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Application for Withdrawal

Instructions


Please follow these steps in completing and submitting your application.

This form is used to withdraw from a class after the last day of late registration. It must be filed at the CTC Records Office. This form will be accepted up until the last official withdrawal date of the class. (Check the semester calendar for this information as it could vary from 1 to 4 weeks prior to the last day of class)

It is highly recommended that a student withdraw from a class in person. You cannot withdraw from a class if the instructor has previously issued a grade of "F" or "FN" for non-attendance.

  1. Enter the date on the form (filing date of this Application).

  2. Enter your student ID#, if you know it.
  3. Enter your complete name.
  4. Enter your social security number.
  5. Enter the Call Number, Course Name, Number and Section of the course.
  6. Enter the Term and Year of the course.
  7. Circle the reason for withdrawal.

  8. Sign and date the form.

  9. If you are using military tuition assistance, recommend you process through your Military Education Center counselor as you might be required to repay tuition and fees. Special conditions apply to GoArmyEd and eArmyU students. Refer to #11 below.

  10. All students who registered through the GoArmyEd portal to include eArmyU, Army TA, and self-pay students must withdraw through the GoArmyEd portal. Financial penalties can be associated with withdrawing from a course. Contact your Army Education Counselor as soon as possible on financial penalties.

  11. All students who received Financial Aid, VA Benefits or Social Security must process through that office before going to the Records Office. You may be required to repay tuition and fees to the funding agency.

Complete the Application for Withdrawaldownload Adobe Acrobat Reader for free.

Contact Information Central Records and Registration
Building 119, Room 102A
P O Box 1800
Killeen, TX 76540-1800
Office: (254) 526-1131/1133
(800) 792-3348 ext. 1131-1133
Fax: (254) 526-1111
Email:central.registration@ctcd.edu