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Term Revocation Form


Please complete this form if you applied for admissions to enroll in a future term but changed your mind and want to enroll in the current term.

Name
   
EMPLID
 


When applying to P&HCC, I selected that I would begin attendance in the:


Instead, I would like to change my admit term to begin attendance in the:
Electronic Signature: d41d8cd98f00b204e9800998ecf8427e





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