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 http://tmiky.com/withdraw-request/ or by certified mail, to include: name, date, program enrolled, campus location and reason for cancellation to:

ATTN: Christian Meade, General 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 60 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 digital 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. Students have six months from enrollment date to seek any refunds of paid tuition. All refunds will be made within 60 days of the written notice receipt.

Withdrawal Procedure: 

  1. Students choosing to withdraw from a program after the digital 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, Choice MD and IDT 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class absences, without prior administrative approval, as the unofficial date which a student is deemed to have withdrawn.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 the 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 the amount of tuition paid, fees not included in tuition are non-refundable. Administrative fee of $200 will be deducted from the refund amount. Students who received tuition credit should assume the amount credited will be deducted from the refund amount. All refunds will be made within 60 days of the receipt of the certified letter or electronic submission. Refunds will be calculated as follows: Digital 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 30 days from withdrawal date. 
  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 a certificate of completion. Students who receive a refund are not eligible for any future institutional scholarships.

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Signature Certificate
Document name: Withdraw Request
lock iconUnique Document ID: 94da46557106fa0f0796eda233e5aaf25a33becb
Timestamp Audit
August 19, 2022 2:13 pm EDTWithdraw Request Uploaded by Greg Goins - [email protected] IP 2600:1700:7b18:ec90:2df2:a4c8:2b2b:fc1f
August 19, 2022 2:14 pm EDTTMIKY Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
September 27, 2022 7:07 pm EDTTMIKY Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
February 10, 2023 3:37 pm EDTTMIKY Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
February 10, 2023 3:37 pm EDTWithdraw Submission - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
February 13, 2023 5:40 pm EDTTMIKY Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
February 13, 2023 5:40 pm EDTWithdraw Submission - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
February 13, 2023 5:41 pm EDTTMIKY Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
February 13, 2023 5:41 pm EDTWithdraw Submission - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
February 13, 2023 5:43 pm EDTTMIKY Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
February 13, 2023 5:43 pm EDTWithdraw Submission - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
February 13, 2023 5:44 pm EDTTMIKY Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
February 13, 2023 5:44 pm EDTWithdraw Submission - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
February 13, 2023 6:20 pm EDTTMIKY Documents - [email protected] added by Greg Goins - [email protected] as a CC'd Recipient Ip: 99.190.9.234
July 6, 2023 2:04 pm EDTTMIKY Documents - [email protected] added by - as a CC'd Recipient Ip: 2603:6011:1d00:eb:f910:b86a:166d:41cf
July 19, 2023 2:31 pm EDTTMIKY Documents - [email protected] added by - as a CC'd Recipient Ip: 2600:1700:7b18:ec90:e99d:3c13:cfde:5053
March 19, 2024 8:03 am EDTTMIKY Documents - [email protected] added by - as a CC'd Recipient Ip: 2600:1700:7b18:ec90:2df2:a4c8:2b2b:fc1f