Columbia College Columbia College
REQUEST FOR REFUND		 Columbia College

In accordance with Yosemite Community College District Policy 5025.2, a ten dollar ($10.00)
administrative processing fee is charged for all refunds except in the case of a class cancelled by the College.

   Cancelled Class 
   BOGW
   Drop
Name:   ________________________________ ______________________________________ 

(Last, First, Initial)

Student Identitfication # or Social Security #

   
Mailing Address:   ______________________________________________________________________

(Street, City, State, Zip)

   
Date:   __________________ Student Signature: ___________________________________
INSTRUCTIONS:     Complete this form and return it to the Business Office.  See Schedule of Classes for Refund Policy.  Call 588-5114 for questions.  A check will be mailed to you within 6 - 8 weeks if eligible for the refund.  See Procedure for Refunds and deadline dates in the current semester Schedule of Classes.
   
NOTE:      THIS FORM DOES NOT WITHDRAW YOU FROM CLASSES.  Prior to the deadline, a student requesting a refund must officially drop classes at the Admissions & Records Office, on the college website, or through the Touchtone Telephone Registration System.

 

Section No. Course Title Units Section No. Course Title Units
           
           
           

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * For Office Use Only * * * * * * * * * * * * * * * * * * * * * * * * * * * *

Enrollment Fee  $ ________  Material Fee  $ ________        CR# __________   
Health Fee $ ________  Comm. Ed. $ ________      Date __________    
Tuition $ ________  Rep $ ________      Bus. Off. Approval  __________     
Center Fee $ ________   TOTAL $ ________    
Auto Permit $ ________ 
Columbia College Business Office
11600 Columbia College Drive
Sonora,  CA 95370   
 Last Updated 3/24/04