Sample Petition Letters

Sample Petition Letters

These samples include all of the required elements for a student petition letter (date, a clear statement of the requested action, a description of the conditions that warrant an exception, the reason University policy and/or procedure could not be followed, student's name and signature, current address, PSU ID number, current phone number, and e-mail address).


Letter 1 (Request for a Retroactive Withdrawal)

January 22, 2010

Senate Committee on Undergraduate Education
Subcommittee on Academic Standards
University Faculty Senate Office
101 Kern Graduate Building
University Park, PA 16802

To Vice-Chair of the Senate Committee on Undergraduate Education:

I am petitioning for a retroactive withdrawal from fall semester 2009 for medical reasons. In the third week of fall, I was diagnosed with mono at the University Health Center. Although I was able to keep up with my courses at first, sometimes I was too tired to go to class and I fell behind in my work. Luckily, my instructors were very understanding and allowed me to make up exams and turn in papers late. Although I was behind, I felt I could keep making up the work. Then, just as final exams were beginning, I was hospitalized with pneumonia. I realized then that I was just not going to be able to make up the work I had missed and turn in all of my final projects and take my final exams. I decided that I needed to withdraw, but it was already past the withdrawal deadline at that point. I would have requested deferred grades in order to complete the work next semester, but I will be having surgery on January 4 and therefore will not be able to do school work for an extended time. Under the circumstances, it will not be possible to complete the work by the deferred grade deadline.

I would appreciate it if the Faculty Senate would allow me to withdraw from last semester even though I missed the withdrawal deadline. I have enclosed documentation from the health center and from my family doctor.

Thank you for your consideration.

Sincerely,

John Q. Student
123 Old Main Street
State College, PA 16803
PSU ID# 912345678
E-mail: jqs999@psu.edu
Phone: 814-555-1212

Letter 2 (Request for a Retroactive Late Course Drop)

January 22, 2010

Senate Committee on Undergraduate Education
Subcommittee on Academic Standards
University Faculty Senate Office
101 Kern Graduate Building
University Park, PA 16802

To Vice-Chair of the Senate Committee on Undergraduate Education:

I am petitioning to retroactively late drop Marketing 437 and 440 from fall semester 2009. On December 3, 2009, I was hit by a pickup truck on Route 322 in Lewistown, PA. I suffered a severe concussion and my left patella was broken in several places (please see attached medical documentation and the hospital records). Since the accident, I underwent two surgeries to have my kneecap rebuilt and another operation to have the hardware removed. I was unable to attend my classes for the rest of the semester. I was able to complete Marketing 426 and 428 from my home, but I was unable to complete Marketing 437 and 440 because both courses required a practicum, which I was unable to attend--thus, my reason for being selective in asking for a retroactive late drop of these two courses.

This letter serves as my formal petition for a retroactive late drop from the two courses and my explanation of the circumstances.

Thank you for your consideration.

Sincerely,

John Q. Student
123 Old Main Street
State College, PA 16803
PSU ID# 912345678
E-mail: jqs999@psu.edu
Phone: 814-555-1212


Last Update: May 2012

Reference(s): Policy Stated in the Preamble to "Academic Policies and Procedures for Undergraduate Students" in The University Faculty Senate Policies for Students

Category: Academic Success and Difficulties

Source: Undergraduate Advising Handbook