Academic Policy and Standards Registry

ACADEMIC APPEALS: STUDENT’S WRITTEN SUBMISSION

Before completing this form please read the Student Handbook (link can be accessed from CMS and LMS).

Your responses should be word processed and be clear and concise. It is recommended that you seek help and advice on completing this form.

Section One: General Information

Name

ID Number

School or Department

Program

Personal Email Address (Should not be your University email address if you have one)

Section Two: Appeal

2a) Please indicate the decision you wish to appeal against. For example; degree classification, fail and withdraw, award alternative qualification

2b) Please specify what you would like the outcome of your appeal to be

1 June 2016

Academic Policy and Standards Registry

Section Three: Grounds for Appeal

Please tick one or both of the boxes below.

3a) There were circumstances unknown to the Faculty or Board that affected your academic performance and you can present good reason for these circumstances not being made known prior to the event.

3b) There was an administrative irregularity or failure in procedure giving rise to a reasonable doubt as to whether the progress decision would have been different if it had not occurred.

Please give full details of your case, in chronological order, in the box below. Please ensure that you include the module(s)/assessment(s) that have been affected and the date(s) on which the incident(s) occurred. If you are appealing on ground 3a please ensure that you include details of why you did not bring this information to the attention of the Faculty or Board through the extenuating circumstances process. Please ensure that you make direct reference to the grounds that you are appealing on and ensure that you only give information that is relevant to your case.

Date(s)

2 Revised 2016

Academic Policy and Standards Registry

Section Four: Evidence

Circumstances cited in an appeal must be supported by independent documentary evidence. This form must be accompanied by all evidence that you wish to be considered. Evidence can only be accepted after your deadline in exceptional circumstances.

Please list below the documents that you are submitting. Please submit your evidence as a separate document(s).

Section Five: Summary

This section MUST be completed. Your form will ONLY be processed if this section is completed.Please summarise the main points of your case, preferably in bullet points in no more than 200 words. Do not refer to the rest of your form.

Section Six: Not used for this process / Omitted

3 Revised 2016

Academic Policy and Standards Registry

Section Seven: Further Information

7a) Have you sought advice from anyone when completing this form? Yes No prefer

not to say

7b) Do you consider yourself to have a disability? (this may include a long term health condition/specific learning difficulty/mental health difficulty)

Yes No prefer not to say

Do you feel you require specific disability related support with this process? If so, please give details.

7c) Please confirm whether you are happy for the above information to be shared with your school. Yes No

Please ensure that you have completed all relevant sections of this form. Please submit your form and evidence by email, as attachments, to appeals@euclid.int

You will receive confirmation of the receipt of your appeal by email to the email address you have supplied in Section One of this form.

Failure to complete this form correctly and submit evidence promptly may delay the process of your appeal.

4 Revised 2016