Please note, you are only able to appeal once for readmission consideration. If your drop status is sustained you will be eligible for readmission consideration one year after the date of your drop.

• Full Name
  
• Campus ID
  
• Wisc Email Address
  
• Declared or Intended Major
  
• Assigned Academic Advisor
  
• * All items are required for submission
• * Your assigned advisor can be found on the upper left corner of your DARS report and in your My UW Student Center.

Please address the following questions and note that your answers are limited to 200 words per section.

1. Address the factors and/or circumstances that led to your poor academic performance and drop status.
   

If you have documentation to support your statements please mention this in your answers. You should not submit this documentation with your statement rather bring the supporting materials to your appointment. Examples of supporting documentation include:

• * Letter(s) of support from any medical or mental health professional(s) whose care the student has been under for the issues affecting their academic performance. Please note that a letter that simply states the student was seen by a professional will, in most cases, be insufficient to merit readmission. The letter should verify the circumstances surrounding the student's care.
• * A copy of a death certificate or funeral program to document the death of a family member or friend.


2. Address how the factors and/or circumstances have already been addressed and resolved.
   
3. Why do you believe you have a realistic chance of academic success if you are readmitted immediately? Please be specific.
   
4. What are your specific plans for completing your degree? Please address requirements that still need to be met and include specific courses you plan to take in the upcoming semester if readmitted.
   
5. Please describe your alternative plans, i.e. what you will do if you are not readmitted.
   
6. Optional, please include any other information about your situation or appeal.