Fillable Form GS-g-A Filing of Graduate Academic Grievance: (Clemson University)

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Form GS-g-A Filing of Graduate Academic Grievance: (Clemson University)

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The Form GS-g-A Filing of Graduate Academic Grievance: (Clemson University) form is 4 pages long and contains:

  • 3 signatures
  • 3 check-boxes
  • 22 other fields

Country of origin: US
File type: PDF

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Current Graduate School forms reside at https://www.clemson.edu/graduate/students/forms.html Form GS-g-A—Filing of Academic Grievance Rev.03/2020
CLEMSON UNIVERSITY GRADUATE SCHOOL E-106 Martin Hall Clemson, SC 29634-5713 Page 1 of 4
Form GS-g-A — Filing of Graduate Academic Grievance
Instructions for using this form in a digital workflow are at the end of the second page.
Step 1 — To be completed by the student
Full name: XID#:
CU email address:
I wish to file a grievance against the professor(s) named below:
1.
2.
3.
The dates that I completed STEP 1 of the procedures for filing a grievance and the individuals with whom I met are
indicated below:
Date: Name:
Faculty and/or staff member
Department chair
Dean of my college
Signature:
College dean, associate dean, or department chair
Please use the third page of this form to provide a detailed statement of your grievance. Include at the end of your
statement the advice/assistance received as a result of your meetings referenced above.
Please indicate what specific resolution you seek:
click to sign
signature
click to edit
Current Graduate School forms reside at https://www.clemson.edu/graduate/students/forms.html Form GS-g-A—Filing of Academic Grievance Rev.03/2020
CLEMSON UNIVERSITY GRADUATE SCHOOL E-106 Martin Hall Clemson, SC 29634-5713 Page 2 of 4
Step 2 — To be completed by the hearing panel
The findings and recommended resolution of the hearing panel are included in the attached email to the student.
Hearing panel chair:
Name (print) Signature Date
Step 3 — To be completed by each party of the grievance and
returned to the Graduate School within fourteen (14) days
I accept the decision and resolution of the Academic Grievance Committee
I request to appeal the decision and resolution of the Academic Grievance Committee
Name (print) Signature Date
How to use this form in a digital workflow
This form permits digital signatures and routing/submission via email. To use the interactive features,
1. Save this form to your device and open it in Acrobat Reader, rather than trying to complete it within your
browser. Not all web browser PDF extensions enable interactive features.
2. Because this form requires signatures from more than one individual, the student should complete Step 1
(page 1) and send the form as an email attachment to their College Dean/Associate Dean or Department chair.
That official should sign it where indicated, then use the button below to submit the form to the Graduate
School; the button generates an automatic email with the form attached.
3. The Graduate School Dean will call and convene the Hearing Panel. The Dean’s representative will forward
copies of this form to all members of the hearing panel. If the hearing must be held online, the Hearing Panel
Chair will use page 4 of this form to send an email of findings and recommended resolution to the student.
Hearing Panel Chair will sign (Step 2 above) and use the button below to submit this form to the Graduate
School.
4. Following the hearing, the Graduate Dean’s representative will duplicate the form and route the form via
email to both relevant parties to the grievance (Step 3 above). Each party may then use the Submit button to
return their form to the Graduate School.
SUBMIT form to the Graduate School
click to sign
signature
click to edit
click to sign
signature
click to edit
Current Graduate School forms reside at https://www.clemson.edu/graduate/students/forms.html Form GS-g-A—Filing of Academic Grievance Rev.03/2020
CLEMSON UNIVERSITY GRADUATE SCHOOL E-106 Martin Hall Clemson, SC 29634-5713 Page 3 of 4
Student’s detailed reasons for grievance and resulting advice from Department Chair or College Dean/Associate Dean.
Current Graduate School forms reside at https://www.clemson.edu/graduate/students/forms.html Form GS-g-A—Filing of Academic Grievance Rev.03/2020
CLEMSON UNIVERSITY GRADUATE SCHOOL E-106 Martin Hall Clemson, SC 29634-5713 Page 4 of 4
Findings of the Hearing Panel and recommended resolution (extract this page or copy findings content and email
separately to the student).
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Form GS-g-A Filing of Graduate Academic Grievance: (Clemson University)

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Completed 19 August 2020

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