Transfer Form


Transfer Form

Student Name:  

Location: Fort Myers

Instructor:  

Program:  

Class Day of Week: Time of Class:  

Date of Class Start: Last Date of Attendance:

New Program:  

  

By digital signing this document you are agreeing to and understand the IMDT Transfer rules and regulations that have been laid out in the IMDT Catalog. After submission this document will be sent to the proper channels for approval. Your IMDT representative will reach out once approved. Please email us at [email protected] if more guidance is needed. 

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Transfer Form
lock iconUnique Document ID: 9a88303970f54dd3556ad02c8ae4d4785d82820e
Timestamp Audit
September 4, 2020 8:22 am CDTTransfer Form Uploaded by Cassie Black - [email protected] IP 99.190.9.234
September 8, 2020 7:14 am CDTIMDT Documents - [email protected] added by Cassie Black - [email protected] as a CC'd Recipient Ip: 99.190.9.234