COURSE REMEDIATION AGREEMENT FORM
SECTION 1: STUDENT INFORMATION
Students requesting course reassessment or remediation, should complete SECTION 1 of this form. The request needs to be in
writing and submitted by the deadline specified in the FCOP Student Handbook.
lass of 2020 Students ONLY:
☐ I am requesting Reassessment ONLY.
☐ I understand that by engaging in course reassessment, I am waiving my right to appeal the original final course grade.
PLEASE NOW SKIP TO PART C BELOW.
L STUDENTS REQUESTING REMEDIATION
SHOULD COMPLETE THE FOLLOWING INFORMATION
To qualify for remediation students cannot be on academic probation. Students who remediate must have demonstrated
regular attendance and fulfilled the terms of all academic alerts and academic watches. It is the sole responsibility of the
student to demonstrate participation in these activities to the FCOP Associate Dean of Academic Affairs to qualify for
ave attended all the class dates for this course, except (specify and include reason for non-attendance):
ave met with the following people/offices to discuss my progress and/or discuss making improvements in this course:
Faculty Advisor (dates):
☐ The Course Coordinator and/or Course Instructors:
☐ Review Sessions (dates):
☐ Peer Tutoring (tutor name/dates):
C. Student Signature: Date:
TION 2: ELIGIBILITY VERIFICATION
The Office of Academic Affairs will determine if the student is eligible for reassessment and/or remediation.
☐ The student is eligibility requirements for ☐REASSESSMENT or ☐REMEDIATION
☐ The student is not
eligible for ☐REASSESSMENT or ☐REMEDIATION. Brief explanation:
Associate Dean of Academic Affairs:
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