IPA Re-Enrollment/Withdrawal Form

IPA Re-Enrollment or Withdrawal Form

First name

Last name

Email

Select one option

Re-Enroll

Withdraw

Undecided*

*By selecting "Undecided" above, you are agreeing to contact Daylight at learn@daylightadvisors.com to select a re-enrollment date. Also, you understand that you must re-enroll in one of the next 3 cohorts offered after submission of this form or forfeit enrollment. Visit our website to see upcoming cohort schedules.

For re-enrollment, please select your top two group preferences.

July Cohort - group 2

July Cohort - group 4

July Cohort - group 5

July Cohort - group 6

October Cohort - group 1

October Cohort - group 2

October Cohort - group 3

October Cohort - group 4

October Cohort - group 5

October Cohort - group 6

I understand that by selecting to re-enroll in the offered cohorts, I must restart the IPA program and complete all necessary requirements to earn the certification.

IPA Re-Enrollment/Withdrawal Form