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Administrative Withdrawal and Tuition & Fees Appeal


This form is for students who need to file any of the following appeals:

Administrative Withdrawal: Students who have experienced severe, extenuating circumstances and were unable to successfully withdraw themselves before the withdraw deadline may request an administrative withdrawal. If approved, an “AW” designation will be recorded on the student’s official academic record and no academic credit will be awarded. Students who have successfully withdrawn or who are able to withdraw before the published deadline, should not request an “AW”. For more information, please visit the university catalog: http://catalog.msudenver.edu/content.php?catoid=32&navoid=2081#administrativewithdrawal

Tuition & Fees Appeal: For students who experienced an extenuating life circumstance during the semester and are requesting a refund for classes. For a full definition of the Tuition & Fees Appeal: https://www.msudenver.edu/bursar/forms/tuition-and-fees-appeal/

 
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Please indicate which appeal you are submitting (AW or TFA,). Documentation required.

Student Information

Please identify the student who is appealing

Involved party 1

Questions

What term are you appealing for? *Please note the deadlines for submitting each appeal vary*(Required)
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Did you attend classes during the semester you are appealing?(Required)
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Did you study abroad during the term you are appealing? If so, you must upload an official or unofficial transcript of grades received while abroad.(Required)
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Have you attempted 180 or more credit hours or are you pursuing a second bachelors degree?(Required)
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Are you appealing because you are still in the progress of completing a self-paced course? If so, you must provide a screen shot of your Blackboard portal showing what percentage of the course has already been completed. This percentage will indicate if you have completed enough of the course to qualify for financial aid.(Required)
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Supporting Documentation

Please upload supporting documentation here. Documentation is required for all appeals! 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission