TO THE STUDENT: We recommend that you consult with your Advisor and the Financial Aid Office before withdrawing from a course. Please submit this form to your instructor. It is the student’s responsibility to submit the completed form before the end of the course for processing. Please refer to the Refund/Withdrawal Policy for the applicable semester for dates and information. You can confirm the form has been processed by checking your SIS.
I understand by registering for courses at RVCC, I am financially obligated for ALL costs related to the registered course(s). Upon a drop or withdrawal, I understand that I will be responsible for all charges as noted in the student catalog and handbook. I further understand that if I do not make payment in full, my account may be reported to the credit bureau and/or turned over to an outside collection agency. I also understand that I will be responsible for the costs of the outside collection agency, any legal fees, and any bounced check fees under RSA 6:11, which will add significant costs to my account balance.
Tel: (603) firstname.lastname@example.org
Claremont Campus1 College PlaceClaremont, NH 03743603-542-7744
Keene Academic CenterCheshire House67 Winchester StreetKeene, NH 03431603-357-2142
Lebanon Academic Center15 Hanover StreetLebanon, NH 03766603-443-4200