Fairmount College of Liberal Arts and Sciences
Student Academic Concern Form
Type of Academic Concern Grade Appeal
Instructor Concern
Other
Prior to scheduling a meeting with a Dean to discuss an academic concern, students must have met with the
Instructor and with the Department Chair or Director, without resolution.
Please list the faculty with whom you have met for verification. If the meeting cannot be confirmed, the form will be
returned to the student for completion of the process.
Prior Administrative Meetings
Held
I have met with the Instructor of Record.
I have met with the Department Chair or Director.
Student Information
First Name
Last Name
WSUid
Preferred Telephone Number
Preferred E-mail
Preferred way to contact you? E-mail Phone Postal Mail
Concern
Department
Instructor
Course