Request to Withdraw/Drop
This is only a request to withdraw/drop and is not official until you receive an email confirmation.  Continue to check your student email account for further information.

If you are a current high school student, do not complete this form. You must use the West Kentucky College Academy form. Please contact your guidance counselor for assistance.
* First Name

 
Middle Initial

* Last Name

   
* Student's ID# (9 digits) 

 
*Address

 
  City

 
*State

 
*ZIP

*Phone (format xxx-xxx-xxxx)

 
What is the best time to contact you? (check all that apply)
       
*KCTCS E-Mail

 
* Birthdate  (format mm-dd-yyyy)        
* Are you receiving Financial Aid (grants, loans, KEES, scholarships)?     * Are you on a Plan of Action for SAP? Withdrawing from a course may violate the terms of your Plan of Action and require you to re-appeal. If you have questions, please contact the Financial Aid Office at 1-855-GO-WKCTC or westkentucky-financialaid@kctcs.edu before completing the drop request.
 
* Are you receiving Veterans' Benefits?   * Are you also taking classes at another institution?  
*Select Term

 
* Are you currently enrolled in high school?  
Course (ex: Bio 101)
 
 
Course Title (ex: Introduction to Biology)
 
Class#  (ex: 31650 or 3456)
Instructor (ex:Felix Akojie)
What is your reason for withdrawing? (check all that apply))
                   
      
        
If you checked "other" please explain.
* Are you withdrawing from all classes? Withdrawing and/or failing all courses before the end of your scheduled term may result in you owing back a portion of your Financial Aid. If you have questions, please contact the
Financial Aid Office at 1-855-GO-WKCTC or
westkentucky-financialaid@kctcs.edu before completing the drop request.

  
* If you are withdrawing from all, do you plan to return to WKCTC?  
Please read and initial the statements below (2 initials only).
* I understand this is only a request to withdraw/drop and is not official until I receive an email confirmation.  I will be notified via my student email account if instructor permission is required.  
*I will check my student email account daily until I've received a confirmation email.   
*I have read and understand the refund policy.  
  
Please understand this withdraw / drop is not finalized until all requirements have been met. Financial Aid must approve and instructor permission is required after the mid-session.