Program Withdrawal Name* First Last Date* DD slash MM slash YYYY Email* Did you have a confirmed internship in place?*Please selectYesNoWhich internship site? I elected to withdrawal from the VACorps program because:* I thought I could afford the program but the total costs exceeded my budget I was not fully aware of total program costs when I paid my deposit I had a family/personal emergency I no longer feel VACorps is well suited to me My visa application was denied My placement coordinator could not find me a suitable internship I didn't receive my scholarship or funding in time I found another program to participate in Other (please explain) Please explain the circumstances surrounding your withdrawal*How likely is it that you would recommend VACorps to a friend?*Scale of 10-110987654321Do you have any other comments, questions or concerns? Upon submission of this form, the VACorps team will review your request for a refund as it relates to our terms and conditions. If your request is successful, you can expect to receive your refund within 7-14 business days. Please contact [email protected] if you have any questions about the status of your refund.
