Office of the Registrar, March 2021
REQUEST TO DROP WITH “EW” AFTER RECEIVING “W”
This request can be made for classes in which student received a “W”. Requests to receive an “EW” may be
approved if students indicate experiencing extenuating circumstances beyond their control and submit supporting
documentation. Changes to “EW” can only be made within one year following the end of the semester in which the class
was taken.
Excused Withdrawals (EW) can be requested for the following (Student must receive a “W” on the course):
U.S. Military Service (copy of orders MUST be attached)
Death of an Immediate Family Member (need copy of death certificate, obituary notice or Administrative
Judgement)
Illness or Accident (Hospital or doctor’s statement, on official letterhead, which states the nature and dates
of the illness or accident justifying the reason for withdrawal from the class)
Other (Indicate the extenuating circumstance on your personal statement [page 2], and provide proper
supporting documentation)
The student must attach a personal statement explaining the details of this request. Official documentation
and/or verification must also be attached.
I am requesting to receive and “EW” (Exclude Withdrawal) in the following course(s):
EXAMPLE - Course Name & Number
STUDENT SIGNATURE: DATE:
FOR ADMISSIONS AND RECORDS USE ONLY: Determination: Approved Denied
Notes:
Authorized Signature: Date: _
