Fillable form within 1 week of having received their (The Michener Institute of Education at UHN)

Fill Online, Printable, Fillable, Blank form within 1 week of having received their (The Michener Institute of Education at UHN) Form

Use Fill to complete blank online THE MICHENER INSTITUTE OF EDUCATION AT UHN pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

form within 1 week of having received their (The Michener Institute of Education at UHN)

On average this form takes 10 minutes to complete

The form within 1 week of having received their (The Michener Institute of Education at UHN) form is 2 pages long and contains:

  • 2 signatures
  • 5 check-boxes
  • 31 other fields

Country of origin: CANADA
File type: PDF

Use our library of forms to quickly fill and sign your The Michener Institute of Education at UHN forms online.

BROWSE THE MICHENER INSTITUTE OF EDUCATION AT UHN FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Y:\Continuing Education (CONED)\CE Administration\CE Policies\CE Academic Appeal Form.docx
Continuing Education Academic Appeal Form
Continuing Education (CE) students may appeal their grade(s) or final standing through the use of this
form within 1 week of having received their grade. Please complete this entire form and submit it, along
with any applicable supporting documents, by email to ce@michener.ca. Please note that a non-
refundable administration fee of $25.00 must accompany this form.
PERSONAL INFORMA
TION:
(INCOMPLETE OR INCORRECT INFORMATION WILL CAUSE DELAYS IN PROCESSING)
LAST NAME OF STUDENT FIRST NAME
STREET APT.
CITY
PROVINCE POSTAL CODE
PROGRAM
HOME TELEPHONE
WORK TELEPHONE EMAIL ADDRESS
INSTRUCTIONS
Please outline your case for an Academic Review:
All academic app
eals will be reviewed and a written response provided within 1 week of receipt of the appeal.
Appeals will be reviewed by the Continuing Education Academic Review committee consisting of the CE
Director, CE Program Manager and the applicable Medical Director and/or Program Coordinator. Input will be
sought from the instructor(s) and/or course director involved.
RESULTS OF ACADEMIC REVIEW
The decision of the CE Academic Review Committee is final. Results will be communicated in writing no later
1 week after receipt of the appeal.
Y:\Continuing Education (CONED)\CE Administration\CE Policies\CE Academic Appeal Form.docx
PAYMENT INFORMATION
Total Payment: $25
Payment Method:
Bank Debit Card (in person)
Money Order
Cash
(do not mail cash)
Certified Cheque
(we do not accept personal
cheques)
Visa /MC#
Expiry Date:
Cardholder Signature
Date
Student Signature
Date
I hereby certify that the information contained herein is a true representation of my personal situation and
circumstance and that the findings of the CE Academic Review Committee is final.
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

form within 1 week of having received their (The Michener Institute of Education at UHN)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 10 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document