Instructions

This form must be completed by the student requesting the appeal. Please submit the requested information and documentation to assist in the review of a Grade Appeal. Students must include a written statement as part of this form. The file with instructions is available below for download. 

Written Statement - Blank doc

A0XXXXXXX
mm/dd/yyyy
Grounds for Appeal
Check all that apply; appeals must be based on one or more of the criteria below.

Required Documentation:

  • Course syllabus (with amendments, if any) 
  • Copy of all relevant grading rubrics 
  • Evidence of communication with Instructor and Chair 
  • All supporting documents, assignments, correspondence 
  • Signed written statement form 
Please include in one folder or zip file