Division of
Student Life

Documents

Some documents may require Adobe Acrobat Reader or Microsoft Word.


  • Medical Withdrawal Information - 2011-12 (DOC, 55.5K)
    The university recognizes that in certain circumstances a health issue may so significantly impact a student’s academic work that a Medical Withdrawal for the term is needed. The Medical Withdrawal Checklist explains the policy and provides a checklist of required documentation to process the withdrawal. Contact the Student Life Office (Hauge Admin. Bldg., Rm 105, 253-535-7191 or slif@plu.edu) for more information and to receive the Petition for Medical Withdrawal. When contacting the Student Life Office, it is best to have the documentation immediately available to expedite the process.

Forms


Student Life Office forms
  • FERPA Authorization to Release Educational Records (PDF, 48.4K)
    This form is used to ensure a student's informed written consent before completing a recommendation letter or inquiry form that is based on information contained in his/her educational record.
Faculty/Dept. Samples (customizable)
  • Sample - FERPA Release Form (for Faculty) (DOC, 43.5K)
    This sample form is used to ensure a student's informed written consent before completing a recommendation letter or inquiry form that is based on information contained in his/her educational record. This form has blank fields that can be customized with the professor's departmental information.
  • Sample Letter to Student for Consent to Release Educational Records - for Faculty (DOC, 20.5K)
    This sample letter to a student can be adapted for faculty use. It is used to asked a student to complete a FERPA form, a form in which the student specifically authorizes a PLU representative (aka faculty, staff, employee) to use their educational records to complete a recommendation form or other such document. This text may also be used if requesting by email.