Brevard College Distance Education Grievance Form

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Brevard College Distance Education Grievance Form - Results Appeal

Use this form only if you have already received a verdict on a previously submitted distance education grievance form and would like to appeal the results.

Your Name: *

Email: *

Phone number:

Not required.

Which class did you appeal? *

Instructor's Name: *

Division Chair who made the decision. *

Please copy/paste the division chair's decision. *

Have you already contacted the instructor about this issue? *

It is not required to contact the instructor before submitting this form

Yes

Please describe the concern and the reason for appeal. *

Include as many relevant details as possible. (What week/day the issue occurred, titles of any relevant assignments, copies of text...)

Would you like to upload any files or screen shots you believe may be helpful to those reviewing the course?

If you select yes, an email will be sent with instructions on how to submit files.

Yes (An email will be sent to the address above with instructions on how to submit files.)

Clear selection

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