Petition for Late Withdrawal

This form is used by students seeking to withdraw from individual courses past the withdrawal deadline posted on the Academic Calendar. Students using financial assistance (military benefits, financial aid, scholarships, etc.) should contact the appropriate office to discuss the impact before submitting this form for review.

TCC Student ID#(Required)

Class No.(Required)

Subject(Required)

Catalog No.(Required)

Class Section(Required)

Semester/Term(Required)

Year(Required)

Please enter a number from 2020 to 2040.

Last Date of Attendance(Required)

Reason for Withdrawal(Required)

Explain your reason in detail(Required)

Please attach supporting documentation/information as necessary/helpful.

Drop files here or

Accepted file types: pdf, txt, doc, docx, rtf, Max. file size: 32 MB.

Signature(Required)