Office of the Registrar
Regional Office
11401 - 8th Street
Dawson Creek, BC
V1G 4G2
Ph: 250-782-5251
Fax: 250-782-5233
Toll Free: 1-866-463-6652
Student Information
Name Student ID Number
Date
Course Name and Number Semester Year Taken
Reasons for appealing the grade
Signature of Student
Please print form and sign by hand
Grade Appeal: Granted Denied Students will be notified of the decision made
Grade
Signature of Dean
Grade Appeal
255b/11.04.20-j
CAMPUS OF STUDIES
Chetwynd Dawson Creek Fort Nelson Fort St. John Tumbler Ridge