LLL Withdrawal Form

* Indicates a mandatory field which must be completed

 

dd-mm-yyyy

Wrong choice of programme
Institute not suitable
Programme too difficult
Programme did not meet expectations
Personal/Family illness
Financial difficulties
Felt out of place/homesick
Accommodation difficulties
Other

 

Re-applying to Third Level next year
No definite plans
Leaving to go to work
Leaving to do a PLC Course
Transferring to another Third Level College
Returning to sit Leaving Cert
Other

 

Attended Open Day
Career Guidance Teacher
Prospectus
Visiting Speaker from ITC
Careers Exhibition
Other

 

Head of Department
Institute Counsellor
Class Tutor
Friend
Family
Other Lecturer

 

All student withdrawals must be authorised by one of the Lifelong Learning Management Team *

  I confirm this withdrawal was authorised by one of the Lifelong Learning Management Team

 

By submitting this form I am withdrawing as a student at the Institute of Technology, Carlow. I confirm that I have discharged all my debts to the Institute and that I have returned any due items to the Institute Library.