Grade Appeal Request : McCoy College of Business : Texas State University

Student Name *

First name, last name

Student ID *

Starts with the letter "A" and followed by 8 numbers.

Texas State Email Address *

Phone Number *

Local Address *

City / State / Zip Code *

Major *

Accounting

Computer Information Systems

Economics

Finance

Management

Marketing

Undeclared

Other

If "other", please specify.

Classification *

Freshman

Sophomore

Junior

Senior

Graduate

Course Prefix and Number *

Example: MKT 3343

Section Number *

Example: 067

Semester and Year *

Example: Spring 2022

Professor Name *

Grade Recieved *

Grade Requested *

In the space below, please provide your reasoning for this request. Include what steps have been taken to resolve the issue, provide proper justification, and attach any written documentation *

Attach written documentation.

Have you contacted the instructor regarding the issue? If so, what was the outcome? *

If your response to this question is "no", refer to the note at the top of the page.

Please provide copies of any e-mail correspondence with the instructor regarding your request.

Have you contacted the department chair for which the course belongs? If so, what was the outcome? *

If your response to this question is "no", refer to the note at the top of the page.

Please provide copies of any e-mail correspondence with the chair regarding your request.

Electronic Signature *

Type in your name to indicate an electronic signature.

Date *