Registrar's Office
LCC International University
Kretingos 36, LT-92307 Klaipėda, Lithuania
Tel: +370 46 310 745, Fax: +370 46 310 560
Email: registrar@lcc.lt

Withdrawal Request Form

For a student withdrawing from studies at LCC during a semester, the date of final approval of this request will be used as the last date of studies on the student's record. If the student withdraws before the last day to drop a course (the tenth week of the esemester), the student will receive a W (Withdrawn) for each course. The grade of W carries neither credit nor penalty. if the student withdraws after the last day to drop a course, the student will receive a grade of WF (Withdrawn-Fail) for ech course. The grade of WF carries the same penalty as F. The Student Financial Services Office will determine a student's eligibility for tuition refund after completion and approval of this form.

The withdrawing student must meet all financial obligations (tuition, library, residence hall fees).

The following student has requested permission to be officially withdrawn from LCC:

Last name: First name:

Withdraw request date (day/month/year):

Reason for withdrawal:

Please confirm that the student has met all obligations with your office/department by signing and dating this form:

Academic Advisor's signature:

SFS Director's signature:

Librarian's signature:

Migration Affairs Manager's signature*:
* for international students only

Resident Director's signature:

Student card returned to the Registrar's Office:

Final approval granted:

Registrar:

Date:

Date:

Date:

Date:


Date:

 

 

Date:

Forwarding address for student:

Address:

Telephone: Email:

All request for readmission must be submitted to registrar@lcc.lt. INTERNATIONAL STUDENTS must contact Migration Affairs Coordinator at visa@lcc.lt 7 months prior to the semester of reenrollment.

By signing below I indicate my understanding and agreement with the policy.

 

Signature:

Date: