Sample Petition Letters

These samples include all of the required elements for a student petition letter (date, a clear statement of the requested action, a description of the conditions that warrant an exception, the reason University policy and/or procedure could not be followed, student’s name and signature, current address, PSU ID number, current phone number, and email address).


Letter 1 (Request for a Retroactive Withdrawal)

January 22, 2019

Senate Committee on Education
Subcommittee on Undergraduate Petition Review
University Faculty Senate Office
101 Kern Graduate Building
University Park, PA 16802

To Vice-Chair of the Senate Committee on Education:

I am petitioning for a retroactive withdrawal from the fall 2017 term for medical reasons. In the third week of the fall term, I was diagnosed with mono at the University Health Center. Although I was able to keep up with my courses at first, sometimes I was too tired to go to class and I fell behind in my work. Luckily, my instructors were very understanding and allowed me to make up exams and turn in papers late. Although I was behind, I felt I could keep making up the work. Then, just as final exams were beginning, I was hospitalized with pneumonia. I realized then that I was not going to be able to make up the work I had missed, turn in all of my final projects, and take my final exams. I decided that I needed to withdraw, but it was already past the withdrawal deadline at that point. I would have requested deferred grades in order to complete the work the next term, but I had surgery on January 4 and am not able to do school work for an extended period of time. Under the circumstances, it will not be possible to complete the work by the deferred grade deadline.

I would appreciate it if the Faculty Senate would allow me to withdraw from last term even though I missed the withdrawal deadline. Please see the attached documentation from the University Health Center, the hospital, and my instructors.

Thank you for your consideration.

Sincerely,

Student’s Name
Student’s Address
Student’s PSU ID Number
Student’s Email
Student’s Phone Number


Letter 2 (Request for a Retroactive Late Course Drop)

January 22, 2019

Senate Committee on Education
Subcommittee on Undergraduate Petition Review
University Faculty Senate Office
101 Kern Graduate Building
University Park, PA 16802

To Vice-Chair of the Senate Committee on Education:

I am petitioning for a retroactive late drop of MKTG 437 and MKTG 440 from the fall 2017 term. On December 4, 2017, I was hit by a pickup truck on Route 322 in Lewistown, PA. I suffered a severe concussion, and my left patella was broken in several places. Since the accident, I underwent two surgeries to have my kneecap rebuilt and another operation to have the hardware removed. I was unable to attend my classes for the rest of the term; and because the accident happened after the late drop deadline, I could not late drop the courses via LionPATH. I was able to complete MKTG 426 and MKTG 428 from my home, but I was unable to complete MKTG 437 and MKTG 440 because both courses required a practicum, which I was unable to attend. This is my reason for being selective in asking for a retroactive late drop of these two courses.

This letter serves as my formal petition for a retroactive late drop from the two courses and my explanation of the circumstances. Please see the attached documentation from the hospital, my family doctor, and my instructors.

Thank you for your consideration.

Sincerely,

Student’s Name
Student’s Address
Student’s PSU ID Number
Student’s Email
Student’s Phone Number