Skip to Content

Academic Petition & Medical or Mental Health Withdrawal

Academic Petition for Emergency Situations
Form

If you were unable to withdraw from your course(s) before the withdraw deadline due to an unforeseen emergency, or your ability to complete coursework was significantly affected, you may submit an Academic Petition for review by the Academic Petitions Committee.

Examples of Qualifying Emergency Situations:

  • Death of an immediate family member
  • Employer-mandated out-of-town assignment
  • Incarceration

Request Process:

  1. An Academic Petition is submitted by clicking the form button below.
  2. The petition is logged in the Provost Office.
  3. Academic Advising reviews the petition and provides a recommendation.
  4. The petition is placed on the agenda for the next Academic Petition Committee meeting.
  5. Decisions are communicated via letter through mail to the address listed on your petition form.

Required Documentation:

  • Must be submitted on official letterhead from a physician, employer, or relevant agency
  • Must include dates and details verifying the impact on your ability to attend and complete coursework

Grade Impact: If approved, a W will be assigned to all approved courses.

Processing Time: May take up to three months. The committee does not meet during the summer.

For Assistance: Contact the Provost's Office at 937-512-3146.

Tuition Refund Appeal: A separate process handled through the Bursar's Office at 937-512-2568.

 

Medical or Mental Health Withdrawal
Form

A medical or mental health withdrawal is available for students who are unable to continue coursework due to a serious physical or emotional health condition. This process is meant for extraordinary circumstances where a significant health issue prevents continued attendance or participation in one or more classes.

Examples of Qualifying Emergency Situations:

  • Sudden illness
  • Injury requiring medical treatment
  • Unexpected hospitalization

Request Process:

  1. Submit a Medical/Mental Health petition form by clicking the form button below.
  2. If you are unable to access the online form or are a parent/legal guardian, complete a manual application.
  3. Email the manual petition form to studentaffairs2@sinclair.edu or drop it off at the front desk in Building 10, Room 10-424.
  4. Provide a medical statement completed by a licensed physician or therapist.
  5. All documentation is confidentially maintained.

Financial Considerations:

Students receiving financial aid or veterans' benefits should consult with financial aid advisors to understand the impact on current and future aid eligibility. If approved, students may be required to return financial aid refunds.

Grade Impact: If approved, a W will be assigned to all approved courses.

Processing Time: May take up to 14 days.

For Assistance: Contact the Office of Student Affairs at 937-512-2291.

Tuition Refund Appeal: A separate process handled through the Bursar's Office at 937-512-2568.

Life can be unpredictable, and we understand that certain circumstances may arise that make it difficult for you to continue your coursework.

If you experience a significant hardship during the semester, you may be eligible to file an academic petition to protect your academic record.

Hardships may include, but are not limited to:

  • A serious illness or injury affecting you or an immediate family member
  • A mental health crisis that significantly impacts your ability to perform academically
  • The loss of a loved one
  • Unexpected financial difficulties that create extreme hardship
  • Housing instability or other unforeseen personal challenges

If you find yourself facing a hardship that is interfering with your academic success, we encourage you to explore your options. Our team is here to provide guidance and support throughout the process.

Title IX Concerns: If your situation involves sexual harassment or misconduct, contact the Title IX Office at 937-512-2961 or TitleIX@sinclair.edu