Appeal for Late Course Withdrawal

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for students in Freshman Studies, Bachelor of Multi-Disciplinary Studies and Bachelor of University Studies

Email *

First Name *

Last Name *

Preferred Name

Student ID Number *

Cell Phone Number *

Alternative Phone Number

Major *

Instructor's Name *

Instructor's Email *

Course Number/Section you are requesting to drop: *

Please read the UM policy regarding late course withdrawals:

Late Withdrawal from a Course — After the course withdrawal deadline, a student may drop a course only in cases of extreme and unavoidable emergency as determined by the student’s academic dean. Unacceptable reasons for late withdrawal include dissatisfaction over an expected grade or a change in a student’s degree program or major. In no case may a class be dropped after the last regular class day in any semester, session, or term.

Courses dropped after the course withdrawal deadline will still appear on the student’s official transcript. The W mark will be recorded if the student is passing the course at the time of withdrawal; the F grade will be recorded if the student is failing.

--Excerpt from online UM catalog

Reminder:

Please note: If dropping this course drops you below 12 credit hours, it will change your status to part-time student rather than full-time which may affect things like financial aid and scholarships.

By checking a box below, I acknowledge that I have read and understand the above information, that I still request a late withdrawal, and that I can provide documentation for one of the reasons listed below.

Please check the reason for your request:

Medical reason (send documentation from your doctor to tblackma@olemiss.edu)

Have never attended the class or stopped attending after the first week (send memo from instructor verifying your last date of attendance or that you never attended to tblackma@olemiss.edu)

Extreme or unavoidable emergency (send a detailed explanation to tblackma@olemiss.edu)

Required

Send supporting documentation to tblackma@olemiss.edu *

I understand that my appeal is not complete until my documentation is sent to tblackma@olemiss.edu.

I have already emailed my documentation to tblackma@olemiss.edu.

Send me a copy of my responses.

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