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Tuition Refund Appeal

Please read instructions carefully

The College realizes that, on rare occasions, students may need to appeal the published withdrawal/refund deadline due to extenuating circumstances such as:
• Your induction into or deployment for services in the U.S. military
• Death of an immediate family member (Parent, child, spouse, life partner, sibling or grandparent)
• A documented medical emergency

In all cases, the situation must have disrupted your ability to:
• Attend class(es) for a substantial length of time
• Complete the course requirements
• Adhere to the standard withdrawal or refund procedures

Examples of reasons NOT accepted for an appeal are:
• Academic disputes between the student and the instructor
• Acceptance into another school
• Disabilities not officially filed with Disability Services or failure to observe the guidelines provided for academic success
• Disciplinary action
• Enlisting in the Armed Forces
• Incarceration
• Lack of meeting course prerequisites
• Lack of technical resources (hardware/software)
• Late registration/inability to perform in the classroom
• Loss of transportation to/from class
• Personal/family concerns that impose on study/class time
• Unaware of refund/withdrawal deadlines

Instructions for Submitting a Tuition Appeal:
•Refund requests must be received in the semester in which the withdraw occurred, or the semester immediately following (excluding the summer semester).
•You must officially withdraw or be administratively withdrawn from the class(es) for which you are submitting the refund appeal. No action will be taken if the course withdrawal has not been completed.
•You will receive a “W” in the courses that are refunded if you attended any part of them.
•No adjustment will be made if you were withdrawn from any course for disciplinary reasons.
•The appeal will be considered in a timely manner and you will be notified of the decision via your Kirtland e-mail. It is your responsibility to ensure the college has your most current address on file.
•All supporting documentation must be attached for consideration.
•Filing a refund appeal does not relieve your current obligation to the college. You are responsible for all charges assessed on your account pending a decision on your appeal.
• An appeal will not be granted due to your failure to confirm course(s) dropped during your use of the online registration system.
• Bookstore charges and tuition plan fees are non-refundable and cannot be appealed

Please note: There is no further appeal process. This decision is final.

Refund Request Applicant

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Your phone number:

Your Kirtland email address:

Email address must be of a valid format.

Your physical address:

Today's date(Required):

This field is required.

Please indicate your name and student Id#

Your Full Name

Student ID#

Tuition Appeal Information

Please answer the following questions to the best of your ability. Supporting documentation MUST be uploaded with this application or sent directly to:
Michelle Vyskocil,
Vice President of Student Services -
Kirtland Community College -
4800 W 4-Mile Rd -
Grayling, MI 49738

Appeal is for the following semester:(Required)

Fall 2023 Winter 2024

This field is required.

Check reason for appeal and attach supporting information in the "Supporting Documentation" section below:(Required) This field is required.

If Other, please indicate the reason for appeal below and upload pertinent information such as court documents, police reports, etc. in the "Supporting Documentation" section below. This field is required.

Withdrawal of classes:(Required)

I acknowledge that I have withdrawn or received an administrative withdrawal from the class(es) I am appealing.

You must make at least one selection.

Investigation of my account:(Required)

I understand I am approving the college to conduct a thorough investigation of my account.

You must make at least one selection.

Bookstore:(Required)

Bookstore charges are not refundable through this appeal. I may contact the Bookstore directly for the return policy.

You must make at least one selection.

Supporting documentation(Required)

I agree to attach a letter of explanation and the supporting documentation. (If this information is not attached, your request will remain pending until documentation is received.)

You must make at least one selection.

Incomplete appeal:(Required)

I understand that an incomplete application will be returned to me and will not be reviewed.

You must make at least one selection.

Appeal requester:(Required)

I understand that an appeal written on my behalf (i.e. parent, counselor, doctor, etc.), will not be considered.

You must make at least one selection.

Submission of this appeal:(Required)

By submitting this appeal, I am requesting the appeal process be considered.

You must make at least one selection.

Supporting Documentation

Attached your documentation here. Applications without documentation will NOT be processed. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Email me a copy of this report