Petition for an Admin W

This Administrative "W" request will be treated as confidential. It must include a signed and dated personal statement fully explaining the extremely extenuating circumstances justifying the request, along with relevant documentation. No case will be reviewed without documentation. 

Please list below the course(s) in which you are petitioning an Administrative “W”.

Information about Course 1: 

Information about Course 2: 

Information about Course 3: 

Information about Course 4: 

Information about Course 5: 

If you have more than 5 courses to submit for petition, please attach the information here: 

Personal Statement

You must submit a formal, word-processed, signed and dated personal statement explaining fully the extenuating circumstances to justify this request. Specifically list what would you do differently to ensure academic success.

• Examples: What services will you seek to help yourself? How would you change your study habits? 

Relevant Documentation

You must submit relevant documentation for your request.

• Examples: Hospital bill, an obituary, a divorcee decree, a medical diagnosis, a disability diagnosis, a work record, court records, etc.