ACADEMIC APPEAL FORM

2013-2014

This form must be submitted within 14 calendar days of the official publication of results.

Before you complete this form, please ensure you have read carefully the University of Chester’s Academic Appeal Procedures which can be accessed from SharePoint. Impartial advice on the completion of this form and submission of evidence can be obtained from Chester Students’ Union.

Name / Level or cohort
Student Number
Programme of Study
Campus
Address for Correspondence

Modules and components of work:

You must specify the components of work which you are appealing. For example: coursework, written examination, presentation, etc. Applications without this information will not be accepted.

Module Code / Module Title / Component for which appeal is being made (e.g. coursework, exam, presentation) / Attempt at assessment (i.e. 1st, reassessment or 3rd attempt) / Date of assessment or coursework submission

Please indicate the grounds for your appeal by ticking the appropriate box(es):

that your performance in the assessment was adversely affected by personal illness or other exceptional personal circumstance(s) only if you were unable, or for valid and compelling reasons unwilling, to divulge such illness or circumstance(s) before the Awards Assessment Board or Examination Committee reached its decision. Such illness or circumstance(s) must have had a demonstrable and substantial negative impact on the resulting assessment outcome. You should complete sections A and B and G.
that the assessment was not conducted in accordance with the relevant assessment regulations, leading to a demonstrable and substantial negative impact on the resulting assessment outcome. You should complete sections C AND G.
that there was administrative error on the part of the University which had a demonstrable and substantial negative impact on the resulting assessment outcome. You should complete sections D AND G.
that some other material irregularity on the part of the University occurred in the conduct of the assessment, which had a demonstrable and substantial negative impact on the resulting assessment outcome. You should complete sections E AND G.
that you had been assessed as having a specific learning difficulty during the current academic session, and your circumstances are consistent with those described in section 7.2.1.5. You should complete sections F AND G.


Statement of Appeal

SECTION A Personal illness or exceptional personal circumstances

Please provide a concise explanation of your appeal case. You should make reference to the dates of the circumstance(s) in relation to your assessment(s), and how these circumstance(s) affected your assessment(s). You may continue on a separate sheet if necessary. You should provide medical or other professional evidence to support your appeal. You should note that in the case of illness or other circumstances relating to family or friends, you should describe the effect the illness or circumstances had upon you, and provide medical or other professional evidence to support this. Please list all evidence supplied in section G. You must also complete section B
Continue on a separate sheet if necessary

SECTION B Personal illness or exceptional personal circumstances

Please state why you did not use University procedures such as extension, deferral, mitigating circumstances or interruption of studies to mitigate the effect of your illness or circumstances upon your studies.

SECTION C Assessment not conducted in accordance with the regulations

Please provide a concise explanation of your appeal case. You should state why you believe your assessment was not conducted in accordance with the regulations, and refer to the regulation(s) which you believe to have been breached. List any evidence in section G.
Continue on a separate sheet if necessary

SECTION D Administrative error on the part of the University

Please provide a concise explanation of your appeal case. You should state why you believe there has been administrative error of the part of the University and when you discovered this error.
Please provide dates and copies of any correspondence you have had relating to this. List these in section G.
Continue on a separate sheet if necessary

SECTION E Other material irregularity on the part of the University

Please provide a concise explanation of your appeal case. You should state why you believe there has been an irregularity. You should provide copies of any relevant correspondence. List these and any other evidence in section G.
Continue on a separate sheet if necessary

SECTION F Specific Learning Difficulty

Date of initial contact with University of Chester Disability Support………………………
Date of Educational Psychologist’s diagnosis………………………………………………...
Date of Assessment of Need……………………………………………………………………
If you wish to make a supporting statement, or you should do this on a separate sheet of paper and enclose it with this form.
You should enclose
·  a copy of your Educational Psychologist’s report
·  a copy of your Assessment of Need
·  a copy of your supporting statement if you have made one
List these and any other evidence you supply in section G.

SECTION G

Supporting evidence

Please list the supporting evidence you have submitted with your appeal form, and appropriately number the attached items. Remember that evidence must relate to you personally and cover the relevant dates of assessment. You must submit original evidence. Photocopies will not be accepted.

1.
2.
3.
4.
5.
Total number of sheets attached to this form

If you are for good reason unable to supply evidence with this form, you must write to the Dean of Academic Quality and Enhancement, giving an explanation and an expected date by which you will be able to supply the evidence.

PLEASE CONTINUE TO NEXT PAGE FOR THE CHECKLIST AND DECLARATION. YOUR APPEAL WILL NOT BE ACCEPTED WITHOUT A SIGNATURE.

ACADEMIC APPEALS CHECKLIST
You should read and mark this checklist before submitting your Academic Appeal. If you need help compiling your appeal, contact Chester Students’ Union
☐ HAVE YOU READ THE PROCEDURES? The declaration below asks you to confirm you have read the Academic Appeals procedures before you sign. Seek advice from CSU if you do not understand the procedures.
☐ HAVE YOU INCLUDED EVIDENCE? Any evidence (medical or otherwise) must relate specifically to you.
☐ HAVE YOU INCLUDED AN ADDRESS FOR CORRESPONDENCE? AQSS must have a current correspondence address. As the process can take up to four months, you should provide an address that will be suitable for this time period.
☐ AQSS WILL NOT DISCUSS YOUR APPEAL ON THE TELEPHONE. You should use the for all enquiries. Please note that if you are not using your student email account, you must include your student number. At busy periods there may be a delay in receiving a response.
☐ YOU MUST SUBMIT YOUR APPEAL ON TIME. You have 14 days from the publication of results to submit the Academic Appeal Form.
☐ THE APPEALS PROCESS IS LONG. It can take up to 4 MONTHS for an Academic Appeal. Many are dealt with in a shorter timeframe, typically 8 WEEKS.
☐ APPEAL OUTCOME. You will receive the outcome of your appeal in writing to the correspondence address you have provided to AQSS.

Declaration to be signed by the student

I confirm that I have read and understood the Academic Appeal Procedures and Notes for Guidance for Students.

I confirm that to the best of my knowledge all of the information I have supplied or attached with this form is true and accurate and accept that a false claim may result in disciplinary action against me.

I give my consent for this information to be disseminated to the Appeals Board, Assessment Review Board and relevant members of staff.

I understand that if medical or other evidence which I submit indicate that my condition or circumstances may have an impact upon my suitability to undertake a professional programme, professional suitability procedures may be instituted.

Signed / Date

Please return your completed form and accompanying evidence to Dean of Academic Quality and Enhancement, Appeals Section, University of Chester, Parkgate Road, Chester
CH1 4BJ