Fillable Guilford Technical Community College - Student Complaint Form Grade Related Appeal

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Guilford Technical Community College - Student Complaint Form Grade Related Appeal

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GUILFORD TECHNICAL COMMUNITY COLLEGE
STUDENT COMPLAINT - GRADE RELATED July 2015
STUDENT COMPLAINT FORM
GRADE RELATED
Directions:
The student must complete and submit this written appeal within 15 days of the beginning date of the subsequent term.
The student must submit the written appeal to the faculty member’s Department Chair/Program Director/Coordinator.
Upon completion of the appeal process, this form and additional documentation will be retained in the office of VP of Instruction.
Timeliness: While every attempt will be made to address the complaint in the shortest possible time frame, processing at each step cannot
exceed 10 working days; however, the time may be extended by agreement of both parties or by extenuating circumstances as decided by
the administrator to whom the complaint is presented. If the issue is not resolved at one level and the student chooses to move the concern
to the next step of the appeal process, s/he must complete that action within 5 working days of receiving a decision.
STUDENT INFORMATION
Name:
Student ID#:
Phone Number:
Email Address:
Course# and Title of the Grade Being Appealed:
Semester/Year of Grade Being Appealed:
FACULTY INFORMATION
Faculty Name:
Office:
Email Address:
Phone extension:
APPEAL INFORMATION
1. Identify the reason for your appeal. Per our grade appeal policy, a student may only appeal final grades for one of the following reasons. If
your reason does not fit one of those listed below, you are not able to appeal this grade.
I am appealing my final course grade due to:
Inconsistency between what is written in the syllabus and what is practiced in the classroom
A grade miscalculation
Errors in the final exam if a change in final exam grade would cause a change in the course grade
Inconsistent classroom practices
2. Provide your rationale for why the grade should be reviewed. Attach relevant information if needed.
3. Explain any previous attempts to resolve the matter.
4. Propose your desired resolution.
Student Signature:
Date:
GUILFORD TECHNICAL COMMUNITY COLLEGE
STUDENT COMPLAINT - GRADE RELATED July 2015
FOR COLLEGE ADMINISTRATION USE ONLY
APPEAL LEVEL: Department Chair/Program Director/Coordinator
Date Appeal Received:
Signature:
Date:
APPEAL LEVEL: Division Chair/Director
Date Appeal Received:
Decision Rendered:
Division Chair/ Director Signature:
Date:
APPEAL LEVEL: Associate VP Instruction (for Credit courses only)
Date Appeal Received:
Decision Rendered:
Associate VP of Instruction Signature:
Date:
FINAL APPEAL LEVEL: VP Instruction (for Credit courses)
VP Corporate and Continuing Education (for Non-Credit courses)
Date Appeal Received:
Decision Rendered:
VP Signature:
Date:
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Guilford Technical Community College - Student Complaint Form Grade Related Appeal

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Completed 3 May 2020

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