Withdrawal Form

Effective FALL 2023 Semester… The sole responsibility to officially withdraw from any class(es) or the College lies with the student. The effective date of withdrawal is the date the student notifies the college of the withdrawal. BANNERWEB is open to withdraw from courses. .

The following criteria has been established for students who elect to withdraw from some or all classes:

Beginning the fourth day of the term and through 60% of the term students can withdraw from classes via their BANNERWEB account. Students who elect to withdraw during this period will receive a grade of “W” on the official academic record and will not receive a refund of applicable tuition and fees.

After the “W” (or 60%) through the end of the term (last day of class), students can withdraw from classes via their BANNERWEB account. Students who elect to withdraw during this period will receive a grade of “F” on the official academic record and will not receive a refund of applicable tuition and fees.

Students are prohibited from withdrawing from any class(es) during final exam week.

Name*

First Middle Last

Student ID*

Semester*

Summer
Fall
Spring

Year*

Program of Study*

Phone Number*

Are you withdrawing from all classes?*

Yes
No

Will you return next semester?*

Yes
No

Are you a Dual Enrollment Student?*

Yes
No

If you are withdrawing from all classes this semester, please indicate the most related reason below:*

Academic Deficiency/Difficulty
Disciplinary
Financial
Personal
Moved
Completed Personal Objective
Medical/Health Related
COVID-19 Only
N/A

How has COVID-19 directly affected your studies with Atlanta Technical College?

Please indicate employment status. If employed, please provide information below.*

Employed
Unemployed
Military
Continued Education at another institution

Employer Name

Position

CRN	SUBJECT	SUBJECT	COURSE NAME	INSTRUCTOR

Enrollment Services

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