
Get the free Retroactive Withdrawal Form - Kentucky State University - kysu
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Academic Appeals Form RETROACTIVE WITHDRAWAL Registrar Staff sign and date this form: Signature Date Filling Information Below: OFFICE OF THE REGISTRAR Phone: 5025976340 Fax: 5025976239 Student Name:
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How to fill out retroactive withdrawal form

How to Fill Out Retroactive Withdrawal Form:
01
Obtain the retroactive withdrawal form from the appropriate department or office at your educational institution. This may be the registrar's office, student services office, or a similar department.
02
Read the instructions provided on the form carefully. Make sure you understand the purpose of the form and the criteria for eligibility for retroactive withdrawal.
03
Fill in your personal information, such as your name, student ID number, and contact details, in the designated spaces on the form.
04
Provide the relevant details about the course or courses that you are seeking retroactive withdrawal for. This may include the course name, instructor's name, and the semester or academic term in which the course was taken.
05
Explain the reason why you are requesting a retroactive withdrawal for the specified course(s). This could be due to extenuating circumstances, such as a medical condition, personal hardship, or unexpected circumstances that prevented you from completing the course(s) or meeting the requirements. Be honest and specific in your explanation.
06
Gather any supporting documentation that may strengthen your case for a retroactive withdrawal. This could include medical records, letters from counselors or advisors, or any relevant evidence that demonstrates the extenuating circumstances you faced.
07
If required, seek guidance from an academic advisor or a staff member at the appropriate department to ensure you are filling out the form accurately and providing all the necessary information.
08
Sign and date the form. Make sure to review it one final time to ensure all the information is accurate and complete.
09
Submit the completed retroactive withdrawal form along with any supporting documentation to the designated department or office as specified on the form. Keep a copy of the form for your records.
Who Needs Retroactive Withdrawal Form:
01
Students who have experienced extenuating circumstances that affected their ability to complete a course or courses and wish to have those courses removed from their academic record.
02
Students who had valid reasons, such as medical conditions, personal hardships, or unforeseen circumstances, that prevented them from meeting the requirements of a specific course(s).
03
Students who believe that retroactive withdrawal is necessary to maintain or improve their academic standing or for personal reasons.
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What is retroactive withdrawal form?
Retroactive withdrawal form is a form that allows students to withdraw from courses after the deadline.
Who is required to file retroactive withdrawal form?
Students who need to withdraw from courses after the withdrawal deadline are required to file retroactive withdrawal form.
How to fill out retroactive withdrawal form?
To fill out retroactive withdrawal form, students need to provide necessary information such as reason for withdrawal and supporting documentation.
What is the purpose of retroactive withdrawal form?
The purpose of retroactive withdrawal form is to provide students with the opportunity to withdraw from courses after the withdrawal deadline under certain circumstances.
What information must be reported on retroactive withdrawal form?
Information such as reason for withdrawal, supporting documentation, and approval from relevant authorities must be reported on retroactive withdrawal form.
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