Faes Graduate School At Nih Withdrawal Form
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1FAES Graduate School at NIH
Withdrawal Form
Website:
Email:
Fax: 301-402-0174
FAES Graduate School Office Location: Building 10, Level 1, Suite 1N241
Mailing address: 10 Center Drive, MSC 1115, Bethesda, MD 20892-1115
Date:
Date _____________________
NAME
_________________
COURSE NUMBER __________________
COURSE TITLE
___________________________________________
Please state reason(s) for withdrawal:
____________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
METHOD OF ORIGINAL PAYMENT:
Government Credit Card
Visa, MasterCard or Discover
Check (payable to FAES)
SF-182 Vendor Training Form
Cash
SCHEDULE OF REFUNDS (14-16 week courses) – please contact the FAES Graduate School for the refund schedule for 4-8 week
courses
st
From the time of registration through 1
week of the semester
Tuition less $25.00 per course
nd
rd
Between 2
and 3
weeks of the semester
60% of total tuition will be refunded
th
During 4
week of the semester
40% of total tuition will be refunded
th
th
Between 4
and 5
weeks of the semester
Withdrawal will be granted without a refund
th
After 5
week
No refund and no withdrawal will be granted
Please allow FAES 3-5 business days to process refund requests.
STUDENTS WHO DID NOT PAY THEIR OWN TUITON ARE RESPONSIBLE FOR THE PRORATED AMOUNT DUE AT THE TIME OF
WITHDRAWAL. LATE FEES ARE NOT REFUNDABLE.
REFUNDS WILL BE COMPUTED AS OF THE DATE THE WITHDRAWAL FORM IS RECEIVED IN THE GRADUATE SCHOOL OFFICE.
PLEASE DO NOT WRITE BELOW THIS LINE
__________________________________________________________________________________________
AMOUNT REFUNDED: ____________________
DATE SENT TO BUSINESS OFFICE: _________________________
DATE CREDIT ISSUED IF CREDIT CARD: _________________________
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