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- NASM New Appeal Form

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National Academy of Sports Medicine™ - Appeal Form Updated 9/2018
National Academy of Sports Medicine™
APPEAL FORM
(TO BE COMPLETED BY THE PERSON MAKING THE REQUEST)
Date:
Your name:
Current street address:
City/State/Zip:
Daytime phone:
Email:
Certification associated with this
request:
Details of the Appeal
Please describe your appeal in detail (attach additional sheets of paper if more space is needed)
I understand that this appeal form will be reviewed by the appropriate Disciplinary and Appeals Committee and I will
receive an email from NASM informing me of the committee’s decision. I also understand that NASM’s policies
regarding exception requests and appeal processes are provided in detail in the Candidate Handbook.
Signature of person making the request/appeal Date
Email the completed form and any supporting documentation to: appeals@ascendlearning.com
*Please scan and attach any supporting documentation with your completed form.
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- NASM New Appeal Form

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Completed 1 March 2021

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