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September 23, 20XX

Mailing Address

Houston, TX 77251

Dear Members of the Committee on Examinations and Standing:

I request approval to add English 381 after the add deadline. Three days before the deadline for adding courses, I was hospitalized for a broken leg after an auto accident in Galveston, and I was unable to submit my drop/add form on time.

Please approve my request because I could not anticipate this accident and I have done all the work for the class to date. I have been attending the class regularly since the second week of the semester, and I have Professor X’s approval to add the class. A memo indicating the instructor’s approval and a memo confirming my circumstances from Dr. XX, the college master will be sent directly to Letters from the physician in Galveston and, and a photocopy of the accident report are also attached.


Full Legal Name, Student ID

Residential College

Phone Number

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