student complaint appeals form

							                         TEXAS WOMAN’S UNIVERSITY
                         ACADEMIC/ADMINISTRATIVE
                        COMPLAINT AND APPEAL FORM

This electronic form is used for academic/administrative complaints and appeals. To select the
appropriate office to begin the process, students should consult procedures for complaints and appeals
found at the end of this document. The procedures provide directions for the sequence of offices each
type of complaint or appeal should follow to a final decision.

The student should complete this form electronically and submit via e-mail to the appropriate office
within 10 days of the occurrence of the complaint. Addendums are permissible to concisely document the
complaint and may be attached to the e-mail or delivered in person to the corresponding office. Your
typed name and your email address will substitute for your signature. Please print a copy of the
completed document at each level for your records.


DATE OF INITIAL SUBMISSION: Click here to enter a date.

 STUDENT INFORMATION:
   Name: Click here to enter text.                               Phone:        Click here to enter text.
   Student ID: Click here to enter text.                         Major:        Click here to enter text.
   Local Mailing Address: Click here to enter text.              Level:        Choose an item.
   E-mail: Click here to enter text.

TOPIC OF COMPLAINT: Choose an item.
DATE COMPLAINT OCCURRED: Click here to enter a date.

   GRADE APPEALS ONLY (leave blank if not applicable):
     Name of Faculty Member/Instructor: Click here to enter text.
     Department: Click here to enter text.
     College: Choose an item.      Course Prefix/Number/Section: Click here to enter text.
     Course Title: Click here to enter text.
     Semester: Choose an item. Year: Click here to enter text.

   SEQUENCE OF STEPS TO ADDRESS COMPLAINT OR APPEAL
   STUDENT

   THE COMPLAINT/APPEAL - Please describe the complaint/appeal concisely.
   Click here to enter text.

   THE REQUEST - Please state exactly what you want the faculty or others to do about the
   complaint/appeal.
   Click here to enter text.

   Instructions: Within 10 days of the occurrence of the complaint, submit this form via e-mail to the
   first level of complaint or appeal as shown in the “Sequence of Offices for Complaints or Appeals”
   found at the end of this document.
LEVEL 1 RESPONSE (to be completed by administrator only)

Date electronically submitted to Instructor/Office: Click here to enter a date.

INSTRUCTOR/OFFICE: Click here to enter text.

Please respond to the complaint/appeal above and return to the student via e-mail within 10 days.
Click here to enter text.

Administrator’s Typed Name (as electronic signature): Click here to enter text.
Date returned via e-mail to the student: Click here to enter a date.

Print a copy of this document for the department’s records.

STUDENT (to be completed by student)

Is complaint/appeal addressed satisfactorily?        Yes        No

Student’s Typed Name (as electronic signature): Click here to enter text.
Date: Click here to enter a date.

If complaint/appeal is addressed satisfactorily, this concludes the process.
If not addressed satisfactorily, the student may stop the process or submit this form via e-mail to the Level
2 office (if applicable) within 10 days for a response.
LEVEL 2 RESPONSE (to be completed by administrator only)

Date electronically submitted to Instructor/Office: Click here to enter a date.

INSTRUCTOR/OFFICE: Click here to enter text.

Please respond to the complaint/appeal above and return to the student via e-mail within 10 days.
Click here to enter text.

Administrator’s Typed Name (as electronic signature): Click here to enter text.
Date returned via e-mail to the student: Click here to enter a date.

Print a copy of this document for the department’s records.

STUDENT (to be completed by student)

Is complaint/appeal addressed satisfactorily?        Yes        No

Student’s Typed Name (as electronic signature): Click here to enter text.
Date: Click here to enter a date.

If complaint/appeal is addressed satisfactorily, this concludes the process.
If not addressed satisfactorily, the student may stop the process or submit this form via e-mail to the Level
3 office (if applicable) within 10 days for a response.
LEVEL 3 RESPONSE (to be completed by administrator only)

Date electronically submitted to Instructor/Office: Click here to enter a date.

INSTRUCTOR/OFFICE: Click here to enter text.

Please respond to the complaint/appeal above and return to the student via e-mail within 10 days.
Click here to enter text.

Administrator’s Typed Name (as electronic signature): Click here to enter text.
Date returned via e-mail to the student: Click here to enter a date.

Print a copy of this document for the department’s records.

STUDENT (to be completed by student)

Is complaint/appeal addressed satisfactorily?        Yes        No

Student’s Typed Name (as electronic signature): Click here to enter text.
Date: Click here to enter a date.

If complaint/appeal is addressed satisfactorily, this concludes the process.
If not addressed satisfactorily, the student may stop the process or submit this form via e-mail to the Level
4 office (if applicable) within 10 days for a response.
LEVEL 4 RESPONSE (to be completed by administrator only)

Date electronically submitted to Instructor/Office: Click here to enter a date.

INSTRUCTOR/OFFICE: Click here to enter text.

Please respond to the complaint/appeal above and return to the student via e-mail within 10 days.
Click here to enter text.

Administrator’s Typed Name (as electronic signature): Click here to enter text.
Date returned via e-mail to the student: Click here to enter a date.

Print a copy of this document for the department’s records.
     Procedures for Academic/Administrative Complaints and Appeals
                           of TWU Decisions
Academic/Administrative Complaint and Appeal Procedures for Students at TWU
The review procedures outlined below are those which regularly apply to all students who seek review of
decisions made within the University. Texas Woman’s University has traditionally guaranteed students every
opportunity for a fair, prompt, and thorough review of complaints and appeals. It is the intention of the
University to provide adequate internal review. It is the expectation of the University that students will
follow the complaint and appeal procedure to completion before seeking external consideration.

Timeline for Complaints and Appeals
Each type of complaint or appeal below must be submitted via e-mail to each office in the order listed for
that complaint or appeal topic, and students may discontinue the complaint or appeal at any level.
Complaints or appeals at each level must be made via e-mail no later than ten days after the date of the
original decision or decision at the previous level. The ten days for complaints or appeals at each level do not
include weekends, holidays, or days between academic sessions. The faculty member or administrator
receiving the complaint or appeal will respond via e-mail within ten days not including weekends, holidays,
or days between academic sessions.

Questions
Undergraduate students with questions about sequence for complaints or appeals, or issues that are not
identified below, should contact the Office of Undergraduate Studies and Academic Partnerships
(Undergraduate_Studies@twu.edu; 940/898-2367). Graduate students with questions or issues that are not
identified below should contact the Graduate School (gradschool@twu.edu; 940/898-3415).

Please select from the following list of topics to be directed to the appropriate procedures:
(Hold down the control key to select from the choices below.)

    Undergraduate                                           Graduate
    6-drop Rule                                             Admission Decisions
    Admission Decisions                                     Advising Issues
    Advising Issues                                         Degree Requirements
    Commencement Issues                                     Excess Hours
    Courses Attempted more than Twice                       Financial Aid Issues
    Degree Requirements                                     Grade Appeals
    Excess Hours                                            Graduation/Commencement Issues
    Financial Aid Issues                                    Late Graduation Applications
    Grade Appeals                                           Late Registration after Census Date
    Late Registration after Census Date                     Medical Withdrawals/Drops
    Late Graduation Applications                            Probation/Suspension
    Medical Withdrawals/Drops                               Transcript Issues
    Probation/Suspension                                    Registration
    Registration                                            Reinstatement for Financial Reasons
    Reinstatement for Financial Reasons                     Residency
    Residency                                               Other Academic Program Issues
    Transfer Equivalency
    Transcript Issues
    Other Academic Program Issues
              Sequence of Offices for Complaints and Appeals

Undergraduate Grade Appeals, Advising Issues, & Other Academic Program Issues
      1. Faculty Member/Instructor (Grade Appeals only)
      2. Chair, Director, or Associate Dean
      3. College Dean
      4. Associate Provost for Undergraduate Studies and Academic Partnerships (Decision is
         final.)

Graduate Grade Appeals, Advising Issues, & Other Academic Program Issues
     1. Faculty Member/Instructor (Grade Appeals only) or Advisory Committee
     2. Chair, Director, or Associate Dean
     3. College Dean
     4. Dean of the Graduate School (Decision is final.)

Undergraduate 6-drop rule, Transcript Issues, Excess Hours, Degree Requirements, &
Courses Attempted more than Twice
      1. Associate Provost for Undergraduate Studies and Academic Partnerships
      2. Provost (Decision is final.)

Graduate Degree Requirements, Graduation/Commencement Issues, Late Graduation
Applications, Probation/Suspension, Transcript Issues, Excess Hours, Admissions
Decisions
       1. Dean of the Graduate School
       2. Provost (Decision is final.)

Undergraduate Transfer Equivalency
     1. Director, Office of Student Records
     2. Associate Provost for Undergraduate Studies and Academic Partnerships (Decision is
        final.)

Undergraduate Admission Decisions
      1. Director, Office of Student Records
      2. Admission Review Committee
      3. Associate Vice President for Enrollment Services
      4. Vice President for Student Life (Decision is final.)

Financial Aid Issues
      1. Director, Office of Financial Aid
      2. Associate Vice President for Enrollment Services
      3. Vice President for Student Life (Decision is final.)
Undergraduate Probation/Suspension & Degree Requirements
      1. Registrar
      2. Associate Provost for Undergraduate Studies and Academic Partnerships (Decision is
         final.)

Undergraduate and Graduate Registration, Undergraduate Late Graduation Applications,
& Undergraduate Commencement Issues
      1. Registrar
      2. Associate Vice President for Enrollment Services
      3. Vice President for Student Life (Decision is final.)

Late Registration after Census Date
      1. Registrar
      2. Associate Vice President for Enrollment Services
      3. Vice President for Finance and Administration (Decision is final.)

Residency Decisions
      1. Registrar
      2. Residency Appeals Committee (Decision is final.)

Medical Withdrawals/Drops
      1. Vice President for Student Life (Decision is final.)

Reinstatement for Financial Reasons
       1. Vice President for Finance and Administration (Decision is final.)