International Student Withdrawal Meeting Request Student Number* Name* First Last Email* Where are you now* I am currently in Canada I am currently outside of Canada Please provide a phone number:Which country are you currently located in?*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsStudy Permit* I have a valid study permit I do not have a valid study permit Did you use an agent to apply to Durham College?* Yes No Agency name Name of Program*Select a Program9-1-1 Emergency and Call Centre CommunicationsAcademic Upgrading - College PreparationAccounting – Business – Transfer to Ontario Tech University Bachelor of Commerce (Hons)Addictions and Mental Health (graduate certificate)Advanced Law Enforcement and Investigations (graduate certificate)Advertising and Marketing CommunicationsAdvertising – Digital Media Management (graduate certificate)Animal CareAnimation – Digital ProductionArchitectural TechnologyArtificial Intelligence Analysis, Design and Implementation (graduate certificate)Autism and Behavioural Sciences (graduate certificate) - NEWAutomotive Technician – Service and Management (Motive Power Technician)Behavioural Science – Honours Bachelor – NEWBehavioural Science Technician – NEWBiomedical Engineering TechnologyBiotechnology – AdvancedBiotechnology - Advanced (fast-track)Broadcasting – Radio and Contemporary MediaBuilding Construction Technician (Co-op option available)Accounting – BusinessAccounting – Business Administration (Co-op option available)Human Resources – Business Administration (Co-op option available)Marketing – Business Administration (Co-op option available)Entrepreneurship and Small Business – BusinessBusiness FundamentalsHuman Resources – BusinessMarketing – BusinessCarpentry and Renovation Technician (Co-op option available)Chemical Engineering TechnologyChemical Laboratory TechnicianChemical Laboratory Technology - Food ScienceChemical Laboratory Technology – Pharmaceutical and Food Science (fast-track)Child and Youth Care (compressed)Child and Youth Care - Brock University ArticulationCivil Engineering Technician (Co-op option available)Civil Engineering Technology (Co-op option available)Communicative Disorders Assistant (graduate certificate)Community Integration Through Co-operative EducationComputer FoundationsComputer Programming and Analysis (Co-op option available)Computer ProgrammingComputer Systems Technician - Transfer to Ontario Tech University Bachelor of Information Technology (Hons)Computer Systems TechnicianComputer Systems Technology (Co-op option available)Conflict Resolution and Mediation (graduate certificate)Cosmetic Techniques and ManagementCourt Support ServicesCrane Operation, Rigging and Construction TechniquesCulinary ManagementCulinary SkillsCybersecurity (graduate certificate)Data Analytics for Business Decision Making (graduate certificate)Dental Assisting (Levels I and II)Dental HygieneDental Reception and AdministrationDevelopmental Services WorkerEarly Childhood EducationElectrical Engineering TechnicianElectrical TechniquesElectromechanical Engineering Technology (Co-op option available)Electronics Engineering TechnicianElectronics Engineering TechnologyEmergency Services FundamentalsEntrepreneurship and Small Business - Business - Transfer to Ontario Tech University Bachelor of Commerce (Hons)Environment Health and Safety Management (graduate certificate) - NEWEnvironmental Technology (Co-op option available)Environmental Technology (fast-track)Esport Business Management (graduate certificate) - NEWEsthetician – Spa ManagementEvent Planning (Co-op option available)Finance - BusinessFinance - Business Administration (Co-op option available)Finance - Business - Transfer to Ontario Tech University Bachelor of Commerce (Hons)Fine Arts – AdvancedFire and Life Safety Systems Technician (Co-op option available)Firefighter – Pre-service, Education and TrainingFirefighter – Pre-service, Education and Training (compressed)Fitness and Health PromotionHorticulture - Food and FarmingFoundations in Art and DesignGame – ArtGas Technician 2Gas Technician 2 – eveningGas Technician 3 – eveningGeneral Arts and Science - General CertificateGeneral Arts and Science - Liberal Arts Ontario Tech University TransferGeneral Arts and Science - Liberal Arts Ontario Tech University Transfer - ForensicsGeneral Arts and Science - Trent University TransferGeneral Arts and Science – Science and Engineering Preparation – Ontario Tech UniversityGraphic DesignHonours Bachelor of Health Care Technology ManagementHeating, Ventilation and Air Conditioning Techniques (HVAC)Honours Bachelor of Artificial Intelligence - NEWHonours Bachelor of Construction Management – NEWHonours Bachelor of Health Care Technology Management (pathway to degree) – NEWHorticulture TechnicianHospitality - Hotel and Restaurant Operations Management (Co-op option available)Hospitality SkillsHuman Resources - Business - Transfer to Ontario Tech University Bachelor of Commerce (Hons)Human Resources Management (graduate certificate)Interactive Media DesignInternational Business Management (graduate certificate)Journalism and Creative Writing – NEWJournalism – Mass Media/JournalismLaw Clerk Advanced (Co-op option available)Law Clerk Advanced (fast-track)Marketing - Business - Transfer to Ontario Tech University Bachelor of Commerce (Hons)Massage TherapyMechanical Engineering TechnicianMechanical Engineering Technician - Non-Destructive EvaluationMechanical Engineering Technician – Non-Destructive Evaluation (fast-track)Mechanical Engineering Technology (Co-op option available)Mechanical Technician - Elevating Devices (Co-op option available)Mechanical Technician - Millwright (Co-op option available)Mechanical Techniques – PlumbingMedia FundamentalsMusic Business Administration (two-year)/Music Business Management (three-year)Nursing - Collaborative Bachelor of Science in Nursing (BScN) (Hons)Occupational Therapist Assistant and Physiotherapist AssistantOffice Administration - GeneralOffice Administration – ExecutiveOffice Administration – Executive (Four consecutive semesters) - NEWOffice Administration - Health ServicesOffice Administration - Health Services (Four consecutive semesters)Office Administration - Legal (Co-op option available)Office Administration - Real Estate (Co-op option available)ParalegalParalegal (graduate certificate)ParamedicParamedic - Advanced Care (graduate certificate)Personal Support WorkerPharmaceutical Science (graduate certificate) - NEWPhotographyPolice FoundationsPolice Foundations (fast-track)Power Engineering Techniques – Fourth ClassPractical NursingPractical Nursing – Flex Program (weekend delivery)Practical Nursing for Internationally Educated NursesPre-Health Sciences Pathway to Advanced Diplomas and DegreesPre-Health Sciences Pathway to Certificates and DiplomasPre-Health Sciences Pathway to Certificates and Diplomas (online option)Project Management (graduate certificate)Protection, Security and InvestigationProtection, Security and Investigation (fast-track)PR and Strategic CommunicationsRecreation and Leisure ServicesCritical Care Nursing - e-learning (graduate certificate)General Arts and Science - Science and Engineering PreparationSocial Service WorkerSport Administration (two-year)/Sport Management (three-year)Sport Business Management (graduate certificate)Supply Chain and Operations - BusinessSupply Chain and Operations - Business - Transfer to Ontario Tech University Bachelor of Commerce (Hons)Supply Chain and Operations Management - Business Administration (Co-op option available)Tourism – Destination Marketing (Co-op option available) - NEWTrades FundamentalsVictim Justice and Interventions (graduate certificate)Video ProductionWater Quality Technician (Co-op option available)Web Development and Internet ApplicationsWelding Engineering Technician (Co-op option available)Youth Justice and Interventions (graduate certificate)Intake you are withdrawing from:* September January May Semester of study you are seeking a withdrawal from:* One Two Three Four Five Six Reason for withdrawal* Changing institution Returning to home country Visa refusal Other Name of Institution* Other* In accordance with Section 39(2) of the Freedom of Information and Protection of Privacy Act, 1990, the personal information collected on this form is collected under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002 and may be used and/or disclosed for meeting preparation and immigration related advising. Your personal information may also be used for various administrative, statistical and/or research purposes of the College and/or ministries and agencies of the Government of Ontario and the Government of Canada. If you have any questions about the collection, use and disclosure of your personal information by the College, please contact the Freedom of Information and Protection of Privacy Coordinator, 2000 Simcoe Street North, Oshawa, ON, L1G 0C5, 905.721.2000 ext. 3292.