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Student responsible for understanding information on all pages of documents. Page 1 of 2
Updated: 2.5.13 blf
Filename: OAR(\\Ishtar)/A&R Forms-Petitions/Petition-Drop without “W after Deadline Please return to A&R for processing
Admissions & Records Petition
Drop a Class Late WITHOUT a W”
Request Refund Late
______________________________________________
Student Name
______________________________________________
Mailing Address
______________________________________________
City State Zip
Rec’d By:
Date:
Petition refers to:
Fall 20 ____
Spring 20 ____
Summer 20 ____
______________________________________________
Date of Birth
______________________________________________
SCC Email Address
______________________________________________
SCC ID#
CRN # Course # Course Name Instructor Signature
CRN # Course # Course Name Instructor Signature
CRN # Course # Course Name Instructor Signature
(Required) Student Explanation Please be specific and attach relevant documents if applicable:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Student's Signature Date Telephone No.
OFFICE USE ONLY
Admissions and Records Director or Designee Approve? Y N
Notification Email? (Initials/date) _____________________________
Comments:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
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Student responsible for understanding information on all pages of documents. Page 2 of 2
Updated: 11.19.12 NB
Filename: OAR(\\Ishtar)/A&R Forms-Petitions/Drop Class Late without “W
Please return to A&R for processing
Drop without W” Information and Instructions
Only under verifiable extenuating circumstances (i.e., accident, illness, or other
circumstances beyond ones control; supporting documentation required) may students
drop or have fees refunded after the deadline. An appropriate medical provider’s
statement on their official letterhead is required to support medical reasons.
Employment related reasons must be supported by a statement from employer on
company letterhead verifying (1) the student's new work hours and (2) the fact that this
change in schedule is a condition of continuing employment or other explanation if
applicable.
If you missed the deadline to drop a class without a “Wdue to verifiable extenuating
circumstances, and the term has not yet ended, it is appropriate to complete this
petition.
This petition can no longer be accepted once a term has ended. If a student wishes to
appeal a class grade after a term has ended, he or she must appeal to the professor
using a Change of Grade petition.
In the event that your Drop Without “W” petition is denied, but the “W” deadline has not
yet occurred, Admissions and Records will assign a grade of “W”.
“W’s” do not affect your GPA, however, they do affect your academic/progress
standings and can negatively impact your Financial Aid if applicable. See the Catalog
for a complete explanation of the effect of “W’s” on your academic/progress standings.
See Financial Aid for an explanation of the effect of “W’s” on your financial aid award.
Instructions:
1. Complete form
2. Submit to Admissions and Records
3. Admissions and Records will review and email student’s copy to their SCC email
within ten (10) business days.
4. If approved Admissions and Records will process in Banner causing change to be
reflected on student’s transcripts.
5. Admissions and Records will post copy to student’s permanent record.