Policy Exception & Administrative Withdrawal Appeals Requests

Policy Exception &

Administrative Withdrawal Appeals Requests

What type of request are you making?*

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If you have a teacher certification related exception request, please contact Relay's Certification team by email at support@relay.edu or sign up for their office hour sessions.

Staff Full Name*

Staff Email*

Advisor Full Name*

Student RISE/SIS Link*

Student Preferred First Name*

Student Last Name*

Student Email*

Student ID*

This can be found on your status/checklist page in the following format 0-00000-000

Location*

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What is the exception you're requesting?*

Please use this space to share the headline of the exception you're requesting.

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Context + Evidence*

In the space below, please provide the committee with context and rationale regarding why this exception should be made. Additionally, if there is an alternative outcome to what you have requested, please provide that alternative here, as well. 1. What is the exception you are seeking and why? 2. Are there any alternative solutions for the committee to consider? 3. Is there any additional information for the committee to consider? e.g. steps you've already taken, advisement received, etc.

Optional: Upload documentation (e.g. audio, PDF files, etc.)

Drag and drop files here or

Relevant Policies & Links

Please specify the policies relevant for review and exception. You may link to support center or share the names of policies (e.g., prerequisite courses, program completion requirements, etc.). Policies can be found here: https://support.relay.edu/hc/en-us/categories/115002426428-Relay-Documents-Hub

Please also add in any relevant links to supporting documentation.

Please list all possible options

In this space, please list possible resolution options to consider. Please note, one option to resolve is always the status quo (i.e., whatever the policy indicates). Another option is the exception being requested. Often times, there are other options to consider in addition to status quo and the specific request - let's explore those here!

Please list the implications for all options

Please list any implications (e.g., certification implications, coursework implications, financial implications, etc.) for each possible option.

Please provide your recommendation

Have you discussed with your Advisor / Manager*

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Acknowledgement*

By submitting this form, I acknowledge and understand any potential implications to my program completion, enrollment, certification, and/or financial obligations. Please type your full name as acknowledgement.

Send me a copy of my responses

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