EmailMeForm
Academic Student Appeal Form
Date
*
MM
/
DD
/
YYYY
Name
*
First
Last
Student ID # (A00...)
*
School Email Address
*
Other Email (optional)
Program (Example: BS Accounting, MS Education, PhD Public Health, etc.)
*
Statement of the decision that constitutes the subject matter of the appeal
*
Grounds on which it is being challenged
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Reasons why you believe that the decision was improperly made:
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Informal and formal efforts taken to date, with whom, and the outcome of those efforts to resolve the matter:
*
Specific description of the remedy sought:
*
Please attach any additional documents that you would like to submit with your appeal. If you need to email a document after submitting this form, please use the subject line "Student Appeals Form Request - Firstname Lastname" with your name inserted to CAOappeals@mail.waldenu.edu
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Please be advised that it may take up to forty-five (45) days to evaluate and respond to your appeal. You will be notified by e-mail of the Provost's disposition or other information regarding your appeal. The Provost's disposition of the appeal is final. All contacts made regarding this appeal should be made to CAOappeals@mail.waldenu.edu.