Administration Committee Petition Cover Sheet
Please complete and submit this form and all other materials into
Advocate’s Online Care Report
Date:
Student Name: ___________________________________Year of Expected Graduation:
Class Dean: ______________________________ Middlebury ID: _________________
International Student with F-1 or J-1 Status? Yes No
If checked Yes: Please consult with ISSS before submitting petition.
Please indicate the purpose of your petition below by checking all categories that apply and submit the
required materials into Advocate’s Online Care Report.
Late Course Drop for Administrative Error & Exceptional Personal Circumstances
I. If never attended the course (Administrative Error):
a. Petition,
b. Signed drop card, and
c. Confirmation from professor that never attended.
II. If exceptional personal circumstances or related to a significant injury or non- chronic injury (non-disability-
related):
a. Petition,
b. Confirmation letter from professional caregiver (counselor, physician, etc.) and/or Class Dean
If this will reduce your course load to 2 or fewer classes, see “Reduced Course Load for Exceptional Personal
Circumstances” below
o Please review the Satisfactory Academic Progress (SAP) policy (go/sapp). If your late drop will
compromise your required progress, meet with your advisor and/or Class Dean to develop a plan to
address this.
o F-1/J-1 visa holders should consult with ISSS before petitioning.
Reduced Course Load (less than 3 courses) for Exceptional Personal Circumstances
a. Petition,
b. Confirmation letter from professional caregiver (counselor, physician, etc.) and/or Class Dean
Please review the Satisfactory Academic Progress (SAP) policy (go/sapp). If your reduced
course load will compromise your required progress, meet with your advisor and/or Class
Dean to develop a plan to address this.
F-1/J-1 visa holders need to consult with ISSS before petitioning.
c. F-1/J-1 visa holders must also submit a letter of approval from ISSS
Grade Change
It is the professor who submits a grade change request, not the student. Grade change forms are filled out by the
professor and dept. head/chair from the Registrar’s website.