Appeal Request

Appeal Request
An appeal is an official request for a decision, made by the Center, to be reviewed and revised or overturned as a result of a belief that the Center did not follow one or more of its published policies, procedures and processes, or that a policy was inequitably applied.

Appeals, and any accompanying documentation, must be submitted by the student using the Center’s Appeal Request Form. The appeal must be received within five business days from when the student was provided the written decision, and must clearly include the published policy that you believe was violated or inequitably applied as well as the remedy being sought.
Program Name*
Cohort*
Student Name*

First NameLast Name
E-mail Address*
APPEAL INFORMATION Name of policy, procedure or /process and description of how you believe it was not followed or inequitably applied:*
REMEDY Describe the remedy you are seeking:*
ADDITIONAL INFORMATION optional:
Supporting Documetnation:

Supporting documentation must be a scanned PDF, Microsoft Word or Microsoft Excel document, NOT a picture. For a free scanning app for your phone click the link below:

https://acrobat.adobe.com/us/en/acrobat/mobile-app/scan-documents.html
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Student's Signature*

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