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Texas State > College of Science > College of Science Advising Center > Forms > Total Withdrawal Appeal Form

Total Withdrawal Appeal Form

This form is for students who would like ALL of their grades from a completed semester changed to a "W."

If you wish to withdrawal from all of your current classes, you must do this through the Registrar's Office.

Personal information

Name: *

Texas State ID: *

Texas State email address: *

Mailing address: *

Apartment number (if necessary):

City: *

State: *

Zip code: *

Cell phone number: *

Major: *

Minor: *

Grade appeal information

Explain what your request is and supply any justification for the request.

Course one:

Texas state course prefix: *

Texas state course number: *

Section number: *

Instructor name: *

Semester taken: *

Year taken: *

Grade received: *

Grade requested: *

Course two:

Texas State course prefix:

Texas State course number:

Section number:

Instructor name:

Semester taken:

Year taken:

Grade received:

Grade requested:

Course three:

Texas State course prefix:

Texas State course number:

Section number:

Instructor name:

Semester taken:

Year taken:

Grade received:

Grade requested:

Course four:

Texas State course prefix:

Texas State course number:

Section number:

Instructor name:

Semester taken:

Year taken:

Grade received:

Grade requested:

Course five:

Texas State course prefix:

Texas State course number:

Section number:

Instructor name:

Semester taken:

Year taken:

Grade received:

Grade requested:

Course six:

Texas State course prefix:

Texas State course number:

Section number:

Instructor name:

Semester taken:

Year taken:

Grade received:

Grade requested:

Course seven:

Texas State course prefix:

Texas State course number:

Section number:

Semester taken:

Year taken:

Grade received:

Grade requested:

Justification for request:

In the space provided below, provide a justification for your request and the steps you have already taken to resolve the situation.

Justification for request: *

Attach a copy of your Texas State transcript: *

Attach any other supporting documentation (if necessary):

Please click button only once. The form may take a moment to submit.