INSTRUCTIONS
1. Provide a copy of the Chair Review Meeting Summary to the student and to the faculty member. The
student and faculty member should sign Part A of this Form 2 (below) to acknowledge receipt of the
Chair Review Meeting Summary. (The student and faculty member need not sign at the same time.)
2. After the student signs Part A of this form, provide a copy of the signed form to the student.
Eastern Illinois University
Grade Appeal Policy
FORM 2
Receipt of the Summary of the Chair Review Meeting and
Student’s Request for Review by the College Grade Appeal Committee
Part A. Receipt of Chair Review Meeting Summary
I hereby acknowledge receipt of the Chair Review Meeting Summary.
________________________________________ _____________________________________
Student Signature Date of Signature
________________________________________ _____________________________________
Faculty Signature Date of Signature
TO THE STUDENT: You may request review by the College Grade Appeal Committee only by
completing and signing Part B. Request for Review by the College Grade Appeal Committee (below) and
submitting it to the dean of the appropriate college or school. Appeals for undergraduate students are
submitted to the dean of the college in which the course was offered. Appeals for graduate students are
submitted to the Dean of the Graduate School. Appeals for courses offered through the BGS (bachelor’s
in general studies) program are submitted to the Dean of the School of Continuing Education. You must
submit the signed copy of Part B. to the proper dean within five (5) working days of the date that you
signed Part A.
If you do not sign and return Part B. within five working days, the grade appeal process automatically
terminates.
Part B. Student’s Request for Review by the College Grade Appeal Committee
______ I hereby request that the College Grade Appeal Committee review my Grade Appeal.
The Chair Review Meeting has not satisfactorily resolved my Grade Appeal Request.
I understand that my signature below authorizes the dean to refer my Grade Appeal Request,
support materials, and the Chair Review Meeting Summary to the College Grade Appeal
Committee.
_________________________________________ ____________________________________
Student Signature Date of Student’s Signature
Received by the Office of the Dean of __________________________________________________
__________________________________________ _____________________________________
Signature of Person Receiving Request for Review Date of Receipt
