Level Three: Formal Academic Appeal Assessment

Please complete this form, obtain an electronic signature of your program chair and attach any relevant documentation (e.g. a copy of the decision letter from the Appeal Committee, a receipt for the academic appeal assessment fee, relevant correspondence, and supporting documentation).

Please note:

- In accordance with NSCAD University’s Academic Appeal Policy (add link), the appeal assessment request form must be submitted within 5 business days from the date recorded on the formal decision made by the Academic Appeal Committee
- Appeal request form(s) submitted from an external email address (e.g. Gmail, Hotmail, Yahoo, etc.) will not be accepted
Support for the formal academic appeal process

You may request virtual support from the Office of Opportunity and Belonging to:
- review the policy
-familiarize yourself with the formal academic appeal process
- review your appeal package to ensure all relevant documentation is included
- prepare for your appeal meeting and set/manage expectations

Email Office of Opportunity and Belonging at belong@nscad.ca
Student Name Student Name * First Last
Student ID Number *
NSCAD Email *
Phone Phone * - ### - ### ####
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
DETAILS OF THE REQUEST FOR ACADEMIC APPEAL ASSESSMENT
Course number, session and name *
Reason for Appeal *
Other academic decision being appealed:
GROUNDS FOR ACADEMIC APPEAL ASSESSMENT
Select all applicable reasons for the academic appeal assessment *

Select all applicable reasons for the academic appeal assessment A substantial procedural error occurred during the Formal Academic Appeal Process New documentation or information is available that was not available at the time the appeal was heard by the Appeal Committee The sanctions imposed by the Appeal Committee are patently unreasonable or substantially disproportionate to the circumstances of offence
Explain how your appeal assessment specifically aligns with the ground(s) you have selected above. Please provide as much detail as possible, include your desired outcome (Note: this text box expands to accommodate your explanation): *
Demonstrate why the original decision should be reviewed. It is very important to be thorough and include details (refer to the Academic Appeal Procedure) of the Academic Appeal Policy for information and reasons that may qualify for an academic appeal assessment. *
What outcome or result are you expecting?
Attach any documentation that is relevant to your appeal assessment

Attach Files
Attach a copy of the decision letter from the Appeal Committee.

Attach Files
Attach the receipt for the $25 fee

Attach Files
The Appeal Assessment Committee will not re-hear the appeal but conduct a paper review to determine if there are grounds for a re-hearing. The decision of the Appeal Assessment Committee will not be the same members who heard your original appeal. Relevant information will be shared with the new Appeal Committee.

The decision of the new Appeal Committee will be final.

Here is the website (add link) to review the Academic Appeals Policy.

Please note, that your Academic Appeal Assessment, will be treated confidentially; however, it may be necessary to contact other individuals.
By submitting this form, I acknowledge the statements made herein to be accurate, complete and truthful, and that the Academic Appeal Assessment Committee may conduct an in depth investigation into my academic history, my use of student services, and seek further clarification from any persons or parties listed in both levels of this appeal. *

By submitting this form, I acknowledge the statements made herein to be accurate, complete and truthful, and that the Academic Appeal Assessment Committee may conduct an in depth investigation into my academic history, my use of student services, and seek further clarification from any persons or parties listed in both levels of this appeal.
FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT

NSCAD University is committed to protecting the privacy of students, staff, faculty, alumni, and visitors. As a public body, NSCAD University is governed by the Nova Scotia Freedom of Information Protection of Privacy (FOIPOP) Act, which provides access to most records under the control of the university while protecting the privacy of individuals. If you have any questions regarding the FOIPOP please contact the Academic Affairs Officer and FOIPOP Coordinator at privacy@nscad.ca or for more information visit Privacy Notice (add link).

Level Three: Formal Academic Appeal Assessment

Level Three: Formal Academic Appeal Assessment

Please note:

Support for the formal academic appeal process

DETAILS OF THE REQUEST FOR ACADEMIC APPEAL ASSESSMENT

GROUNDS FOR ACADEMIC APPEAL ASSESSMENT

FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT