FORM

GRADE GRIEVANCE

LEVEL 2: CAO REVIEW REQUESTED
If either the student or instructor are dissatisfied with the chair's decision, they both retain the right to request review by the CAO.

Use this form to request Level 2: CAO Review of a current Grade Grievance following the chair's decision. This request must be submitted no more than ten business following the date you were notified of the chair's decision.

The CAO will intitiate the review within five business days of receipt of this form. The CAO may form an Academic Grievance Committee, if needed, to conduct the review.

All parties will be notified of the CAO's decision, which will be submitted within five business days following the final review meeting. The decision of the CAO is final.

QUESTIONS: Registrar@uwest.edu or contact the CAO at JaneI@uwest.edu
DATE SUBMITTED*

MonthDayYear
Date
SUBMITTED BY*

STUDENTINSTRUCTOR
INSTRUCTOR'S NAME*

First NameLast Name
STUDENT'S NAME*

First NameLast Name
STUDENT ID*
YOUR EMAIL*
example@example.com
COURSE*
Course code & title
TERM COMPLETED*
REASON FOR REQUEST*
By signing, I verify that I am the individual listed above, and that my comments are accurate to the best of my knowledge. I agree to respond promptly to any meeting requests, and understand that the decision of the CAO is final.
Signature*

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GRADE GRIEVANCE