Appeal Against Assessment Decision Form

Personal Details

Student ID(Required)

Given Name(s)(Required)

Surname(Required)

Telephone Number

Email Address(Required)

Please use your College outlook email address.

Course(Required)

Major(Required)

Appeals against assessment decisions must be lodged within five (5) working days of the student receiving formal notification of their assessment result. The outcome of the appeal will be communicated to the student in writing in accordance with the relevant Policy. For detailed information, please read the Assessment Policy and Procedure and, Student Grievance Management Policy and Procedure available on SCI website.

Details of the Appeal

Unit Name(Required)

Semester and Year(Required)

Assessment Title(Required)

Lecturer(Required)

Assessment Due Date (as per unit outline)

Assessment Result Date

Reason(s) for Appeal

Please provide details of the assessment decision being appealed including the grounds for appeal. Briefly outline why the assessment decision is considered incorrect and/or identify any concerns regarding the assessment process.

Please describe the desired outcome of your appeal.

Attachment(s) – if any

Drop files here or

Max. file size: 128 MB.

Student Declaration/Signatures

Student Signature

Date

If it is for office use

Official Use Only

Recieved By Name

Signature

Date

Reviewed by Name

Signature

Date

Decision

Academic Director Signature

Date

Dean (or nominee) Signature

Date