Grade Appeal Form

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Grade Appeal Student Form

"*" indicates required fields

PID*

Name*

First Last

Phone

UNC-Chapel Hill Email

If you no longer have a UNC-CH email, provide a secure email address:

Please indicate your current major

Classification (choose one)*

Course (e.g. PSYC 101)*

Term (e.g. Fall 2020)*

Reason for Grade Appeal (select all that apply)*

Arithmetic or clerical error

Arbitrariness, possibly including discrimination based on race, sex, religion, or national origin of the student

Personal malice

Student conduct cognizable under the Instrument of Student Judicial Governance

For a grade change to be considered, it must be based upon one or more of the above grounds and upon allegation that the ground or grounds cited influenced the grade assignment to the student’s detriment.

Please provide a brief narrative further explaining your reasons indicated above*

You can upload any supporting documentation below.

Please provide a brief summary of your attempt(s) to resolve the grade issue with the course instructor*

You can upload any supporting documentation below.

Please indicate your desired grade outcome*

Course Syllabus*

Drop files here or

Max. file size: 98 MB.

Additional Supporting Documentation*

Drop files here or

Max. file size: 98 MB.

Examples include: graded work returned to the student, any communication with the instructor or others related to the appeal, etc.

Signature*

Please type your full name.

By clicking Submit you agree that you have read and agree to the above statements and the information that you have provided is true to your knowledge.

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