Final Grade Dispute Form This form must be used when a student wants to dispute a
final grade received in a course. The reason(s) for a grade dispute must be at least one of the
following:
o 1. The basis for the final course grade was the result of something other than the student’s
academic performance;
o 2. The faculty member did not have a process in place for determining the final grade;
o 3. The faculty member did not communicate the process or expectations for determining
the final grade;
o 4. The communicated process for determining the final grade was not followed;
o 5. The standards of performance were not uniformly applied to all students in the class.
By signing below, the student understands that an appeal cannot move forward without this form.
This form may be distributed electronically.
Student name:
MC ID#:
Course:
Final grade received:
Have you met with the instructor to discuss your final grade? ☐
Yes
☐ No
If no, you will need to meet with your instructor before proceeding with the grade dispute.
If yes, when? Date
Time
Give as much detail as you can to describe why yo
u are disputing this course grade, with details supporting each
numbered box checked above.
Student signature:
Date:
Instructor signature:
Date:
complete Academic Regulations, then scroll down to 9.44.
This form can be completed electronically, and may also be submitted electronically by saving it to your
computer, then attaching the completed file to an email to the appropriate person(s).
