Level One: Informal Academic Appeal FACULTY DECISION

This is your form description. Click here to edit.

Faculty Name Faculty Name First Last
Date Appeal Received Date Appeal Received / MM / DD YYYY
Date met with Student Date met with Student / MM / DD YYYY
Form of Meeting

Form of Meeting In person Virtual E-mail Phone
Decision

Decision Granted Granted, with alternate resolution Denied
FACULTY DECISION - Please describe in detail the rationale for the above decision
If granted, please indicate date/timeframe for the outcome to be completed and new grade to be received:
Please place a checkmark next to all that apply:

Please place a checkmark next to all that apply: I have reviewed all related supporting documentation from the student. I have attached relevant supporting documentation for my decision rationale (e.g. timeline of events leading to the academic appeal; chronological summary of attempts to resolve the issue; relevant emails; course outline; graded assessment(s); assignment rubrics; other documents). I have made every reasonable effort to resolve the student’s academic issue(s).