Request a Formal Appeal Hearing

Students who are seeking to file a formal grievance, or appeal a grievance, may do so via this form. This form should be submitted as part of either the Student Grievance Process or the Student Appeals Process.

If a student is unable to complete this form online, or wishes to speak with a Student Advocate before submitting this form, please contact the Office of the Vice-President of Academic Services, room W141 (phone: 217-875-7211 x6224; email: studentgrievance@richland.edu)

Academic Semester & Year

Student Name

Student ID Number

College Email Address

Mailing Address

Type of AppealAcademic DishonestyAcademic SuspensionGrade AppealProgram DismissalEducational GuaranteeGraduation RequirementsStudent ConductOther Academic-Related Issue

Did you complete the Informal Student Grievance Process?YesNo

Did you meet with a Student Advocate?YesNo

Details of the AppealDescribe in as much detail as possible the nature of the problem and what steps you have taken to this point to resolve the problem through the informal process (i.e., people with whom you have spoken, etc.) Attach any supporting information to document/verify your situation. If you need assistance in attaching, please see your Student Advocate.

Action RequestedIndicate what specific action you wish the College to take (your suggested solution)

Submit