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Get Sfsu Retroactive Withdrawal Form

Sfsu. edu/student Check the box below for type of withdrawal RETROACTIVE WITHDRAWAL FROM UNIVERSITY Requires action by Instructor Chair and Dean Dept. NAME Last Name First Name Middle Initial Student ID Number PETITION FOR RETROACTIVE WITHDRAWAL An approved withdrawal will show as a grade of W on transcripts future class lists and posted grades. For withdrawal from a course submit an unofficial transcript. Attach relevant supporting documentation to this form* If more space is needed attach another sheet. Withdrawal Policy Beginning Fall 2009 undergraduate students may withdraw from a course a maximum of two times and from no more than 18 semester-units of course work. This does not include total semester withdrawals of all courses or classes taken in CEL College of Extended Learning. For exact deadline dates for a specific semester and more information refer to the following link http //www. sfsu. edu/ admisrec/reg/regsched*html For course information check your MySFSU account at https //www. Course Student submits Withdrawal From University form directly to Registrar at One Stop Student Services Center SSB 101. Requires action by Board of Appeals and Review. Schedule Term year Instructor Major City Address Phone Number State Zip Code E-mail My reasons for this request are Please specify clearly and attach supporting documentation Student Signature Instructor Justification Approve Date Action by Department Chair Deny Signature Date Action by Board of Appeals and Review Reset Form Print Form. NAME Last Name First Name Middle Initial Student ID Number PETITION FOR RETROACTIVE WITHDRAWAL An approved withdrawal will show as a grade of W on transcripts future class lists and posted grades. For withdrawal from a course submit an unofficial transcript. Attach relevant supporting documentation to this form* If more space is needed attach another sheet. For withdrawal from a course submit an unofficial transcript. Attach relevant supporting documentation to this form* If more space is needed attach another sheet. Withdrawal Policy Beginning Fall 2009 undergraduate students may withdraw from a course a maximum of two times and from no more than 18 semester-units of course work. Withdrawal Policy Beginning Fall 2009 undergraduate students may withdraw from a course a maximum of two times and from no more than 18 semester-units of course work. This does not include total semester withdrawals of all courses or classes taken in CEL College of Extended Learning. This does not include total semester withdrawals of all courses or classes taken in CEL College of Extended Learning. For exact deadline dates for a specific semester and more information refer to the following link http //www. For exact deadline dates for a specific semester and more information refer to the following link http //www. sfsu. edu/ admisrec/reg/regsched*html For course information check your MySFSU account at https //www. Course Student submits Withdrawal From University form directly to Registrar at One Stop Student Services Center SSB 101. Requires action by Board of Appeals and Review. Schedule Term year Instructor Major City Address Phone Number State Zip Code E-mail My reasons for this request are Please specify clearly and attach supporting documentation Student Signature Instructor Justification Approve Date Action by Department Chair Deny Signature Date Action by Board of Appeals and Review Reset Form Print Form.

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