Withdrawal Form for Students
in Full-time Programs
Withdrawal Process:
If you choose to withdraw from your entire program of studies, which includes not returning for an upcoming term, you are responsible for submitting the
completed Withdrawal Form for Students in Full-time Programs to one of our Student Service Centres or Regional Campuses.
The withdrawal date used on your record will be the date this form is received in the Student Service Centre or Regional Campus. This date will be used to
determine if you are eligible for any refund or if you owe any fees to the College.
Financial and Refund Information:
Information on the College’s Financial and Refund Procedures can be found at rrc.ca/financial
Applying for Re-Admission into this Program:
An Application for Re-Admission, along with the applicable application fee of $90, must be submitted to apply for re-admission into programs for which you
had previously been registered. You can find this form at go.rrc.ca/studentinfo/Forms/default.aspx
Student Information:
Last name:
First name:
Program:
Term from which you are withdrawing:
Student number:
Select one withdrawal reason only:
It is recommended you advise your program Chair/Coordinator that you are withdrawing from the program.
Academic performance
Enrolled in another institution
Financial reasons
Other:
Moved
Health and family reasons
Program was not suitable
Employed in related field
Dissatisfied with program
Employed in another field
Student’s signature
Date (dd/mm/yy)
Student Service Centre’s signature
Date (dd/mm/yy)
Please submit this completed form to one of the addresses below.
Red River College - Student Services
Notre Dame Campus
D101–2055 Notre Dame Ave., Winnipeg, MB R3H 0J9
P: 204.632.2327 | F: 204.697.0584
Exchange District Campus
P104-160 Princess St., Winnipeg, MB R3B 1K9
P: 204.632.2327 | F: 204.949.9105
Last modified July 2015