Grade Appeal Request Form

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Felician University Grade Appeal Request Form

Student Information
Student Name: _______________________________ Student Phone: ______________________________
Student Felician ID: ____________________________ Student Felician email: _________________________
Date of Submission: ___________________________  
Course Information
Semester: ___________________________________ Year: ______________________________________
School: _____________________________________ School: _________________________________
Course Title: _________________________________ Course Code: _______________________________
Faculty Name: ________________________________ Grade of Record: ____________________________

 

Briefly describe the reason for the grade appeal:                                                                                      

 

 

 

 

 

Briefly describe what you believe to be a fair resolution:              

 

 

                                               

 

 

Based on my review of the Felician University Grade Appeals Policy and Procedure, I am formally requesting to have my position heard and considered on what I believe to be an error in grading. I attest that the information provided above is true and accurate.

Student Signature ________________________________________________ Date ________

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Date grades released by the Registrar:                                                           
Date of student informal communication with faculty:                                    
Date of student communication with School’s Associate Dean:  
Date of student communication with School’s Dean:  
Date of Formal Grade Appeal Request submission:  
Date of Grade Appeal Hearing:  
Hearing Panel recommendation:  
VPAA final decision:  
Date of student and faculty notification of final decision: