Request for Academic Reinstatement

Student Service Center ● 550 Huntington Avenue ● Boston, Massachusetts 02115-5998 Tel (617) 989-4020 ● Fax (617) 989-4201 ● Email SSC@wit.edu

F 5/08/18

A student who has left Wentworth Institute of Technology may submit a request to reinstate to the Student Service Center. Upon approval from the Department Chair/Director of the student’s major, student’s will be notified of the decision by the Registrar. Students who are Administratively Withdrawn and do not have any gaps in enrollment will be notified by the Registrar’s office within 5-7 days, if their request for academic reinstatement has been approved.

Please Print or Type all information clearly.

Student’s Name: W#: Email:

Address: City/State/Zip: Phone Number:

Current College: Current Major: Last Term Enrolled:

Reason for Absence:

(check all that apply)

□ *Withdrawal □ **Voluntary Leave of Absence □ Academic Sanction – Probation or Dismissal

□ Complete Final Degree Requirements □ Military Deployment

Returning Semester: □ Fall □ Spring □ Summer Year: 20 _________

**Check All That Apply**

Do you plan to change major? □ Yes □ No If Yes, please complete Change of Major Form

Are you an International Student? □ Yes □ No If Yes, please contact International Student Services

Do you have a laptop? □ Yes □ No Please contact Division of Technology Services (DTS) **Day School Students Only**

Student Signature: Date: Department Chair/Director Signature: Date:

Registrar Signature: Date: Department Chair/Director Name: (Please Print)

TO BE COMPLETED BY ACADEMIC DEPARTMENT

Request Approved □ Request Denied □

Anticipated Graduation Date: Catalog Year:

New Primary Advisor Assignment:

Academic Reinstatement Guidelines All students seeking reinstatement from a Leave of Absence or Withdrawal, initiate this process 30 days prior to the start of the semester they wish to enroll. The condition of the separation will determine the process a student follows *Withdrawal Students, who officially withdraw from the university and wish to reinstate, the Department Chair/Director of their academic program, will review the students’ academic record prior to any action being taken. This includes course selection, registration, and housing assignments. **Leave of Absence after one semester Students who wish to return at the end of their one semester Leave of Absence, must initiate their return by submitting a Request for Academic Reinstatement form to the Office of the Registrar at least 30 days prior to the start of the semester they intend to enroll.

TO BE COMPLETED BY REGISTRAR’S OFFICE

Student Notified □ PROCESSED BY DATE

Graduation Coordinator Notified □ DTS Notified □

New Primary Advisor Notified □ VA Benefit Officer Notified □