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Academic Appeal Form

Before completing this form, please read carefully the Academic Appeals Policy found on the Francis James website.

When you submit the form, you should include copies of any evidence you intend to rely on, including medical certificates, correspondence or other documents. If your form is incomplete or if you have not submitted the evidence for your appeal, then your case may be dismissed. The form must be submitted within 10 working days of you receiving the formal assessment decision in question.

Your Details

First name

Last name

Learner ID

Learner username (Moodle log in name)

Learner's degree pathway and level of study

Phone

Details of your appeal

Grounds for Appeal

Please indicate the grounds on which you wish to appeal by ticking one or more of the following. Only tick those grounds that apply to your case:

Procedural irregularity: A significant error or omission in the assessment or decision-making process.

Extenuating circumstances: New or previously undisclosed circumstances that could not have been reported earlier for valid reasons and were unknown at the time of the decision being appealed.

Evidence of bias or prejudice: Where the learner can demonstrate that the academic decision was influenced by bias.

Please state the academic decision that you would like to appeal against (This could be course outcome (including resit decisions), progression decisions or degree classifications).

Course title(s) and code(s), or programme level and pathway this appeal relates to

Information and evidence to support your appeal

Please provide a detailed description of the issues, relating to the ground(s) selected above. Supporting evidence must be provided. If possible, please indicate the outcome being sought for by making the appeal.

File upload (up to 5 files permitted). Multiple documents can be put into a single pdf, so long as this is explained in the section above.

Declaration

I have read and understood the Academic Appeals Policy and how investigations are conducted, and I have completed the Academic Appeal form above including submitting the evidence required.

All statements and evidence submitted are true and accurate.

I understand that the personal data contained within this form, within any evidence submitted or which forms part of any other record held with Francis James, may be used in consideration of my appeal, and that any personal data may be shared internally with relevant staff as appropriate.

Full name

This is provided in place of a signature, and is provided here to confirm the declaration above.

Date complaint submitted

Month

Day

Year