Instructional Complaint/Grade Grievance Form
The associate dean will discuss the complaint or grade grievance with the student within 10 (ten) working days of submission of this form. He/she may request a combined or individual meeting with parties involved. Within 10 (ten) working days of that discussion, a written response will be provided to the student and all parties involved. The time for response may be extended by mutual agreement.
Date
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Section I – Student concern(s)
Section II – Recommended resolution (if applicable)
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Cancel
of
Please attach any relevant documentation.
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