Kenzie Academy Withdrawal Form

School Withdrawal Confirmation

What program are you seeking to withdraw from?

SORRY! You are in the wrong place!

You will need to contact SNHU directly to proceed with withdrawal from them. Kenzie Academy only offers short-term certificate programs that is affiliated with SNHU, but operates as a separate entity. Here are a couple resources that should help get you to the right place:

Please review SNHU withdrawal policy and;
Contact the office of academic advising to continue with your withdrawal request.

**This form is only monitored for Kenzie Academy submissions. You may not be contacted if you submit this form. Please follow the links above to ensure the appropriate offices receive your withdrawal request.

Kenzie Academy Withdrawal

Personal Infomation

Legal First Name

Legal Last Name

Kenzie Email

Do not enter your personal email address!

Phone

Program

Start Date

Reason for Withdrawal

Reason

COVID Classification

If you selected Covid-19, please choose all of the following that apply to your situation.

Describe the Situation

Additional Information Needed Needed

Do you wish to withdraw from all of your courses?

Which Courses would you like to withdraw from?

Form Submission Details

Acknowledgment of Terms

I agree to the terms of the refund policy.

Agree

I understand that withdrawing from the program may impact my ability to finish my certificate program

AgreeIf unsure of re-entry eligibility, please consult your Learning Success Advisor prior to submission of this form

I understand submitting this form will immediately lead to my removal from Kenzie Systems (MyKenzie, Slack, Inscribe, etc.)

AgreeYou will still have access to your Kenzie email address for 60 days post withdrawal

I wish to formally withdraw from Kenzie Academy

AgreeYour withdrawal is considered official as of submission of this form.

I understand I will only receive a refund of my Career Choice Voucher if I withdraw within 14 days of my start date

I agree