REQUEST TO WITHDRAW

	Center for Community & Corporate Training Education Request To Withdraw From Community Education Course Student’s Name Date Social Security Number Course Name Date of Class *Check applicable boxes: Refund Request-(this form must be received 10 days prior to the first day of class unless a date or time change was made by JSCC) Student Substitution Request. Substitute’s Name Course Transfer Request*. New Course’s Name and Date (this form must be received before or on the first day of class) NOTE: Date of withdrawal will be the date this completed form is received by The Center for Community and Corporate Education.
	For more information on Jefferson State's Corporate and Community Education program, please email workforcedev@jeffstateonline.com or call (205) 856-7710 or Fax (205) 856-7782.
	Center for College Corporate and Community Education Training for Business and Industry, Corporate Training, Continuing Education, Microsoft Office Training, Computer Training, Leadership Training, Management Training, Supervision Training, OSHA Training, Safety Training, Customer Service Training, Spanish Training, Command Spanish, Conversational Spanish, Basic Work Skills, Adult Learning, Training, Education, Remedial Learning, Manufacturing and technology, Team Building, Welding Instruction, Welding Classes, Community and Corporate Education, Jefferson State Community College, Office: 205-856-7917, Email: workforcedev@jeffstateonline.com