SSHA Grade Appeal Form

Instructions

Please review the Grade Appeal Policy first before completing this form. This appeal is intended for students to initiate a grade appeal only in cases of a clerical/procedural error or non-academic circumstances. Students are encouraged to review their work with the instructor for an explanation of the grade assigned. You will be notified via e-mail once a decision has been reached. The decision made by the Dean’s office will be final. Decisions may include: 1) no change, 2) removal of course from transcript, or 3) grade correction. Submit this form along with any supporting documentation.

Processing Time

Depending on the complexity of the steps and case, this process can be time-intensive within that term of review. Please review the steps in the linked policy.

Last Name *

First Name *

UCM ID Number *

Phone Number

UCM Email Address *

Major *

Basis of Appeal *

Calculation error

Inconsistent application of expectations for grade (e.g. per course syllabus and assignment prompts)

Title IX or Title VI

Course Subject Code, Number and Title *

Example: PSYC 1A - General Psychology

Term Course Completed *

When did you take this course? Example: Spring 2016

Instructor Name (Last, First) *

Have you communicated with the Instructor AND Department Chair? *

Yes

No

Statement of Support: *

When completing this section, briefly describe attempts to resolve concerns with instructor. If the Department Chair, or Dean was contacted, note these details as well. Describe the grounds for the appeal itself. What are the primary criteria and considerations. Please use no more than 250 words.

Upload Supporting Documentation

Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Additional Supporting Documentation (If Needed)

Files must be less than 4 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

SSHA Grade Appeal Form

Additional Links

Academics

Administration