Cybersecurity Workforce Program
Request for Withdrawal

Cybersecurity Workforce Certificate Program students will fill out this form to formally request a withdrawal.

First Name

Last Name

Did you access the platform and begin the program before submitting your withdrawal request?

Yes, I signed in and started the program

Yes, I signed in but did not start the program

No, I never signed in

Are you interested in rejoining the program at a later time?

Yes

Not Sure

Please read carefully

** I acknowledge that withdrawing from the program may result in the loss of all progress. If I choose to rejoin in the future, I may be required to reapply and start the program from the beginning. **

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I have read and understand that withdrawing from the program may result in loss of all progress, and that if I choose to rejoin in the future, I may need to reapply and start the program over.

Send me a copy of my responses

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Cybersecurity Workforce Program Request for Withdrawal

Please read carefully

Cybersecurity Workforce Program
Request for Withdrawal