As on all forms, be sure you have your data backed up in another document, and in your lab notebook.

Submitting Assignment: Administrative Withdrawal

Your course (e.g., Mth 151, Mth 173, Phy 121, Phy 232, etc. ):

Enter your access code in the boxes below. 

Remember that it is crucial to enter your access code correctly.  As instructed, you need to copy the access code from another document rather than typing it.

Access Code:
Confirm Access Code:

Your Name:

Your VCCS email address.  This is the address you were instructed in Step 1 to obtain.  If you were not able to obtain that address, indicate this below.

Students are typically administratively withdrawn if they have not completed at least 60% of the work done by the last drop date.  This is to prevent students whose patterns of work and performance indicate a high probability that they will not pass the course.

In a typical course with four tests, this means that a student should have made a passing grade on the first test.  If the course includes labs, a passing average the corresponding lab grades would be included.  In a course with 6 tests, at least two of the test should have been completed and passed.

Students can be reinstated in the course:

• If a student is withdrawn by error, it is easy for me to reinstate the student. 
• If a student can quickly demonstrate the ability to do the quantity of work required in the course, at an appropriate pace and with good quality, it is possible to reinstate that student.

If a student is reinstated, then it is no longer possible for that student to receive a W for the course.  Under the appropriate circumstances, a student would be given an Incomplete and an extension of time to complete the course.  If a student is resinstated, the instructor will provide a clear statement of what is required to receive at least an Incomplete.  The requirements for completion of the course are spelled out in the Course of Study.

If you believe you have been withdrawn inappropriately, please state in the box below what work you have completed and your work will be reviewed; if you have completed sufficient work you will be reinstated.

If you have not completed the required work but wish to be reinstated, please state why you believe you will now be able to complete your work.

If you wish to be reinstated, please state in your own words that you understand that if reinstated you will not be able to receive a W in the course:

You may add optional comments and/or questions in the box below.