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This electronic form is a request to Withdraw for Extenuating Circumstances within the College of Health and Human Services.

UNCW Catalogue Policy Should extenuating circumstances warrant, the grade of "WF" assigned for course withdrawals after the withdrawal deadline may be changed to a "W." Documented extenuating circumstances may include the death of an immediate family member; traumatic and unforeseen circumstances that are considered beyond a student's control; serious emotional instability, physical injury or illness that has resulted in the student's inability to complete academic responsibilities in a given term. Students should note that poor standing in a course does not constitute an extenuating circumstance in and of itself. Withdrawals due to extenuation circumstances are still subject to all financial aid and SAP rules and calculations. It is the student's responsibility to initiate an appeal for this change by submitting a request and supporting written documentation, when applicable. All decisions made by the Committee on Withdrawal Appeals are final. The written request with supporting documentation must be made as soon as possible after circumstances requiring the withdrawal. At the latest, by the last day of classes in the semester following the one for which the withdrawal is requested. A grade of "WF" that is not appealed successfully remains a permanent part of the student's academic record.

PLEASE NOTE: The withdrawal will always show up on the student's transcript as a "W", regardless of whether or not it was for extenuating circumstances. To view actual withdrawal credit total check in the Advisor menu of SeaNet under the Fostering Undergraduate Student Success. Withdrawals due to extenuating circumstances are still subject to all financial aid and SAP rules and calculations. (Students should refer to the Office of Scholarship and Financial Aid to see how dropping or withdrawing a course could impact their financial aid eligibility or scholarships).

Student Information: Name (Last, First, MI)

Student Information: Banner ID

Student Information: Email

Student Phone Number (cell number)

Student Information: Academic Year

Major:

Student Information: Academic Advisor

Student Information: Term (i.e. Spring 2023)

Is this request due to military activation?

YES
NO

Reason for Extenuating Circumstance Request (please provided detail):

If you answered yes to question 10, please provide documentation: (obituary or general letter of verification from attending physician).

Please list other special circumstances.

Did you discuss your situation with your Professors? If yes, please share what recommendations they provided you with.

Please mark that you understand:
If you receive financial aid, did you discuss your situation with the Office of Scholarship and Financial Aid?
As a WE is not the same as a academic drop; Withdrawals due to extenuation circumstances are subject to all financial aid and SAP rules and calculations.

I understand

Why do you feel your situation qualifies for a Withdrawal of Extenuating Circumstance?

What are your future academic plans?

Please read and agree with the following statement. I understand that it will take 5-7 business days for committee review and decision.

I understand and agree.

Please read and agree with the following statement. I understand that a WE submitted is not guaranteed approval, so it is important that I continue to participate and remain engaged in classes until a decision has been issued and emailed to your UNCW email address.

I understand and agree.

Please read and agree with the following statement. I understand that the committee decision is final.

I understand and agree.

Please use this file upload to attach any additional documentation pertaining to your circumstance.

Class Information: List all course number(s) and title of which you are requesting a withdraw from as well as the last date of attendance. (CHHS 205-801: Introduction to Health and Human Services)

I understand that failure to supply truthful, adequate information on this application or in any supporting documentation will result in a denial of request. Please provide your name and the date.

Student Signature:

Sign Here

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