Grade Review and Appeal form

Student information

Please write your name as it appears on your student card:

First name: *

Middle name:

Last name: *

Student number: *

uOttawa email address: *

Course Information

Course code (must be a NSG or SAI course): *

Course title: *

Name of your professor or practicum supervisor: *

Grade assigned: *

Date when the grade was received: *

Type of course component: *

Type of evaluation: *

Have you met with your professor or practicum supervisor to review the evaluation: *

Yes
No

Reason

Briefly explain the reason for your request (255 characters maximum): *

Supporting Documents

For the School of Nursing to consider your request, you must include:
Link to example of a letter of appeal from the Students’ Union

Letter of appeal (max file size: 2 Mb): *

Accepted formats: jpg, jpeg, png, doc, docx, pdf.Choose fileChosen file:

Course Syllabus (max file size 2Mb): *

Accepted format: jpg, jpeg, png, doc, docx, pdf.Choose fileChosen file:

Additional supporting documents (max file size: 2 Mb):
(assignment or test corrected by the professor, if applicable, and other relevant documents)

Accepted formats: jpg, jpeg, png, doc, docx, pdf.Choose fileChosen file:

Additional supporting documents (max file size: 2 Mb):

Accepted formats: jpg, jpeg, png, doc, docx, pdf.Choose fileChosen file:

Terms and Conditions

By submitting a request you understand, acknowledge, and agree to the following:

I understand that if my request is approved, there could be impacts on the scholarships and/or financial aid granted to me. I accept the responsibility to consult the Financial Aid and Scholarships Department to find out about these impacts before submitting my application.

I understand that if my request is approved, there may be impacts to my grade and possibly on my course sequence for the Nursing program.

The revised grade can be higher than, lower than, or equal to the grade submitted for review. In the case of a grade review request submitted individually for group work, the revised grade, which may be higher than, lower than, or equal to the grade submitted for review, is attributed only to the student who has requested the grade review.

The grade review cannot be cancelled by the student once the full request has been submitted.

By clicking submit, I confirm that the information I have provided in this form is complete and accurate.

I am aware and I confirm: *

Yes

Please leave this field blank:

Notice of Collection of Personal Information
Your personal information is collected under the authority of the University of Ottawa Act, 1965, in accordance with the Freedom of Information and Protection of Privacy Act of Ontario and University Policy 90. The personal information you provide on this form will be used by the University for purposes consistent with the administration of University programs and activities, and the provision of services and performance of functions including recruitment, admission, enrolment, academic programs, evaluations, official document requests, financial aid and awards, assisting student associations and graduation. If you have questions about the collection, use and disclosure of your personal information, please contact InfoService at infoservice@uOttawa.ca.