Petition for Administrative "W"

Petition Process

Complete this form and attach required documentation to request Administrative Withdrawal (Grade of "W") for courses after a grading period has ended.

G/PPS No. 02.08 (08.01) states that Deans may grant Administrative W's for students that present documentation of extremely extenuating circumstances that prevented them from successfully completing coursework.

To withdraw from all courses within a given semester, appeal to the College Dean for your major—this form is only for majors in the College of Applied Arts.
If you are requesting an Administrative Withdraw for a single course housed outside of the College of Applied Arts, you will want to contact that college in question.

Personal Information

First Name *

Last Name *

Texas State ID Number (A0____) *

Texas State Email Address *

Phone Number *

Major *

USPS Address (decision will be mailed to this address) *

Academic Information

In the box below provide the course prefix, number, name and section of each course you are petitioning.

Example:

NUTR 2360 Nutrition Science, Section 001

Course Information (course prefix, number, name and section) *

Justification for Petition

Write a detailed explanation of the "extremely extenuating" circumstance that you would like to have considered for the Administrative W's.

**Your grades must be posted on your transcript in order to complete this form. If your grade has not been posted on your transcript, you must wait until grades are posted.

Justification *

Supporting Documentation

Additional Documentation

The College of Applied Arts Advising Center acts as a facilitator for the petition process and does not make any decisions regarding this process. To inquire about the status of your request contact the Office of the Dean at 512.245.3333.

Acknowledgement *

I understand that grade change requests can be submitted up to two years after the grade was issued.

Acknowledgement *

I understand that effective January 2, 2020, state law (SB 212) requires all university employees, acting in the course and scope of employment, who witness or receive information concerning an incident of sexual misconduct involving an enrolled student or employee to report all relevant information known about the incident to the university's Title IX Coordinator or Deputy Title IX coordinator.

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