ACADEMIC APPEAL Academic Appeal Form InstructionsPlease fill out the form below completely and carefully. You have 10 days from the time of the incident to submit an appeal. All documentation must be provided with your initial submission. Once received, the Academic Appeals Committee will review your request and all documentation. The committee’s final decision will be sent to the Academic Dean. The final decision will be sent to you via the email address that you have listed on the college LMS within 10 business days. If your appeal is for re-entry into a class, it is your responsibility to keep up with the syllabus while you await a decision. If the decision is in your favor, coursework may be submitted within the guidelines provided in the course syllabus, meaning that some work may not be accepted. Therefore, it is in your best interest to submit your appeal in a timely manner. Appeals are to be worded in a professional manner and tone. Date* MM slash DD slash YYYY Name* First Last Email* Phone*Course Number and Course Name* Appeal Statement*Please state your reason for requesting an appeal including all factors that you feel influenced the decision that was made and why you feel the decision should be reconsidered. Be sure to use complete, well-written sentences. File UploadUpload any pertinent documents here. Drop files here or Select files Max. file size: 64 MB. Nature of Appeal (choose one)* Grade on a specific test or project Final grade for a course Involuntary withdrawal from a course (choose one specific option below): Involuntary Withdrawal Options* Failure to complete Introductory Assignment Failure to actively participate in course evidencing a sincere effort to complete the course successfully Plagiarism/Cheating Δ
