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Academic, Administrative or Grievance Requests | Special Requests Form PDF 
All special requests begin with this form and should be in writing (signed and dated by the student). 
Except in rare and unusual circumstances, requests will not be accepted more than 60 days beyond the end of the semester relative to the request. A lack of knowledge regarding the policies and procedures that affect you or a lack of attendance are not a basis for approving any request.

This form can be used for the following requests:

  • Academic Forgiveness (undergraduates only)
  • Course Load Over 18 s.h. (undergraduates only)
  • Reinstatement (undergraduates only)
  • Withdrawal/Drop with or without refund consideration
  • Grievance: for consideration of a grievance resulting from misinterpretation of the Madonna University Bulletin and/or departmental policies (Grievance Policy). Students who wish to appeal a grade or removal from their academic program must also follow this procedure. For academic grievances, students must follow a prescribed process, beginning with the faculty, the department chair, and the dean. Once these steps have been followed, this special request can be used to initiate a university appeal hearing. This can also be used for non-academic grievances, such as for behavioral sanctions like expulsion or dismissal from the residence hall or a club.

Please refer to the second page of the form for specific details and instructions for completing the special request form.

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