JM University Student Grievances Appeal
This is to be completed AFTER an initial student grievance form is completed and AFTER a decision is made. The purpose of an appeal is to include additional information that may impact the initial grievance decision or if the student does not agree with the initial appeal outcome.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Date
*
-
Month
-
Day
Year
Date
Please state the initial decision made. Please include as much information as possible.
*
Please state any concerns or new information that may impact the initial appeal decision. Please include as much information as possible.
*
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: