise during the course of your studies. Under our
Continuance and Graduation Policy, we allow students to take up to a 9 month break in their studies without having to
withdraw from their program. If you return to your studies before the 9 month period is over, you can resume your studies
without having to go through the normal application process. If you do not resume your studies within 9 months from
when you step out of your program, you will be withdrawn from your program and will need to re-apply in order to resume
your studies.
Please note that you will only have 3 years to complete your certificate program, and 5 years to complete your diploma
program* . This time is inclusive of any breaks which you have taken within your program of study. If you have any
questions about program completion limits or taking a break in your studies, please contact an Academic Advisor or
Student Engagement Officer.
I don’t want to take a break in my studies, and want to withdraw from my program. What do I need to do?
We encourage all students to speak to an Academic Advisor or Student Engagement Officer before deciding to withdraw
from their program to see if there is any assistance that we can provide you with. Additionally, you will be asked to
complete the Student Program Withdrawal Form if you have decided to withdraw from your program. Please note that by
withdrawing from your program, you are not entitled to the 9 month break in your studies, and you will need to re-apply to
the program should you decide to continue your studies. To discuss your options, please speak to an Academic Advisor or
Student Engagement Officer.
* Please note that certain programs have completion standards outside of the 3 and 5 year limits.
Check with an Academic Advisor or Student Engagement Ocer if you are unsure.