Faculty Recruiting Support CICS

CS Late Withdraw Petition Form

Student Information
###-###-####
(Month/Year)
Course History Information
For the course that you are requesting to withdraw, please provide the 3-digit catalog number, the full title, the semester & year, the schedule number, and the Instructor's name.
e.g., CMPSCI 105
e.g., Introduction to Programming
e.g., Fall 2016
This is the 5-digit class number for the specific class or section you are requesting to withdraw.
If necessary, include the 5-digit class number for the specific lab you are requesting to withdraw.
Justification
I understand that this appeal will be reviewed by the Advising Committee and I will be notified of the decision by email. I understand that I must continue to attend the course(s) that I am requesting a late withdrawal(s) until I am notified that the late withdrawal(s) was approved. I understand that if verification is needed, that it is my responsibility to provide it to the committee.