ࡱ> HJG{ -bjbjzz E: LL8dV$zzb&X~4$XQ&&4GFψ"|R]0f.(L l:  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Last Name First Middle My WSU ID ( FORMTEXT      ) FORMTEXT      - FORMTEXT       Signature Telephone Number  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Address: Street or P.O. # City State Zip Code  FORMTEXT       E-mail address  FORMTEXT        FORMTEXT       Date of Appeal Semester Course Taken  FORMTEXT        FORMTEXT       Department Level and Title of Course (i.e., English 101)  FORMTEXT        FORMTEXT       Section Number Instructor Please explain clearly, the reasons for requesting a change of grade. Present all the evidence that you possess that is pertinent to any such request. You may arrange to have witnesses or counsel from the faculty, staff, and/or student body of ڶ appear with you at the hearing or submit written affidavits in your behalf. Please present evidence on an additional sheet or sheets and attach them to this form. See the ڶ Policy and Procedures, 2.03 / Court of Student Academic Appeals information sheet for more detail. The Appeal form and documentation should be returned to the Associate Vice President for Academic Affairs office in Morrison Hall, Room 109. Signature of Instructor: I have discussed this case with the student and have sent a written response to the student regarding this appeal Yes FORMCHECKBOX  No FORMCHECKBOX . I have the following comments:  FORMTEXT       Signature of Department Chair: I have discussed this case with the student Yes FORMCHECKBOX  No FORMCHECKBOX , with the Instructor Yes FORMCHECKBOX  No FORMCHECKBOX , and have the following comments:  FORMTEXT       Signature$&(*>@BLNPRfhjtvxz|F H L ۓ{lTll.jbh/h}=Z>*CJOJQJUaJh/h}=ZCJOJQJaJ.jh/h}=Z>*CJOJQJUaJ.jvh/h}=Z>*CJOJQJUaJ/jh/h}=Z>*CJOJUaJmHnHu.jh/h}=Z>*CJOJQJUaJh/h}=Z>*CJOJQJaJ(jh/h}=Z>*CJOJQJUaJ F 0 P L  L N n Hd ")gd}=Z d ")gd}=Z d ")gd}=Z J)gd}=Z J)gd}=Z  )gd}=Z J)gd}=ZL N b d f p r t v     $ & ( * > ۓ{lT.j:h/h}=Z>*CJOJQJUaJh/h}=ZCJOJQJaJ.jh/h}=Z>*CJOJQJUaJ.jNh/h}=Z>*CJOJQJUaJ/jh/h}=Z>*CJOJUaJmHnHu.jh/h}=Z>*CJOJQJUaJh/h}=Z>*CJOJQJaJ(jh/h}=Z>*CJOJQJUaJ> @ B L N P R f h j t v x z     $ & 0 P R f ӻӫӫӻӫӫ{ӻӫlӫTӻӫlӫ.jh/h}=Z>*CJOJQJUaJh/h}=ZCJOJQJaJ.jh/h}=Z>*CJOJQJUaJ.j&h/h}=Z>*CJOJQJUaJh/h}=Z>*CJOJQJaJ/jh/h}=Z>*CJOJUaJmHnHu(jh/h}=Z>*CJOJQJUaJ.jh/h}=Z>*CJOJQJUaJf h j t v x z |      4 6 8 B D L ӻӫӫӻӫӫlӻӫӫTӻӫӫ.jh/h}=Z>*CJOJQJUaJ.jth/h}=Z>*CJOJQJUaJ.jh/h}=Z>*CJOJQJUaJh/h}=ZCJOJQJaJh/h}=Z>*CJOJQJaJ/jh/h}=Z>*CJOJUaJmHnHu(jh/h}=Z>*CJOJQJUaJ.jh/h}=Z>*CJOJQJUaJ      %Hn|ӻӫӫӻӫxh[h[hNhhh1P5CJOJQJaJh}=Z5CJOJQJaJh/h}=Z5CJOJQJaJh}=ZCJOJQJaJ.jh/h}=Z>*CJOJQJUaJh/h}=ZCJOJQJaJh/h}=Z>*CJOJQJaJ/jh/h}=Z>*CJOJUaJmHnHu(jh/h}=Z>*CJOJQJUaJ.j`h/h}=Z>*CJOJQJUaJnoGVh(Z****n,,,,gd}=Z )x$dNgd}=Z )gd}=Z )x&dPgd}=Z )xgd}=Z )gd}=Z d ")gd}=Z#$%GHRS  ,LRVݱݜt\L݌h/h}=Z5CJOJQJaJ/jh/h}=Z>*CJOJUaJmHnHu.j4 h/h}=Z>*CJOJQJUaJh/h}=Z>*CJOJQJaJ(jh/h}=Z>*CJOJQJUaJ+jh/h}=ZCJOJQJUaJ+jLh/h}=ZCJOJQJUaJh/h}=ZCJOJQJaJ%jh/h}=ZCJOJQJUaJ02NPRXZvxzDZǛDžp`Hp.jz h/h}=Z>*CJOJQJUaJh/h}=Z>*CJOJQJaJ(jh/h}=Z>*CJOJQJUaJ+j h/h}=ZCJOJQJUaJ+j h/h}=ZCJOJQJUaJ+j h/h}=ZCJOJQJUaJh/h}=ZCJOJQJaJ%jh/h}=ZCJOJQJUaJ+j h/h}=ZCJOJQJUaJ((((d(h(((((((( )))B)D)`)b)d)j)l))³³xbL+j h/h}=ZCJOJQJUaJ+jd h/h}=ZCJOJQJUaJ+j h/h}=ZCJOJQJUaJ%jh/h}=ZCJOJQJUaJh/h}=Z5CJOJQJaJUh/h}=ZCJOJQJaJh/h}=Z>*CJOJQJaJ(jh/h}=Z>*CJOJQJUaJ/jh/h}=Z>*CJOJUaJmHnHu of the College Dean (or Dean s Representative): I have discussed this case with the student Yes FORMCHECKBOX  No FORMCHECKBOX , with the Instructor Yes FORMCHECKBOX  No FORMCHECKBOX , with the Department Chair Yes FORMCHECKBOX  No FORMCHECKBOX , and have the following comments:  FORMTEXT       Signature of the Student: I have consulted with the Student Advocate Yes FORMCHECKBOX  No FORMCHECKBOX , or wave the right to consult with the Student Advocate Yes FORMCHECKBOX  No FORMCHECKBOX , and have the following comments:  FORMTEXT       Desired outcome:  FORMTEXT           Wichita State University Academic Appeal Form Form 1.4.7 - Revised 081010  PAGE \* MERGEFORMAT 1 | Page ))))))))))***Z*\*p*r*t*~****DZǛdžv^Fv/jh/h}=Z>*CJOJUaJmHnHu.jh/h}=Z>*CJOJQJUaJh/h}=Z>*CJOJQJaJ(jh/h}=Z>*CJOJQJUaJ+j4h/h}=ZCJOJQJUaJ+j h/h}=ZCJOJQJUaJh/h}=ZCJOJQJaJ%jh/h}=ZCJOJQJUaJ+jL h/h}=ZCJOJQJUaJ****++:+<+>+D+F+b+d+f+++++,,,$,&,(,n,p,,৽{eP(jh/h}=Z>*CJOJQJUaJ+jzh/h}=ZCJOJQJUaJ+jh/h}=ZCJOJQJUaJ+jh/h}=ZCJOJQJUaJ+jh/h}=ZCJOJQJUaJ%jh/h}=ZCJOJQJUaJh/h}=Z>*CJOJQJaJh/h}=ZCJOJQJaJh/h}=Z5CJOJQJaJ,,,,,,,,,,,,,,,,,,,,,,-4-^-`-f-ӻӫӫӻӫ|x|x|x|xtdTKthrh}=ZaJh/h}=Z5CJOJQJaJh/h}=Z5CJ OJQJaJ h}=Zh<jh<U.jdh/h}=Z>*CJOJQJUaJh/h}=ZCJOJQJaJh/h}=Z>*CJOJQJaJ/jh/h}=Z>*CJOJUaJmHnHu(jh/h}=Z>*CJOJQJUaJ.jh/h}=Z>*CJOJQJUaJ,,,,,,,,--4-^-`-b-d-f--------  H$)gd}=Z  0*gd}=Zgd}=Z$a$gd}=Z $ $a$gd}=Zgd}=Zf----------------ʶh/h}=Z>*CJOJQJaJh<h}=Zhp'h}=ZCJaJ&h1P@<B*CJaJmHnHphu*jhp'h}=Z@<B*CJUaJphh}=Z@<B*CJaJph!hp'h}=Z@<B*CJaJph-- )xgd}=ZC0P1h/R :p}=Z/ =!@"#$% DpvDText14vDText14vDText14vDText14vDText14vDText14vDText14vDText14vDText14vDText14vDText14vDText14vDText14vDText14vDText14vDText14vDText14vDText14tDeCheck3tDeCheck2vDText13tDeCheck3tDeCheck2tDeCheck3tDeCheck2vDText13tDeCheck3tDeCheck2tDeCheck3tDeCheck2tDeCheck3tDeCheck2vDText13tDeCheck3tDeCheck2tDeCheck3tDeCheck2vDText13vDText15b 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~PJ_HmH nH sH tH @`@ PNormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List 4@4 j_k0Header  H$.. j_k0 Header Char4 @4 j_k0Footer  H$.!. j_k0 Footer CharPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! 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