Petition For Admission Application

Type of Application

Academic Level

Instructions

Instructions for Submitting Your Appeal Statement

As part of your appeal for academic reconsideration, you must submit a written statement explaining the totality of circumstances that led to your academic suspension. Your statement helps the Academic Appeals Committee understand what contributed to your academic difficulties and what has changed to support future success. Please follow the guidelines below when preparing your submission:

1. Explain what led to your academic difficulties
Provide a clear and honest explanation of the challenges or circumstances that impacted your academic performance. These may include:

Personal or family difficulties
Mental or physical health concerns
Financial or work-related challenges
Time management issues or academic struggles
Any other factors that contributed to your academic standing

Be as specific as you are comfortable being—your explanation helps the committee fully understand your situation.

2. Describe how these challenges affected your academics Help the committee connect your circumstances to the outcomes by explaining:

How these issues impacted your attendance, assignments, study habits, or ability to focus
Any specific courses or academic situations that were affected

3. Explain what has changed The committee needs to understand what is different now. Your statement should include:

Steps you have already taken to address the challenges you described
Resources you have used or plan to use (counseling, tutoring, time-management tools, etc.)
Any changes in your personal, health, or financial situation

4. Outline your plan for future success Provide a realistic and concrete plan for how you will succeed if readmitted. This may include:

Academic support services you plan to use
Changes to your schedule, work hours, or study habits
Strategies for staying organized and maintaining progress
Any commitments you are making to prioritize your academics

5. Keep your statement clear, honest, and reflective Your goal is to demonstrate:

Awareness of what led to your suspension
Insight into how to prevent similar issues
Readiness to return as a successful student

6. Submit all required documents by the deadline
Your completed statement, along with any supporting documentation, must be submitted by the appeals deadline. Appeals received after this deadline cannot be reviewed.

Student Information

First Name

Last Name

Student ID

Academic Program

Entry Term

Site Location

Student Type

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Email

Phone

Have you attended DSU or another BOR Institution (Northern, Mines, SDSU, USD, BHSU) in the last 3 semesters?

Yes

No

Petition for Readmission Questions

Are you petitioning for readmission after a suspension or withdrawal?

Withdrawal

Suspension

Select which of the following statements apply:

I am formally petitioning for early readmission from an academic suspension. I have not been enrolled at a South Dakota public university for at least 2 full semesters as is the requirement for consideration for readmission via Board of Regents policy (summer semesters included).

I am formally petitioning for immediate reinstatement to DSU from an academic suspension because my failures were significantly impacted by extenuating circumstances (that is, forces beyond my control).

Please respond to the questions below to be considered for re-admission due to academic deficiency. Statements below should support your request for the opportunity to return to your academic program (please attach additional pages and supporting documentation (i.e., physician’s statement) if necessary. Sign your statement when it is complete.

Please clearly and fully explain the following. You must answer both questions to be considered.

Circumstances that significantly and negatively impacted your past academic performance.

Clearly and fully explain the changes you would make in order to prepare for and achieve academic success if you were to be admitted.

Please respond to the questions below to be considered for re-admission due to academic deficiency. Statements below should support your request for the opportunity to return to your academic program (please attach additional pages and supporting documentation (i.e., physician’s statement) if necessary. Sign your statement when it is complete.

Please clearly and fully explain the following. You must answer both questions to be considered.

What were the conditions of your withdrawal and how have they been addressed to support your continued graduate study?

If you have taken graduate coursework at another university during the intervening time, will you be requesting credit transfer?

Yes

No

Please identify the institution and the coursework.

Academic Suspension Appeal

Totality of Circumstances Statement Please provide in another document your explanations for the following. You must answer all questions to be considered for review by the Academic Appeals Committee.

1. Description of Circumstances
Explain the circumstances or challenges that contributed to your academic difficulties.

2. Impact on Academic Performance
Describe how these circumstances affected your coursework, attendance, study habits, or overall performance.

3. Changes Since the Circumstances Occurred
Explain what has changed in your situation since the issues occurred. Include steps you’ve taken to address the challenges.

4. Plan for Future Academic Success
Describe your plan for improving your academic performance if you are readmitted. Include strategies, support systems, and resources you intend to use.

5. Supporting Documentation (if applicable)
List any documents you are including with your appeal (e.g., medical notes, letters of support, work documentation).

Notes:

If you are scheduled to meet with the Academic Appeals Committee, you are expected to bring all verifiable documentation in support of your application. Examples include doctor’s notes, letters from impacted persons, obituaries, statements from counselors or student support personnel with whom you worked during the most recent academic probationary period, etc.
Incomplete or otherwise partially completed forms will be rejected.
Your meeting is confidential. Thus, all pertinent facts and documentation must be presented at the time of your meeting with the Academic Appeals Committee.

Note: Readmission may require you to update your program Plan of Study with the assistance of your Enrollment Counselor. Please be aware that any failure to make satisfactory academic recovery may result again in suspension or dismissal.

Signature

Date

Questions?
GradOffice@dsu.edu

Questions?
admissions@dsu.edu