This form is for students who wish to apply for a late withdrawal from a Chemistry class. Please fill in the following information below--you should hear back from the department within a few business days after submission. If you have any questions, please contact Prof. Dave Leonard ([email protected] or (616) 331-3241).
First Name *
Last Name *
Email *
Phone *
Class you would like to withdraw from (ie. CHM 109 20) *
Instructor for the course you would like to withdraw from *
Please give the reason you would like to withdraw from the class. If relevant, please include an changes in your circumstances that have occurred over the semester, and the dates of those changes. * Please enter at most 500 words. You currently have entered 0 words.
Please describe your performance in the class over the full semester. Give specific grades and approximate dates for exams and major assignments. * Please enter at most 200 words. You currently have entered 0 words.
Are you seeking to withdraw from other courses besides your chemistry class? If not, what is different about your chemistry class? * Please enter at most 200 words. You currently have entered 0 words.
Please explain why you did not drop the class before the normal withdrawal deadline * Please enter at most 200 words. You currently have entered 0 words.
Submit
