Appeal within the Medical Withdrawal Process

A student can appeal either of the following decisions in writing or by submitting this online form to the Office of Learning Resources:

Denial of a request for a Voluntary Medical Withdrawal (VMW).
Denial of a request to re-enroll after an approved Voluntary Medical Withdrawal.

Appeal Levels

First Level Appeal
Second Level Appeal: If the First Level appeal is denied, the student can submit a Second Level appeal.

First Name

Last Name

University Email Address

ID #

Phone #

Level Two Denial of Re-enrollment following a Medical Withdrawal

Level Two Denial of Medical Withdrawal

Level One Denial of Re-enrollment following a Medical Withdrawal

Level One Denial of Medical Withdrawal

What is the level of this appeal?

Denial of re-enrollment after a medical withdrawal

The date used in the medical withdrawal decision

The medical withdrawal decision

What specifically are you appealing?

What is the reason for your appeal? Be specific

Full name of person who completed this form / relationship to the student?

Submit

CONTACT

Roesch Library
300 College Park
Dayton, Ohio 45469 - 1302

937.229.2066
Email