Example Petition
The following is an example only:
1. Your Name and anticipated Graduation Year
Stephanie Student, class of 2010
2. The rule, regulation or deadline to which you are requesting an exception (you may copy from the Bulletin when appropriate).
Last day to withdraw from a course with a “W” grade is Friday, March 26
3. The action you wish the Subcommittee to take
Permit submission of my “W” form after the deadline.
4. A clearly stated argument to support the action you identify in #3 above. Include information about the circumstances that are relevant to your request
From March 26th through April 2nd I was hospitalized (documentation from treating physician and hospital attached). During most of the time period I was sedated and unable to function normally. Therefore, I was unable to make arrangements to have the paperwork turned into the Registrar’s Office. Prof. Jones, my advisor, can confirm that I had met with her and discussed the “W” the week before the deadline and had her sign the form at that time. I didn’t turn the form in that day since I knew I had almost a week to do so.
5. A list of persons who will be responding to your statement and their role in your situation (i.e., advisor, class dean, professor, etc).
Prof. Jones, advisor; Dr. James, treating physician at hospital, Officer Smith, DPS officer who transported me to the hospital on March 26th.