Grade Appeal Form

Grade Appeal Form
Note: Before filling out this Form please refer to the Review of Grades and Academic Appeals Policy and Procedures, available on the Sydney International School of Technology and Commerce website.
A. Student Details
Student Name

Family NameGiven Names
Student ID
Student Email
Submission Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Please provide detailed information about the unit you are appealing. If needed, include the names of the specific assessments. For multiple units, please submit a new form for each appeal.
Please provide detailed information about the unit you are appealing. If needed, include the names of the specific assessments. For multiple units, please submit a new form for each appeal.
Unit Code
Appeal Details
1. What decision or action does your feedback, complaint, appeal or grievance relate to?
Please 1. Describe the decision or action, 2. Indicate who made the decision or took the action, and 3. The approximate date when this happened.
2. Why do you disagree with the decision/action OR why are you unhappy about it?
Please provide any information you feel is relevant to your request for a review
3. What action or outcome are you seeking from your complaint/appeal/grievance?
4(a). Do you agree to the School discussing your complaint, appeal or grievance with any staff members or students who can provide relevant information about it?
4(b). Is there any person you do not want this discussed with? If so, who?
5(a). What evidence / documents / further information have you included with this request?
Please list your attachments here and attach them to this request this may include further details relating to points 1, 2 and 3 if there is insufficient space in this form.
5(b). Your evidence / documents / further information to support your request?

Cancelof
B. Final decision
Position
Outcome
Comments / Reason
Email 1
Email 2
Email 3
Email 4
I have considered the student’s past record (if any), their level of study, the particular circumstances, and the relative seriousness of the academic misconduct. I classify this matter as the:
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Doc: Grade Appeal Form 01.00

Australia Advance Education Group Pty Ltd. trading as Sydney International School of Technology and Commerce.
TEQSA PRV14311 CRICOS 03836J ABN 74 613 055 440 ACN 613 055 440
Should be Empty:

Grade Appeal Form

A. Student Details

B. Final decision