Grade Appeals
Must be submitted within 30 days of the grade posting to Self-Service. Please do not submit an appeal until a grade is posted. Formative comments cannot be appealed.
Student Name
*
First Name
Last Name
Student Email
*
example@example.com
Regional Site
*
Please Select
Anchorage/Matsu
Fairbanks
Western Idaho
Billings/W. Montana/Great Falls
Oregon
Mt. Vernon
Puyallup
S. Puget Sound
Spokane
TriCities/Hermiston
Walla Walla
Yakima
Assistant Dean
*
Please Select
Marie Cadwell Meyer, DO
Shane Carson, DO
Jeremy Eaton, DO
Brenda Polite, MD
Nina Ngo, DO
Assistant Dean's Email
example@example.com
Course
*
Course Start Date
*
-
Month
-
Day
Year
Date
Course End Date
*
-
Month
-
Day
Year
Date
Reason for Grade Appeal
*
Please Select
Mathematical Miscalculation (use when you believe your evaluation scores were calculated incorrectly)
Honors eligibility (use when you believe you met the requirements for honors but received a pass)
Time spent with individual preceptor(s) (use when there is a significant discrepancy in inter-rater grading for a split rotation with more than one preceptor and time spent with each preceptor was not evenly split. This can only be used if your letter grade would result in a change from fail to pass or pass to honors)
Performance grades on preceptor evaluation of student (use when you believe your evaluation score does not reflect your performance)
Inaccurate summative comments (use when you believe there is an error in your summative comments)
Please explain your reason for the grade appeal. Provide as much detail as possible, including any specific communication or correspondence you've had regarding this appeal:
*
Submit
Should be Empty: