Academic Appeal Form

Definition of Academic Grievance

An instructor has full autonomy to evaluate a student’s academic performance in a course. Accordingly, options for outcomes from a grievance process are limited. The University administration would override an instructor’s evaluation only in an extremely limited circumstance-where the occurrence or incident relating to an academic grievance constitutes, from the student’s perspective, a failure to adhere to faculty code in Section 400 of the Utah State University Policy Manual. If a student believes that the actions of an instructor, academic supervisor, or supervisory committee represent a failure to uphold responsibilities to students as outlined in section 403.2.3.1 of the faculty code, the student may initiate an academic grievance. An academic grievance includes complaints related to course conduct or grades (e.g., unfair grading, unfair course policies, unwillingness to accommodate approved class absences), graduate committee decisions, practicum or internship placements or evaluations, and other discipline-specific activities that impact the students’ academic record or progress.

This form is to be used to submit a formal appeal after the student has been unable to informally resolve the dispute with the faculty member.  Once the form is completed, submit it and send all supporting documentation to provost@usu.edu. 

Section 1: Personal Information

First, middle, and last name
First, middle, and last name

Section 2: Information about your complaint

*Do you have any additional documentation that needs to be shared? If so, please send the files to provost@usu.edu with the subject "Academic Appeal Documents"
*I hereby certify that the above information is true and correct to the best of my knowledge and belief.