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Name:
RU Student ID:
Telephone number where you can be reached during the appeal:
Course Information:
Department:
Course Number:
Section:
Course Title:
Semester:
Year:
Grade Awarded:
Instructor Name:
Reason(s) for the appeal (see "Procedures for Grade Appeals" on the Radford University Office of the University Registrar's webpage for policy on student appeals before completing this section). Attach additional sheets as necessary.
Suggested resolution: indicated what you would consider a fair resolution of the appeal, with supporting reasons.
By signing below, I verify that I have been unsuccessful in reaching a resolution by working with the instructor in the informal appeals process. I also recognize that the falsification of any information, either on this form or at any stage of the appeals process, represents a violation of the Radford University Honor Code.
Signature:
Date:
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FOR OFFICE USE ONLY
Appeal received by Department Chair:
Date:
Appeal received by Instructor:
Date:
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