Petition for Late Withdrawal Form
A Late Withdrawal is defined as dropping a course after the official drop deadlines.
Students may petition for late withdrawal on the grounds of illness or other compelling and documentable reasons for
having been unable to withdraw from the course by its drop deadline. See University Regulation X (c).
Deadline:
Within two months of the release of final grades
Fee:
$35/course requested for Late Withdrawal
Note:
Incomplete petitions will automatically be denied
THE PETITION MUST INCLUDE:
1) Petition for Late Withdrawal Form;
2) Written Statement which clearly explains how your situation affected your ability to drop your course(s) by the
published university deadline;
3) Supporting documentation of medical or personal circumstances must be included [documentation must indicate
how the medical or personal circumstances impacted your ability to complete the course, and petitions will not
be considered without supporting documentation];
4) Forward the completed package (including supporting documentation) to Enrolment Services – Academic
Advising, Records & Registration. Note: Original documents are required.
Student Information
Name:
Student ID:
Phone Number:
Lakehead Email Address:
Course Code
Section (i.e. FA, Y A)
Term (i.e. Fall 2014)
Student Signature:
Date:
I verify that the information contained in this petition package is complete and valid, and that I have considered all relevant aspects of
dropping courses after the deadline. I also acknowledge that ‘submitting false or misrepresentative medical certificates or other
documentation in support of requests for concessions on academic work or deadlines’ will be dealt with under the Code of Stud ent
Behaviour and & Disciplinary Procedures. I further acknowledge that a successful academic petition does not absolve me of my financial
obligations to the University.
Page 1 of 2
COMPLETE THE FOLLOWING QUESTIONS ALONG WITH YOUR WRITTEN STATEMENT
SUMMARIZING YOUR PETITION REQUEST FOR LATE WITHDRAWAL:
1. Why did you not drop the course by the required deadline? (Please be specific.) If the course
was taken in an academic session that is finished, explain why you did not submit this
petition prior to the end of the session.
2. Why are you requesting a late withdrawal from only a few courses within the same term(s)
and not all? (if applicable)
3. What information did you receive about your academic standing in the course prior to the
drop deadline? Indicate the type of work returned (essays, papers, report, lab reports, midterm exams), the value of each and your grade in each.
4. If this petition is denied, what will you do? What is your alternate plan if the petition is not
approved?
5. Do you intend to continue studies during the next academic session? What steps have you
taken to improve your future performance in your studies?
Page 2 of 2