Early Leaver

Maysville Community and Technical College strives to make sure that our students are satisfied with their college experiences. We realize sometimes there are obstacles that cause you to withdraw and leave early. Please take a few minutes to complete our questionnaire. Thank you.

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1. Please select attending campus.

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2. Please select the semester you are withdrawing from?

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3. Full Name

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4. MCTC Student ID Number PLEASE DO NOT ENTER YOUR SSN

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5. Date of Birth (mm/dd/yyyy)

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6. Street Address

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7. City

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8. State

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9. Zip Code

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10. Phone Number

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11. Email Address

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12. Why are you leaving MCTC? (Please check all that apply.)

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13. If you selected Other in Question #12, please explain your reason for leaving.

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14. In what ways could MCTC have been more helpful to you?

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15. Do you plan on returning to college?

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