www.aspenlaurel.edu301-494-9385 Withdrawal Form "*" indicates required fields Instructions: Please complete this form in its entirety. Read all sections carefully before signing and submitting. Incomplete forms may delay processing. Student InformationFull Name:*Student Social Security Number:*Date of Birth:* MM slash DD slash YYYY Program of Study:*Email* Phone*Upload photo ID.*Max. file size: 15 MB. Withdrawal DetailsIntended Last Day of Attendance:* MM slash DD slash YYYY Reason for Withdrawal (please check all that apply):* Personal/Family Reasons Health/Medical Issues Financial Concerns Academic Challenges Transferring to Another Institution Other (please specify): Other (please specify)* Academic and Financial Consequences AcknowledgmentBy signing below, I understand and agree to the following conditions: Academic Impact: Withdrawing from the program will be noted on my academic record, which may have implications for future academic opportunities and licensing. Financial Obligations: I have read and acknowledge the refund policy. I am responsible for any outstanding tuition, fees, or associated charges to Aspen Beauty Academy - Laurel. I am obligated to adhere to the repayment regulations for all Title IV loans received, as well as VA payments made on my behalf. A non-refundable administrative withdrawal fee of $100.00 will be assessed. Future Re-Admission: Should I decide to return, I understand that re-admission is not automatic. I will be required to complete the re-admission process and meet any additional criteria set by the school per the re-entry policy. Additional Information Exit Counseling: For your federal financial aid loans, complete an Exit Counseling by signing in with your FSA ID at Exit Counseling | Federal Student Aid. Students must complete an exit counseling when they leave school. Transcript Requests: To receive a transcript after withdrawal, please complete the Transcript Request Form. Re-Admission Guidelines: For more details on the re-admission process, please check the re-entry policy listed in the school catalog. Certification and SignaturesI certify that all information provided in this form is true and accurate. I have carefully considered my decision to withdraw and understand the academic and financial implications as explained above.Signature:*Reset Date* MM slash DD slash YYYY
