Discussion: Withdrawal and Drop Policy Exception Form

Discussion: Withdrawal and Drop Policy Exception Form ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Withdrawal and Drop Policy Exception Form THE UNIVERSITY OF TEXAS AT ARLINGTON WITHDRAWAL AND DROP POLICY EXCEPTION FORM For Use by Undergraduate Students Only This form should be used when seeking to drop a course after the Last Drop Date. A separate form is required for each class. Students must complete sections 1 and 2. Email completed form with appropriate documentation to Mrs. Clover Autrey ( [email protected] ). Ms. Autrey will email the withdrawal and drop policy exception form and documentation to the course lead faculty. Once the signatures for sections 3 and 4 have been obtained, Mrs Autrey will present the form and documentation to the Assistant Dean and Department Chair of the student’s major. The student will be notified of the final decision by the via official UT Arlington email. Name Last First Middle ID Number 1 0 0 _ __ __ __ __ __ __ Semester Major Address Street City State Zip Course __ __ __ __ __ __ __ __ – __ __ __ UTA E-mail Prefix Course Number Section ? Yes ? No I am requesting to drop only this class. (A separate form is required for each class.) Check One Give the non-academic reason why an exception should be granted. Include the circumstances leading to the filing of this petition and the justification for your request. Be sure to include all relevant information, including dates, where applicable. Attach copies of your documentation * (see back) to this Petition. Use additional sheets as necessary. Student should acknowledge: ? I will continue to complete coursework and attend class until I have been notified of the outcome of my appeal. ? I authorize the Dean for my major to obtain whatever substantiating evidence may be needed to evaluate my Petition. Discussion: Withdrawal and Drop Policy Exception Form ? If my Petition is approved, I authorize the Office of Records to drop or withdraw me from the class I indicate on this Petition. Phone Student’s Signature Date Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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