Phone: 814-555-1212, Request for a Retroactive Late Course Drop. For more information regarding mandatory reporting and Title IX, please visithttps://www.uky.edu/eeo/faqs. Instructions: Students who are petitioning for retroactive withdrawal AND received student aid at any time while at Penn State are required to complete and sign the first page of the Student Aid form, which includes contact information, details about aid received, and the term(s) for which they are requesting a retroactive withdrawal. Web Be sure to include all components of the appeal (e.g., appeal form, letter explaining request, documentation of circumstances beyond your control, instructor information forms if required). This letter serves as my formal petition for a retroactive late drop from the two courses and my explanation of the circumstances. Thank you for your consideration. Reference (s): Policy Stated in the Preamble to "Academic Policies and Procedures for Undergraduate Students" in The University Faculty Senate Policies for Students If you are unsure which college you were enrolled in during the semester from which you want to withdraw from or if you do not see your college listed, please contact your advisor or email Katie Silver (coordinator for the SRWAC) atkatie.silver@uky.eduin the Senate Council Office. Appeals must be received within ten (10) Please send comments or suggestions on accessibility to Senate Staff. WebPlease include the following documentation with a Retroactive Corrected Grade petition: REQUIRED Current Transcript Student Request Letter Documentation Supporting PSU ID# 912345678 Please include the following documentation with a Retroactive Late Registration petition: After the withdrawal period has passed for a term, a student must prepare a petition to withdraw retroactively. 0000089025 00000 n Please make sure that you print a copy of the information before you hit SUBMIT to keep for your records.**. Students will be contacted via their App State email with a decision. A Retroactive Withdrawal request is when a student is requesting to withdraw from all courses on the transcript for a term. xbbd`b``3 1y' All rights reserved, Reentering or Returning Graduate Students, Reentering or Returning International Students, Reentering or Returning Undergraduate Students, Medical Withdrawal Sample Provider Letters, U.S. Diversity and International Perspectives, In-State Tuition Benefit (General Information and Contact), Catalog Editing Handouts and Presentations, Final Grade Submit and Class List Information, Advisor Early Degree Audit Review for Graduating Seniors, FERPA - Sharing Student Information (PII), FERPA - What Faculty and Staff Need to Know, Administrative Schedule Change Form Tutorial, Residency Application for Admission & Tuition. WebRetroactive late drop petitions will not be accepted without documentation. Retroactive Withdrawal. Examples of documentation that should be provided are as follows: Medical Issues (serious illness, hospitalization, mental health, change in health status). 0000003110 00000 n (See Administrative Policy C-2). The only shared concern is an attendance policy and how their physical therapy may impact attendance. ), Letter From Authorized Petition Submitter (if desired), Documented support (a letter) from the unit to which student will re-enroll upon return from suspension (acquired by student prior to submitting), Letter from Authorized Petition Submitter (if desired), Supporting documentation (Examples: transcript from community college showing academic success and/or documentation of extenuating circumstances that affected academic performance in the past (medical, mental health, etc. 0000138468 00000 n 0000108603 00000 n After that time, students requesting a corrected grade must submit a petition for a Retroactive Corrected Grade. All rights reserved. An appointment (in person or by phone) will be arranged for the student to learn about the financial consequences of the requested action, and after discussing with the student, a Student Aid staff member will sign the form. In the rare case that exceptional circumstances prevent the student from filing the petition within one calendar year of the last day of the term(s) for which the student is requesting retroactive withdrawal, a clear explanation, supported by documentation, of these circumstances. The Committee will determine if the student meets the requirements for a withdrawal due to an extenuating circumstance(s). In cases where an appeal deadline falls on a weekend or University closure, the deadline for filing the appeal will be extended to the next University business day. A Retroactive Late Registration request is only available for semesters/sessions prior to Fall 2016. Name of student. Whatever you cite as the extenuating circumstances that affected your academic performance needs to be documented in some way. STUDENTS REQUESTING RETROACTIVE WITHDRAWAL AND RECEIVED STUDENT AID AT ANY TIME WHILE AT PENN STATE (AT UNIVERSITY PARK AND AT CAMPUSES OTHER THAN UNIVERSITY PARK). If the student did not attend/participate in any courses for an entire term, this would be a retroactive Administrative Registration Cancellation. W]y/]w3q-ogpV,bqnQGIaRn`sck>{Nn0Zg h9+47)D06H]T{"Lta`O)bB`Lny:85q1;>1d;QR4Qr_GVfQ&ek~lQ-fY066~g:P+ Yours Obediently, Your name Batch no Subject and Department name Contact info. Students will be contacted via their App State email with a decision within fifteen (15) business days of their request being reviewed. Fax:814-949-5702 When the student initiates a Medical Withdrawal from the university, requests to return will initially be reviewed by Student Assistance in the Dean of Students Office to clear the Medical Hold. 0000011056 00000 n ____ Students must have some extenuating circumstance that prevented them from making an informed choice regarding the alternative grading system before designated deadline, and provide written documentation to support that. Petitions for a Reduction in Length of Academic Suspension must be submitted to the Faculty Senate no later than the late drop deadline of a regular session course of their first term of academic suspension. 0000009131 00000 n endobj 0000084730 00000 n The student has serious and compelling reasons for the students unofficial withdrawal, e.g., serious illness or injury to student or family member, death in the family, etc. This requires a letter from the doctor, hospital records or other medical records. Two years is defined as two consecutive periods of 365 days (or 366 if leap year) from the last day of classes for the semester for which the withdrawal is requested. Any type of financial aid (grants, scholarships, federal or alternative loans) that is processed by the Office of Student Aid and paid directly to Penn State CANNOT be used as payment towards a retroactive registration. lPR`CAW8""5@1XvZ Ralph Ullman, President Ayer Corporation 6921 Hilltop Boulevard Baltimore, MD 21250 . L//O//O///d+Y325BMPS)h All Reduction in Length of Academic Suspension petitions must include a letter from an academic adviser supporting the students request for a shortened length of suspension. John Q. Thank you for your consideration. <> Please note: The Retroactive Withdrawal Appeal process can have an impact on financial aid and scholarships, to more fully understand the implications for you as a student, please contact the Office of Student Financial Aid and scholarships at https://www.uky.edu/financialaid/contactus or by phone at (859) 257-3172. Your deans office will then transmit your completed file, along with your unofficial transcript and their recommendation to the Senate Council Office for transmission to the Senate Retroactive Withdrawal Appeals Committee (SRWAC). STUDENT would likely benefit from additional time on their exams and taking exams in a private setting. In cases where a student no longer has an active App State email account, the decision will be sent to the email provided by the student on the request form. Students should submit their petitions through the Unit of intended re-enrollment following academic suspension. Total supporting documentation should not exceed 15 pages. Dear Mr. Ullman: I am writing to inform you that I am withdrawing my application for the program coordinator position. If you wish to make multiple semester requests to withdraw, you must complete a separate application for each semester from which you want to withdraw. For more information regarding tuition refunds, please contact the Office of the University Registrar (859-257-7157). E130 Smith Building The University Senates Retroactive Withdrawal Application (Part 1), A completed Instructor Feedback Form (IFF) for each course from which you seek to withdraw, A detailed personal statement, which explains, Your serious illness, serious personal or family problem, serious financial difficulty, or a permanent disability verified by the Disability Resource Center and diagnosed after the semester in questions; AND, Why you did not withdraw during the semester in question. They have also discussed their desire to have an emotional support animal. 0000138766 00000 n These reports arenotlisted on your transcript. H\n0D Petitions are reviewed by the Record Adjust- For example: a recommendation on official letterhead from a professional organization such as a social service provider, a Death certificate or Notice of Death. Late Withdrawals require the submission of a Return Request form and a Readmission application. 0000084467 00000 n 0000013212 00000 n Re: Medical Withdrawal Reentry Letter of Support Dear Iowa State University Student Assistance Staff, STUDENT In the third week of fall, I was diagnosed with mono at the University Health Center. Requests received after the completion of an academic term will not be eligible for review as a Late Withdrawal. The Cal Poly Pomona Retroactive Withdrawal Committee will give consideration to the following factors: For advice on preparing a Retroactive Withdrawal petition, review the document Suggestions for Preparing Your Request available at the Office of Student Success website. o An explanation of why I was not able to drop the course(s) by the if student claims that actions were taken within LionPATH. 2 0 obj endstream endobj 268 0 obj <>stream WebKindly accept my leave and do a favor. If you are requesting a retroactive medical withdrawal, please refer to https://registrar.wisc.edu/medical-withdrawal/, L&S Undergraduate Academic Deans Services, L&S undergraduate students on F-1 and J-1 visas, Documentation should include date and indicate relationship to the deceased, Letter from doctor with advised period of recovery, Copies of medical bills documenting illness/injury, Letter from doctor, therapist, or counselor. 0000085213 00000 n 261 0 obj <> endobj Military Service - An Appalachian student who received orders for training or active duty within the specified academic term. These requests will be considered a Retroactive Withdrawal and will follow that established timeline for review and a decision. WebRetroactive withdrawal petitions will not be accepted without documentation. (Retroactive Late Registration is only available for semesters/sessions prior to Fall 2016). I suffered a severe concussion and my left patella was broken in several places (please see attached medical documentation and the hospital records). 0000001526 00000 n uB1PaxJ-}/A& L5-h\aCPX.Pt:! Consequences could include the loss of eligibility for previously awarded Financial Aid. STUDENT NAME indicated they withdrew in Spring 2017 after they suffered a severe leg injury. 0000108150 00000 n For example: See the Summer Key Deadlines and Guidelines for Summer Enrollment Actionsfor more specific details.). ____ LionPATH summary (if student claims that actions were taken within LionPATH to complete the request but for some reason the request wasnt completed). 0000003742 00000 n ____ Student Request Letter This grade means that you withdrew from a class after the Add/Drop Period, and the circumstances were serious and compelling, beyond your control. Senate Committee on Education If the student has received aid, the completed form will need to be uploaded into SUPR using the Student Aid Browse button. Notification of Potential Workplace Exposure. STUDENT NAME indicated they withdrew due to medical reasons in Spring 2017 and I began working with them in May 2017 on a regular basis as they navigated their diagnosis and treatment of XXXXXXX medical condition. Spring 2023 Meeting DatesFiles are considered by the order in which they are received. Please be aware that all University employees are required to share reports of sexual harassment they receive from students with the Title IX Coordinator. Dates are available on the Universitys academic calendar. The student should contact their Dean of Students or Registrars Office to learn the correct procedure for withdrawing. STUDENT understands the requirements of their program and shared they understand during the more stressful periods associated with their program they need to monitor their sleep schedule and remain medication compliant. The Registrar's Office is here to serve you! In cases where a student no longer has an active App State email account, the decision will be sent to the email provided by the student on the request form. ^JNzuj~L o{/.x(R@Y)yZ,8GKXrmzmFT:?05}uyqM.LY #2y"IJXJ?"f1RR-a00 V|k3?8q][Seqs)mvq]{C8xm~/Ov2nd9`?So*_k(UgptQT. Committee reviews request. for that semester: Completed applications must be The SRWAC meets once a month during the fall and spring semesters. These cases are usually seen when a student intends to petition for a tuition adjustment through the Bursars Office. Webseeking selective withdrawal, I have explained why the circumstances did not affect my entire program. (See Policy 34-20) Students requesting to add all courses for a term from Fall 2016 to present, should prepare a petition for Retroactive Late Course Add. This letter serves as my formal petition for a retroactive late drop from the two courses and my explanation of the circumstances. To qualify for Academic Renewal, a student must have a cumulative grade-point average (GPA) below a 2.00, and have taken no course work at Penn State for a minimum of four calendar years. All International students (both at University Park and at other Campuses) need to discuss implications for immigration and sponsorship before submitting a petition for retroactive withdrawal. Appeals must be received within ten (10) calendar days from the date Appalachians decision is provided to the student via their App State email account. WebTo request a retroactive withdrawal, you must BOTH submit the completed Retroactive Withdrawal Request Form schedule an appointment to meet with an academic dean. 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