Grievance/Grade Appeal Form

Grievance/Grade Appeal Form Submission

* Required

STUDENT IDENTIFICATION

Name First Name Last Name

Address Street Street 2

City State

Zip Code

Email Address

Student Status

COURSE IDENTIFICATION

Course Name

Instructor Name

Grade Received

Discussed with Instructor Yes No

Discussed with Principal Yes No

Appeal Reason

Supporting Evidence File Uploader

Supporting Evidence Documents

Acceptable file extensions are .pdf, .doc, .docx, .jpg and .jpeg.
Individual file size limit is 20 MB.

I understand that this appeal may result in review of any or all aspects of my performance in the course. My statement and supporting evidence concerning the appeal are attached.

* If needed, you may seek assistance from your principal to prepare a grade appeal.

Questions? Contact TTU K-12.

By clicking submit, you are electronically authorizing this Grievance/Grade Appeal Form to be submitted.