WCE Drop Request for Refund (docx)



-45720000Workforce Continuing EducationREQUEST FOR REFUND9101 Fayetteville RoadRaleigh, North Carolina 27603-5696Year / Term FORMTEXT ?????PART IDate: FORMTEXT ?????Name: FORMTEXT ?????Telephone:( FORMTEXT ??? ) FORMTEXT ?????Mailing Address: FORMTEXT ?????Colleague ID#: FORMTEXT ????? FORMTEXT ?????Course Title: FORMTEXT ?????Section #: FORMTEXT ?????Reason for dropping this course: FORMTEXT ?????Student SignatureDateOFFICE OF WORKFORCE CONTINUING EDUCATION USE ONLYCensus Date:Begin Date:WCE Staff:Check One: FORMCHECKBOX OE FORMCHECKBOX SSTuition/Fees PaidRefund AuthorizedReceipt Date:Receipt No. FORMCHECKBOX Request approved:Tuition FORMCHECKBOX 100% FORMCHECKBOX 75%Insurance Fee FORMCHECKBOX Class CanceledSupply Fee FORMCHECKBOX Transfer to another courseLab Fee FORMCHECKBOX OtherC/S Fee FORMCHECKBOX Disapproved:Other Fee FORMCHECKBOX Past deadlineTotal FORMCHECKBOX OtherWCE Registrar’s Approval:Supervisor / Dean’s Approval as appropriate:Signature:Signature:Date:Date:ACCOUNTING OFFICE USE ONLYPART IIIGeneral Ledger Number:Description:Signed:Date:WORKFORCE CONTINUING EDUCATION REFUND POLICYWithdrawals and RefundsRefund requests and withdrawals must be made in writing by the student (no exceptions). Refund request forms are available at each class site. A request for refund may be made by letter.A 100% refund shall be made if the student officially withdraws from the class before the first class meeting by submitting a written request.A 75% refund shall be made if the student officially withdraws from the class prior to or on the 10-percent date of scheduled hours. Community school, facility, and lab fees are not refundable.A full refund shall be made for classes canceled by the College. You do not have to request a refund.DISTRIBUTION OF COPIESREQUEST APPROVEDREQUEST DISAPPROVEDCopy No. 1Accounting Office1.Applicant (Part II completed)No. 2WCE File2.WCE fileNo. 3Applicant (Part 1 completed)3.Destroy ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download