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ST TENNESSEE STATE UNIVERSITY

Request to Late Drop

Some, but NOT All Courses



I. PROCEDURES

Note: deadline dates for Late Drops with Dean Permission - see academic calendar: https://www.etsu.edu/ehome/

academicdates/

A. StudentinitiatesprocessbyobtainingrequestformfromtheRecordsOffice,BurginE.DossettHall,room101.

B. Studentpresentscompletedrequest(includinginstructorinput)anddocumentationtothedeanofmajororhis/herdesigneeforreview.

C. Thedeanordesigneemayrequestaconferencewiththestudenttodiscussthisrequest.

D. Deanapprovesordisapprovestherequest,notifiesstudent,and(ifapproving)completestheformwhichisvalidfor

three working days after the date of the dean's approval.

E. Student must pick up the request form and take it to the Records Office.

F. Students should continue attending class and submitting coursework while awaiting the Dean's decision.

II.

STUDENTCOMPLETESTHISSECTION

Student’sName:

Date:

Last First

CumGPA

Classification: Fr. So. Jr. Sr. (circleone)

Email:

Instructor:

Dept. Course Section

Currentlyenrolledinthefollowingothercourses:

Dept. Course Section Dept. Course Section Dept. Course Section

Dept. Course Section Dept. Course Section Dept. Course Section

IfyoureceivefinancialaidorVeteran’sbenefits,listalltypesyoureceive:

Student E Number: _______________________

Total Credits Currently Enrolled:____________

Phone Number:__________________________

Permission is being sought to drop:

Major:__________________________

III. STUDENTSECTION–CONTINUED

EXTENUATINGCIRCUMSTANCESWHICHJUSTIFYDROPREQUEST

(Attachappropriatedocumentationorgivenameofindividualwhocanverifycircumstances–i.e.,physician,employer,etc.Ifyourreasonsareofa

verypersonalnature,youmaywishtostatethosereasonsverballytothedeanordesignee.)

Additionalinformation:Haveyoudiscussedyoursituationwiththecourseinstructor?

When?

Haveyouattendedclassregularly? Haveyoutakenallregularlyscheduledexams?

Haveyoudiscussedyoursituationwithyouracademicadvisor? Whatareyourexam/projectgrades?

Whatisyouradvisor’sname?

Theabovestatementsaretrueandaccuratetothebestofmyknowledge.

Signed:

Student’ssignature Date

IV. FORINSTRUCTOR’SUSE

Hasthestudentdiscussedhis/herperformanceinthecoursewithyou,withaviewtowardcompletionofthecourse?

Hasthestudent’sattendancerecordbeensatisfactory?

Atthispoint,whatisthestudent’sgradeinthecourse?

ADDITIONALCOMMENTS:

Signed:

Instructor’ssignature Date

V. FORDEAN’SUSE

Ifdropisapproved,completebelow.

Approved Disapproved

Signature

Date:

Revised10/14/2019

Grade Assigned W WF (Circle One)

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signature

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LATEDROPREQUESTSSHOULDBEDIRECTEDTOTHEFOLLOWING:

UNDECLARED (or Academic Focus Area)

STUDENTS

423-439-5244

University Advisement Center

355 Sherrod Library (3rd Floor)

COLLEGE OF ARTS AND SCIENCES 423-439-5248

COLLEGEOFBUSINESSANDTECHNOLOGY 423-439-6984

Dr. Anthony Pittarese

213 SamWilsonHall

CLEMMER COLLEGE

423-439-7626

JoelTramel

321 Warf‐PickelHall

COLLEGEOFNURSING

Karen Hirst

230RoyS.NicksHall

COLLEGEOFPUBLICHEALTH

Dr.Robert Pack

104LambHall

COLLEGEOFCLINICALANDREHABILITATIVE

HEALTHSCIENCES

423-439-4243

Megan Roberts

102 Hutcheson Hall

SCHOOLOFGRADUATESTUDIES

(allgraduatelevelstudents)

423-439-4223

Dr.KarinBartoszuk

309BurginDossettHall

SCHOOLOFCONTINUINGSTUDIESAND

ACADEMICOUTREACH

423-439-4221

Dr.Jill LeRoy-Frazier

213 Nell Dossett Hall

Dr. Martha Michieka

355 Sherrod Library (3rd Floor)

423-439-7424

423-439-4523

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ST TENNESSEE STATE UNIVERSITY EA Request to Late (East Tennessee State University)

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