ME Academic Grievance Form

To initiate the academic grievance process, an ME student must first submit the details of his/her grievance in writing to the instructor for consideration. Completion of this form will assist you in compiling the specifics and evidence to support your grievance, and will initiate the process by routing the grievance to the instructor to begin the formal grievance review process.

First and Last Name*

Email*

Student ID #*

Advisor Name*

Select or enter value

Course*

Instructor Name*

Instructor Email*

Semester In Question*

Select

Year In Question*

Please select the nature of your concern*

Select

Please provide a detailed description of your grievance*

Please state, in bullet form, the specific topics of your grievance and how each topic should be resolved in your opinion*

Please describe what, if any, steps you have already taken regarding this matter*

File Attachments

Please include documentation (emails, policy statements, etc.) that you feel is relevant to the grievance. Only include documents that are directly referred to in your grievance description above. Documents should be in PDF format. If you have an email that you want to attach, select the print option on your email and have the destination listed as "Save as PDF". This will convert your email to PDF.

Drag and drop files here or

Student Signature*

By typing your name in the box below and clicking "Submit" you are digitally signing this form and asserting that the above information is accurate and that you are the requester of the Academic Grievance for the year and term stated above.

By choosing to submit this form, you are agreeing to have this information given to your instructor.

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