Request to Withdraw
Student Last Name: *
Student First Name: *
Student ID Number: *
NCWC email address: *
Phone Number: *
Academic Advisor: *
Term *
Year: *
Withdraw from: *
Reason for withdrawing: *
Required
If you answered that you are transferring to another College/University, what is the name of that College/University?
Are there any additional reasons that affected your decision to withdraw?
Please rate your level of agreement with the following statements regarding your time at NCWC.
I would recommend NCWC to prospective students. *
I feel knowledgeable about the services available to me at NCWC (e.g. supplemental instruction, library services, tutoring, etc.) *
My advisor was available to help me with my academic planning. *
My professors were effective at facilitating my learning. *
Overall, my experience at NCWC has been positive. *
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