Withdrawal Form

Dear Student,

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Date

First Name

Last Name

Phone

Date of Birth

Last 4 of Social Security Number

I wish to withdraw from 1st Choice CC -

Chose one option below

Current Grade

What could we have done to get you to stay?

What needed to be different for you to continue your studies at Choice CC?

Who with in 1st Choice Career Centers did you talk to before withdrawing?

Click below if you need a reminder of refund policy and withdrawal policy listed in school catalog

Refund Policy School Catalog

Please check the reason why you are withdrawing from course

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List other reason for withdrawal or /and reason you dislike program below

Signature

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1st Choice Career Centers 12914 Broadway Ave, Garfield Heights, Ohio 441125 Phone: 440-263-6120

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