Fillable Grade Appeal Request (Connors State College)

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Grade Appeal Request (Connors State College)

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The Grade Appeal Request (Connors State College) form is 1 page long and contains:

  • 3 signatures
  • 8 check-boxes
  • 14 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Connors State College

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Last updated 1/26/2021
Grade Appeal Request
Date:
Connors ID Number:
Name:
First
Middle
Phone Number:
E-Mail Address:
Mailing Address:
Street or P.O. Box
City
State
Zip Code
Reason for Appeal:
Please write a concise statement in which you describe the circumstances and reason for your grade appeal. You may also provide
supporting documentation as appropriate. If you need additional space, please feel free to attach a letter to your appeal.
Expectations:
Please write a concise statement in which you describe the specific outcome you wish to result from your appeal. Please note that this
statement will not guarantee that specific outcome as all appeals are reviewed on a case-by-case basis.
Documentation:
Please attach any supporting documentation to your appeal. Please note that any documentation submitted will be confidential.
By signing this request, I acknowledge that Grade Appeals are reviewed on a case-by-case basis and that
submission of an appeal does not guarantee acceptance or expected outcomes.
Student’s Signature Date
Division Chair
Consensus reached;
grade stands
Consensus reached;
grade change requested
Consensus not reached;
referred to Grade Appeals Committee
Division Chair Signature:
Date:
Grade Appeals Committee
Votes to Approve Appeal
Votes to Deny Appeal
Abstentions
Appeal Approved
Appeal Denied
Appeal Referred
Office of the Vice President for Academic Affairs
Appeal Approved
Appeal Denied
V.P. of Academic
Affairs Signature:
Date:
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Grade Appeal Request (Connors State College)

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Completed 29 January 2021

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