Petition to Drop/Withdraw from a Class AFTER the Last Day to Drop/Withdraw from the Session for DUAL ENROLLMENT STUDENTS

Petition to Drop/Withdraw from a Class AFTER the Last Day to Drop/Withdraw from the Session for DUAL ENROLLMENT STUDENTS
Enter the semester that the Petition to Drop or Withdraw is being requested for :*
Enter the year that the Petition to Drop or Withdraw is being requested for :*
Petitions to drop OR withdraw from a class after the last day to drop OR withdraw from the session, are accepted for review when a Dual Enrollment Student has extenuating circumstances that prevented the student from dropping OR withdrawing prior to the university specified deadline. Dual Enrollment Students must supply documentation and a personal statement supporting the student’s reason for the petition request. A statement from the High School Dual Credit Representative will also be required.

Every individual who's signature is required for this petition is allowed 10 working days to provide their appeal decision. Once this form is completed, all requirements will be submitted immediately to the Petition Committee for review and processing.

Any petition that does not include required documentations as stated above will be denied.

Please FULLY read and complete the next 3 sections:
1. Documentation Requirements
2. Student and Course Information
3. Required Permissions

Documentation Definitions & Requirements

Definitions of the required documents are provided below for clarification purposes.
PERSONAL STATEMENT

Required for all petitions submitted by Dual Enrollment Students. Along with the documentation below, provide a statement describing the justification for the term petition request. Be specific.
- Describe extenuating circumstances (including dates congruent with circumstances and timelines in your petition.
- Steps you took to address the issue/ problem at the time it occurred and name of person(s) contacted.
MEDICAL ISSUE

If a Dual Enrollment Student is submitting a petition for a medical issue, the following medical documentation will be required.

Medical issues that merit a petition:
- Physical or psychological medical difficulty
- Family medical difficulty
Required documentation for medical issue:

A personal letter describing the justification for the term
withdrawal request. Be specific.
- Describe extenuating circumstances (including dates congruent with circumstances and timelines in your petition)
A signed letter on official letterhead from your (or your family member’s) attending health care provider, counselor, or licensed practitioner, which specifies the following:
- The date of onset of illness or accident
- The dates you (or your family member) were under
  professional care
- The general nature of the medical condition
NOTE: A formal signed letter on official letterhead with all details mentioned above is required. Dates in official letter from medical practitioner must be congruent with circumstances and timelines reported in your petition. File notes, medical receipts, or copies of prescriptions are not considered sufficient documentation.
PERSONAL ISSUE

Personal issues that merit a petition:
- Death of a family member
- Legal issue (this does not include illegal activity that you were involved in)
- Accident
- Loss of employment due to forced layoff or military
  deployment
Required documentation for death of family member:
- A copy of death certificate, obituary, or memorial service
  program verifying date of death within the requested term
Required documentation for personal issue:

A personal statement describing the justification for the term drop OR withdrawal request. Be specific.
- Describe extenuating circumstances (including dates congruent with circumstances and timelines in your
  petition)
A signed letter on official letterhead from an appropriate official
such as, attorney, law enforcement agent, court official, or other
appropriate source, which specifies the following:
- The date of incident
- The dates you (or your family member) were affected by
  the incident
- The general nature of the incident
NOTE: A formal signed letter on official letterhead with all details mentioned above is required. Dates in official letter from appropriate official must be congruent with circumstances and timelines reported in your petition.
SITUATIONS THAT DO NOT MERIT AN EXCEPTION TO POLICY

The institution expects students to accept responsibility for their academic performance unless there have been severe extenuating circumstances as described above. The following circumstances will not be considered for petitions:
- Academic difficulty (failing grades and/or desire to clean-up
  academic record)
- Change in major
- Change in career goals
- Overcommitted (i.e. course load, student activities, employment) without additional circumstances beyond student’s control
- Financial issue (Students are responsible for securing payments and following up on their financial aid to ensure it will disburse on time)
- A Illegal activity issue that you were involved in.

Student and Course Information
Enter Student's Legal Name*

Student's Legal First NameStudent's Legal Last Name
Enter Student's WNMU Email*
example@example.com
Enter Student's Phone Number*
Please enter a valid phone number.
Enter the Student's WNMU Identification Number (W00#)*

Select the option that applies to the student's request for Petition to Drop or Withdraw:*

	Check ONLY ONE field below
I request a withdrawal from my courses. (Withdrawals will be reviewed after withdrawal periods of a term). If the petition is approved, the student will receive a grade of “W” in the course and does not warrant a refund of tuition. Students may not petition after a one year period.
I request a drop from my courses. (Drops will be reviewed through withdrawal period of a term; unless there is an Administrative error found.)

Enter the course information that applies to the student's request for Petition to Drop or Withdraw:*

	Subject Ex. MATH:	Course Ex: 111:	CRN Ex: 12345	Course Title Ex. Intro to Psychology:	Current Grade for Course Ex. D,F, NF	Instructor Name Ex. Dr. Rawhide Mustang
Enter Course Information:

Enter the course information that applies to the student's request for Petition to Drop or Withdraw:

	Subject Ex. MATH:	Course Ex: 111:	CRN Ex: 12345	Course Title Ex. Intro to Psychology:	Current Grade for Course Ex. D,F, NF	Instructor Name Ex. Dr. Rawhide Mustang
Enter Course Information:

Please enter the start date of the course.*

MonthDayYear
Date
Please Enter the end date of the course.*

MonthDayYear
Date
Please enter the start date of the course.*

MonthDayYear
Date
Please Enter the end date of the course.*

MonthDayYear
Date
Student's Personal Statement - Type your justification for the petition HERE:*
Supporting Documentation to include to support the student's petition (ex: statement from counselor, etc..). UPLOAD HERE:*

Cancelof

REQUIRED PERMISSIONS

All emails & signatures are REQUIRED for this petition to be submitted to the Petition Committee for Review for the requested course after the university specified deadline. Once approvals are secured, the petition and required documentation must be submitted from the Graduate Admissions & Outreach Programs Office to the Petition Committee for processing.
Required Emails & Signatures
Enter the Student's Full Legal Name*
Enter the Student's Preferred Email*
example@example.com
Student's Signature*

Clear
Enter the Legal Guardian/Parent's Full Legal Name*
Enter the Legal Guardian/Parent's Email*
example@example.com
Select the High School Dual Credit Representative from the drop down menu*
Select your High School Dual Credit Representative's email from a list below
Enter the High School Dual Credit Representative's email if not found on the list*
example@example.com

WNMU Outreach Progams Representative(s) Name

Jennifer Morales	Jessica Enriquez
Dual Enrollment Coordinator Western New Mexico University	Director Graduate Admissions & Outreach Programs Western New Mexico University

WNMU Outreach Programs Representative Email*
This is a pre-filled, do not change or your Petition will not be processed.
Should be Empty:

Petition to Drop/Withdraw from a Class AFTER the Last Day to Drop/Withdraw from the Session for DUAL ENROLLMENT STUDENTS

Documentation Definitions & Requirements

Student and Course Information

REQUIRED PERMISSIONS

Required Emails & Signatures