Petitions and Appeals Form PETITIONS AND APPEALS INTAKE FORM FULL NAME*STUDENT NUMBER*EMAIL (for contact)* Enter Email Confirm Email PHONE NUMBER (for contact)*CHOICE OF COMMUNICATIONE-mailPhoneWhich method do you prefer us to contact you?PROGRAM*YEAR OF STUDY*COURSE CODE FOR APPEAL*e.g. ENGA01H3PROFESSOR NAME*IS THIS A…*Program RequirementElectiveWHAT ARE YOU FILING FOR?*PetitionAppealIF AN APPEAL, at which Committee are you filing your appeal?Dean's Advisory CommitteeSubcommittee on Academic AppealsAcademic Appeals Committee of Governing CouncilPETITION/APPEAL TYPE* Missed exam Missed assignment Drop course past deadline Exam grade appeal Assignment grade appeal Final grade appeal Accused of plagiarism Other… Please outline briefly the circumstance of your petition or appeal:*When was the original petition filed?* Have you received a response to your petition?*YesNoIf you have received a response, when was it? Have you accessed any campus resources? (Accessibility Services, Academic Advising etc.) How did they assist you? What was their response?*WHAT TYPE OF ASSISTANCE ARE YOU LOOKING FOR?* Advice Representation at Governing Council Writing/Editing your letter of petition/appeal Please attach any relevant documents to this form Drop files here or e.g. Petitions filed, response from Committees, accessibility forms, etc. File size must be smaller than 25 MB.Please specify the type of documents that have been attached, and number of documents attached (if applicable):All information on this form is confidential and shall be viewed only by the Vice-President of Academics and University Affairs and/or the student under which this form has been filed, unless permission has been granted by the student to the Vice-President of Academics and University Affairs to share such documents.