Return completed form to: Admissions and Records, Rundell Hall, Suite 103, or email to admissions@lee.edu
Updated 06/23/2017
Lee College
Request for Six –Drop Exemption
Student Name: LC ID:
Phone: Semester:
I request to be exempt from the requirements of the Six-Drop Limit regulations for the reason identified
below. I understand that I must provide documentation in accordance with the College’s policy.
Documentation must be received by the end of the term in which the exemption is requested.
Severe illness or other debilitating condition
Documentation required: Doctor’s statement
Care of a sick, injured or needy person
Documentation required: Statement from doctor or statement from the person needing care
Death of a family member or another person who is otherwise considered to have a sufficiently
close relationship
Documentation required: Death Certificate or obituary notice
Active duty service with the Texas National Guard or other armed forces by the student, a family
member or a person who has a sufficiently close relationship
Documentation required: Orders from service
Change in work schedule that is beyond the control of the student
Documentation required: Statement from employer
Other: (Student must write a letter regarding the reason.)
Documentation required: Additional supplemental documentation may be required.
I request exemption from the courses listed below.
Student Signature: Date:
Office use only Date Received: Processed by:
Appeal Details:
click to sign
signature
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