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California State Polytechnic University, Pomona
Request for Retroactive Withdrawal
Due to the Office of Academic Programs (98 T716) on June 5, 2015, by 5:00 p.m. for consideration in Fall
2015 quarter
Prior
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How to fill out request for retroactive withdrawal

How to fill out a request for retroactive withdrawal:
01
Begin by obtaining the necessary forms from your educational institution. This may involve visiting the registrar's office or downloading the forms from their website.
02
Familiarize yourself with the specific guidelines and criteria for retroactive withdrawal. Each institution may have their own set of rules, so it's important to understand what qualifies for retroactive withdrawal.
03
Provide your personal information on the form, including your full name, student ID number, and contact details. Make sure all the information is accurate and up-to-date.
04
Indicate the specific reason for your retroactive withdrawal. This could be due to extenuating circumstances such as medical issues, family emergencies, or other valid reasons. Be sure to provide a clear and detailed explanation, as this will be vital in assessing your request.
05
Attach any supporting documentation that corroborates your reason for retroactive withdrawal. This may include medical certificates, legal documentation, or any other relevant evidence. Remember to make copies of these documents for your own records.
06
Seek guidance from an academic advisor or counselor. They can provide valuable assistance in filling out the form correctly and ensuring that you meet all the necessary requirements. They may also be able to provide additional insight or recommendations for your request.
07
Review the completed form for accuracy and completeness. Double-check that all sections have been filled out correctly and that all required documents are attached.
08
Submit the request for retroactive withdrawal to the designated office or department as per your institution's guidelines. Take note of any submission deadlines to ensure your request is considered in a timely manner.
Who needs a request for retroactive withdrawal:
01
Students who have experienced significant challenges or extenuating circumstances that affected their ability to complete coursework within the regular timeframe.
02
Individuals who faced unexpected medical issues, family emergencies, or other situations beyond their control that hindered their academic progress.
03
Students who have missed substantial amounts of coursework or assessments due to valid reasons and are seeking the opportunity to retroactively withdraw from those affected courses.
It's important to note that every educational institution may have its own policies and criteria regarding retroactive withdrawal. Thus, it's crucial to consult your school's guidelines and seek assistance from the appropriate office or advisor to ensure a smooth and successful request process.
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What is request for retroactive withdrawal?
A request for retroactive withdrawal is a formal application to withdraw from a course or courses after the official withdrawal deadline has passed.
Who is required to file request for retroactive withdrawal?
Students who have experienced extenuating circumstances which prevented them from withdrawing by the deadline are required to file a request for retroactive withdrawal.
How to fill out request for retroactive withdrawal?
To fill out a request for retroactive withdrawal, students must complete the designated form provided by the academic institution, and provide supporting documentation of the extenuating circumstances.
What is the purpose of request for retroactive withdrawal?
The purpose of a request for retroactive withdrawal is to allow students to withdraw from a course or courses after the official deadline due to unforeseen and unavoidable circumstances.
What information must be reported on request for retroactive withdrawal?
The request for retroactive withdrawal must include detailed explanation of the extenuating circumstances, supporting documentation, and specific course(s) to be withdrawn from.
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