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Student Resources

Student Appeals Procedure Checklist

(The student is responsible to obtain signatures at each level. The original form will be placed in the student's file and a copy will be made for the student.)

Print these pages.

The IPFW student appeals procedure requires that a student first try to resolve a dispute by talking with the course instructor. In most cases, an appeal can be resolved at this level if both student and course instructor are willing to reasonably discuss the student’s concerns. 

 

I.                Meeting with course instructor.

Date of meeting _________________________

This certifies that step one of the appeals procedure has been carried out.

Student:  ______________________________________________

Course Instructor: _______________________________________

Course Title and Number: ___________________________________

Instructor's Determination and Rationale: ____________________

________________________________________________________________

________________________________________________________________

If the student and course instructor are unable to resolve the appeal, the student may then appeal to the department chair, who may make an attempt to informally resolve the issue.  This affords another opportunity for resolving the conflict. 

 

II.             Meeting with department chair.

Date of meeting _________________________

This certifies that step two of the appeals procedure has been carried out.

Student:  ________________________________________

Department Chair: __________________________________________

Chair's Determination and Rationale: _____________________

____________________________________________________________

____________________________________________________________

Please print legibly.

Student: _____________________________________________________

Student's Current Address: _______________________________________
                                                     (street address)

____________________________________________________________
                             (city, state, zip code)

Student's Telephone Number: ________________________________

If the conflict cannot be resolved between the student and the course instructor, even with the assistance of the department chair, the student has the option to appeal to the College of Health and Human Services Student Appeals Committee.  A formal hearing is held in which both the student and the course instructor may present their case.  The Chair of the College Student Appeals Committee will notify the student and the course instructor of the hearing.

 

III.          Hearing with College Committee.

To be completed at Committee meeting:

Date of meeting _________________________

This certifies that step three of the appeals procedure has been carried out.

Student:  ________________________________________

Chair or Vice Chair of the College Committee: ___________________

 

As a student, I wish to appeal against the following decision.
State below the reason(s) you are appealing the decision. Be specific and complete. You may attach an additional page, if necessary. Provide any supporting documentation about your appeal that you feel is pertinent.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am seeking the following remedy if my appeal is successful.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Resource: Senate Document 03-2                            March 2008