Student Academic Concern Request

Student Academic Concern Request

Students are strongly encouraged to communicate with their instructor first about course concerns (i.e., attendance, course participation, late submission and extensions, grades, exam results, etc.) before using this form to submit an academic concern request.

Have you already approached your instructor about this concern?*

Yes

No

First Name*

Last Name*

Campus

Select or enter value

PSU ID*

(9-digit number)

Email*

Course Name and Number*

(e.g., IST 110)

Semester*

Instructor*

Academic Adviser*

Describe your concern*

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