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Withdrawal Request

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Withdrawal Request

"*" indicates required fields

Student's Current Grade*

Are you withdrawing from all Navigate-NIDES courses/programs?*

Yes, I am withdrawing from everything

No, I only want to remove 1 or more courses

Reason for Withdrawal - Please explain why you are withdrawing*

List the course(s) you wish to withdraw from*

e.g.: English 10, Math 11

Student Information

Student Legal Name*

First Last

Student Date of Birth*

Student Email*

Comments or Questions

Have any comments or questions you want to add?

Name

This field is for validation purposes and should be left unchanged.

Δ

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2505 Smith Road,
Courtenay, BC,
V9J 1T6, Canada

Navigate-NIDES – Phone / Fax:

1-800-663-7925 (Toll Free)
(250) 337-5300 (Local Phone)
(250) 337-2310 (Fax)

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