PCAL Formal Grade Complaint Form | Western Kentucky University

* Full Name

* 800 Number

* Email Address

* Course Name

* Course Prefix and Number

* Semester

* Faculty Member

* Original Grade

* Have you familiarized yourself the student complaint process at https://www.wku.edu/academicaffairs/documents/student_complaint_procedure.pdf.

Yes, I have familiarized myself with the student complaint process.

No, I have not familiarized myself with the student complaint process.

What date did you reach out to the faculty member about this issue?

* Please select one of the following:

I have reached out to the faculty member on the provided date and have been unable to facilitate discussion.

I have reached out to the faculty member on the provided date and I am not satisfied with the results of our discussion.

* Is the faculty member still employed by the university?

Yes, the faculty member is currently employed by WKU.

No, the faculty member is no longer employed by WKU.

* Please select one:

I have sent written notification of my case to the department chair and indicated that I am filing a formal grade complaint. This notification clearly describes the issue, and includes any available documentation.

My faculty member is also the department chair, and I wish to proceed to Step 3 of the process.

If you selected, "I have sent written notification of my case to the department chair and indicated that I am filing a formal grade complaint", please provide the date which you sent that notification.

* I hereby certify that I am filing this complaint within the first 15 workdays of the subsequent semester (excluding winter and summer).

I agree.

* By typing your full name here, you are electronically signing this form and acknowledge that until this form has been completed electronically, your grade complaint has not been put on an official footing, but you may still discuss the issue with your faculty member and/or department chair.