Hardship Withdrawal Appeal Form

Below you will find the instructions and fillable online form for the hardship withdrawal appeal process.  This form may also be downloaded and filled out in hard-copy form (Word document) here.

Instructions

  1. Complete the online form below or hard-copy form above. If appealing for more than one semester, a separate form is required for each semester.  
  2. A detailed personal statement is required for the appeal process describing your hardship circumstances to the committee.  Space is provided for this statement within the online hardship withdrawal appeal form.  Students submitting a hard-copy appeal must include a printed, thorough statement explaining the hardship circumstances experienced.  
  3. Supporting documentation verifying hardship circumstances must accompany every appeal. This documentation may be attached directly within the online appeal submission.  Documentation and hard-copy appeals may also be dropped off in person at the Office of the Ombuds, sent by email, fax or standard U.S. mail. Our contact information is:
    Office of the University Ombuds 
    1903 W. Michigan Ave.
    Kalamazoo, MI  49008-5295 USA
    ombuds@wmich.edu
    Fax: (269) 387-0716
     
  4. Results of the appeal will be sent to you via the email address you provide below.  It is strongly suggested that students use their wmich.edu student email address if possible.
Contact Information
WMU Identification Number
Did you ever attend, participate or contribute to this course, even once? (required)
Have you consulted with Financial Aid/your funding source? (required)
Have you consulted with International Admissions and Services? (required)
Are you requesting full or partial withdrawal for this semester? (required)
Semester you took the course in question (required)
Re-order Department Course Number Operations
more items
Detailed thorough typewritten statement indicating what happened, when it happened, how it affected you, and why you didn't withdraw before the end of the student initiated withdraw period. If you are doing a partial withdraw, please indicate why your hardship affected you in some but not all courses.
Supporting documentation certifying your circumstances must accompany your appeal. Documents may be sent to the Office of the Ombudsman by email, fax or standard mail. Please specify how you will be providing these documents. (required)
By engaging in the appeal for a hardship withdrawal process, I give WMU and the Office of the Ombudsman permission to share submitted materials with a three-person Grade Appeal and Program Dismissal Appeals Committee panel for review. If approved, I give the Office of the Ombudsman permission to share the results with the Registrar’s Office. (required)

Office of the University Ombuds
Western Michigan University

1903 W. Michigan Ave.
Kalamazoo MI 49008-5295 USA
Phone: (269) 387-0718
Fax: (269) 387-0716
Email: ombd_info@wmich.edu

Location
2420 Faunce Student Services Building, Mail Stop 5295