Withdraw Request


I, , hereby request to withdraw from my course at the follow location; . By signing this document, I am agreeing that I have read and confirm the Cancellation & Refund Policy below that was also in my Enrollment Agreement & School Catalog.

Cancellation and Refund Policy:

Student must provide written notice of cancellation/withdrawal either by electronic submission to tmiky.com/withdraw-request/ or by certified mail, to include: name, date, program enrolled, campus location and reason for cancellation to:

ATTN: Cassie Black, Operations Manager

2704 Old Rosebud Rd, Suite 130

Lexington, KY 40509

Program Cancellation: 

The school may cancel a program at its discretion. Should this occur, any students enrolled prior to cancellation, will be notified of this change and will have the option of applying all monies paid toward another program or receiving a refund of all tuition paid within 30 days of the cancellation date.

Cancellation: 

An applicant, who provides electronic submission or certified letter of cancellation after executing the enrollment agreement, but prior to the orientation of the program, is entitled to a full refund of all paid tuition. Unless they have been offered or secured employment in the field as a result of enrollment. Student has six months from enrollment date to seek any refunds of paid tuition. All refunds will be made within 30 days of the written notice receipt.

Withdrawal Procedure: 

  1. Students choosing to withdraw from a program after the orientation date are required to provide written notice of withdrawal as required above (attendance will be calculated until electronic submission or certified letter is received) and advised to meet with the On-site Administrator to complete an exit interview.  The purpose of the exit interview is to assess the academic and financial status of the student. 

  2. The Medical Institute of Kentucky has selected three consecutive scheduled class absences, without prior administrative approval, as the unofficial date which a student is deemed to have withdrawn. Students have six months from last attended date of class to request a refund of monies paid towards tuition. After this deadline, no refunds will be issued.

  3. For students seeking a refund of tuition: Refunds are based on amount of tuition paid, fees not included in tuition are non-refundable. Administrative fee of $200 will be deducted from refund amount. Students who received tuition credit should assume amount credited will be deducted from refund amount. All refunds will be made within 30 days of the receipt of certified letter. Refunds will be calculated as follows: Orientation through Week 2- 75% refund, Week 3 through Week 4- 50% refund, Week 5 through Week 6- 25%, No refunds after Week 6. Students not eligible for refund will be offered the option to take a Leave of Absence (LOA) and return to complete the program within 6 months from withdrawal. 

  4. Students who have acquired or been offered employment in the field upon enrollment are not eligible for tuition refund. Students who receive a refund will not be eligible to receive any certificates as all courses in the program must be completed to receive certificate of completion. Students who receive a refund are not eligible for any future institutional scholarships.

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The Medical Institute of Kentucky https://tmiky.com
Signature Certificate
Document name: Withdraw Request
lock iconUnique Document ID: d84678d54f517fdd77d185b260699d432b261480
Timestamp Audit
July 28, 2020 5:53 pm GMTWithdraw Request Uploaded by Cassie Black - [email protected] IP 99.190.9.234
July 28, 2020 6:02 pm GMTTMIKY Documents - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 28, 2020 6:44 pm GMTTMIKY Documents - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 28, 2020 6:45 pm GMTTMIKY Documents - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 30, 2020 2:37 pm GMTTMIKY Documents - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234