Information regarding involuntary medical withdrawal of a student

If you are requesting a withdrawal for medical purposes, you must also complete a health care provider report prior to your meeting.

A petition form for students to seek reinstatement following an academic suspension

A request to apply for a general withdrawal

A request to apply for a hardship withdrawal

A request to apply for a leave of absence

If you are requesting a withdrawal for medical purposes, you must also complete a medical leave form prior to your meeting.

A request to seek reinstatement from a hardship withdrawal

A request to seek reinstatement from a leave of absence

A request to seek reinstatement from a medical withdrawal

This form is to collect information about your interest or need in taking time away from Denison and to initiate the request process.