The Student Petition Process provides students with a process to request a grade change from D, F, or U to a withdrawal without refund (W grade). INCLUDE your name, address, student identification number, social security number, and telephone number. 5.Briefly explain your reason (if applicable) and express gratitude for the opportunity to apply. Withdrawal date is the school day following the last day the student is in membership. • A withdrawal is official when one or more of the following occurs:. SUBMIT a signed, dated letter explaining how the extenuating circumstances affected your ability to complete the course(s) successfully. Applicants may submit a request to change their intended school or college before their designated application plan deadline. Fill out all requested information and upload the Request for the Letter of Interpretation. I am writing to appeal my academic dismissal from Blank University. You do not need to fill out the medical withdrawal paperwork.