Appeal of Required Leave or Withdrawal Name: (Last, First) * Today's Date * Student ID #: * Phone: * Type of Appeal: * Appeal of required leave of absence Appeal of required withdrawal Explanation why you have performed poorly this semester: * If poor academic performace was due to a health issue (mental, emotional physical), please provide diagnosis and email related supporting documents to acstanding@drew.edu : If an appeal is granted, what steps will you take to ensure your ongoing academic success? * Advisor's Name: * Best Contact Email Address: