Sinclair Community College
TUITION REFUND APPEAL
* Indicates required fields
Student ID Number*:
   
First Name*:
   
Last Name*:
   
Address*:
   
City*:
   
State*:
   
Zip Code*:
   
Home Number*:
   
Cell Number:
   
Work Number:
   
Email*:
   
Term*: Fall    Winter    Spring    Summer
Year of Request*:

List all courses for which you are requesting a refund. Be sure to include the department, course number and section.
(Example: BIO 111 05, SOC 297 03, NSG 230 02 etc.)
If you dropped all of your classes, write "ALL".
Department
Course No.
Section

State the reasons for dropping your class(s) and why you did not drop during the refund period. If there is supporting paperwork attach it to the email copy that you will receive and drop/mail it to the Bursar Office.*