Office use only
CASE NO.
DATE RECEIVED
STAMP/ SIGNATURE
College
University
ACADEMIC APPEAL FORM
PLEASE READ BEFORE COMPLETING THIS FORM
You are advised to read ‘Academic Appeals: A Guide for Students’ and Senate Regulation 12 available from
www.brunel.ac.uk/about/quality-assurance/appeals.
If you have a disability that requires any adjustments to the appeals process or documentation in alternative
formats, please notify the College/ University via the relevant emails, prior to or alongside your appeal
submissions as soon as possible.
Please ensure you answer all sections, as your appeal may be delayed or rejected if information is missing.
You may wish to consult the Advice and Representation Centre (ARC) of the Union of Brunel Students (UBS)
before submitting this form – the ARC can be contacted via advice@brunel.ac.uk or on 01895 269169.
Please be aware of the following important points about what may or may not constitute grounds for appeal:
1)
The University has a Mitigating Circumstances guidance document for students whose assessments
have been affected by personal circumstances. If relevant to you, please read the guidance carefully
before submitting any academic appeal.
2)
You cannot appeal solely because the result is worse than you would have wished or worse than you
feel you deserve, i.e. you cannot challenge academic judgement. The allowed contents are:
a) A mark or grade for any examination, test, practical assignment or project, thesis, dissertation or coursework which has been
formally confirmed by the Examiners;
b) A formal recommendation of the Examiners that a student should (/not) obtain a degree qualification of the University;
c) The class of degree or any mark of distinction recommended by the Examiners;
d) A formal recommendation by the Examiners that a student shall or shall not be permitted to proceed to the next year of a
programme of study or repeat any module or programme or resubmit any material for assessment, or re-sit any examination;
e) For a postgraduate research student, the outcome of a formal progress review under Senate Regulation 5.16.
3)
An academic appeal must relate to one or more of the following decisions of a Panel or Board of
Examiners or of research degree Examiners:
4)
If you have concerns about your academic results you should first raise the concerns informally with
an appropriate member of staff at the point the concern arises, normally within 10 working days after
notification of your results. Where appropriate, a brief record of the discussion may be made by the
staff member involved and shared with you. If you cannot demonstrate suitable prior efforts to
discuss your concerns with an appropriate member of staff you will not normally be permitted to
enter the formal appeal process. If you have not yet had such an informal discussion, please
immediately contact the academic staff member you feel is most appropriate (e.g. your Personal
Tutor, Supervisor, or Course Director). Otherwise, please proceed to fill in the remainder of this form.
Implications of appealing and sharing of your information
For graduating students, I understand that the award for which I have been recommended will not be awarded
whilst my appeal is being considered, and I will not be able to attend a degree congregation until my appeal is
resolved. If I choose to attend a degree congregation or accept my award I will not be able to submit or
proceed with an appeal.
I also understand that the information contained within this form and evidence included as part of my
submission may be shared with other departments in the University, including, for example, the Disability and
Dyslexia Service. If I do not want you to share this information I understand that I must indicate as such on this
form below. I understand that this does not include my Department/College, as they will need to provide a
response to my appeal if it is considered eligible.
Please select one option from this list
Signature
Please sign here
Date
Click here to enter the date
Academic Appeal form [SR12-Nov15]
Page 1
PERSONAL DETAILS
Surname
Enter your surname here
Forename(s)
Enter your forename(s) here
Student ID number
Enter your student ID number here
(including /)
Date
Enter the date of submission of this appeal form here
Postal address 1
Enter your full postal address here, including the postcode
Email address
Enter your contact email address here, which should be your Brunel
email address
Telephone number
Enter your contact telephone number here
Title of programme
Enter the title of your programme here
College
Select your College from the list
Department
Enter Department’s name here
Type and Level of your
programme
Select the level of your programme relevant to the decision of the Board
of Examiners against which you are appealing
Mode of attendance
Select from the list
LBIC student
Select Y or N
Tier 4 student
Select Y or N
Date of notification 2of
results
Enter the date you were notified of your examination results or the
outcome of your progression review here, either via the internet or post
Reason for any delay in
submitting appeal3
Enter the reason for the delay in submitting your appeal, if applicable,
here
EVIDENCE OF PRIOR DISCUSSION OF YOUR CASE
Have you had a meeting / discussion with an appropriate member of staff to
raise your concerns?
Select Yes or No
If you have selected ‘No’, please state below why you have not done so.
Enter the reason for not having had the meeting, if applicable, here.
If you have selected ‘Yes’, please ensure you fill in the boxes below and attach a copy of any related
emails or meeting notes received after the meeting
Name of member of staff
Date of meeting
Summary of discussion (alternatively, please attach any records provided by the member of staff)
Enter the summary of your discussion here.
1
These should be the same contact postal and email addresses that are currently shown in eVision – please ensure you
update your details in eVision if these are not the same.
2
‘Notification’ will be taken to include the publication of results through the internet or dispatch of notification of results by
post to a student’s most recently notified address.
3
If you are submitting this appeal more than 20 working days after having received the notification of your results, you
need to explain the delay in submission. You should note that appeals received after this 20 working day deadline may be
rejected on that basis.
Academic Appeal form [SR12-Nov15]
Page 2
SECTION 1: FORMAL APPEAL – COLLEGE LEVEL
If your concerns have not been resolved through the informal discussion, you are entitled to submit
an academic appeal, initially at College level. To do so, you must submit this ‘Academic Appeal Form’
to your College within 10 days of the informal discussion (or a maximum of 20 working days from the
notification of your results, as per SR12.24). Please ensure that you have filled in Section 1 of this
form if submitting a College appeal. Colleges will normally aim to respond to requests within 15
working days of receipt and provide a formal outcome.
Part 1 – Grounds for appeal
In accordance with SR12.22, an academic appeal may be made on one or more of the following
grounds. Please indicate below which grounds are relevant to your appeal; it is possible that
more than one may apply.
Please select ‘Y’ for those that apply, and ‘N’ for those that do not apply.
A
B
C
That there exist circumstances materially affecting your performance which were
not known to the Examiners or progress review when the decision was taken,
and which it was not reasonably practicable for you to have made known to the
Examiners or progress review beforehand;
Select Y
or N
That there were procedural irregularities in the conduct of the examinations
and/or other assessment procedures, including assessment of coursework, of
such a nature as to create a reasonable possibility that the result might have
been different had they not occurred;
Select Y
or N
(i)
That there is evidence of prejudice or bias on the part of one or more
Examiners or members of staff conducting a progress review;
Select Y
or N
(ii)
That there is evidence of inadequate assessment on the part of one or
more Examiners or members of staff conducting a progress review.
Select Y
or N
Part 2 – The decision you are appealing against
What is the decision of the Examiners or members of staff conducting a review that you wish to
appeal against?
Please attach a copy of the letter informing you of the decision.
Enter the relevant information and details here.
Part 3 – Why should the decision be different, and what do you think would be a fair outcome?
Please explain
(i)
Why you think this decision should have been different, and
(ii)
What you think the decision should have been.
This is your opportunity to explain in full your grounds for appeal, and tell us what outcome you think would
be fair (for example, to be allowed to re-sit failed modules, or to re-submit a thesis).
Enter the relevant information and details here.
Academic Appeal form [SR12-Nov15]
Page 3
Part 4 – Mitigating circumstances
(only complete this section if you have selected the grounds of mitigating circumstances as the basis for your appeal)
If you believe that mitigating circumstances affected your performance, and these were not made
known to the Examiners or members of staff conducting a review within five working days of the
assessment or examination (as is required in line with the University’s Senate Regulation 4)
please explain here why it was not possible for you to have submitted the mitigation in line with
the University’s regulations.
Please attach any relevant supporting documentation, for example, medical certificates – if these have not
been included, please explain why below.
Enter the relevant information and details here.
Part 5 – Supporting documentation
Please list here any documentation you are submitting in support of your appeal. Wherever
possible, original documents should be supplied, which will be returned to you at the earliest
opportunity.
Please ensure you include the evidence listed below when you submit this form. If they have not been
included, please explain why below.
List here the documentation you are submitting in support of your academic appeal, and if
something relevant to your appeal has not been included, please explain why
Part 6 – Timeliness of your submission
SR12.26 states that:
“A student submitting a request for an academic appeal more than 10 working days after
notification of his or her results, or up to a further 10 working days after a related informal meeting,
will be required to provide a satisfactory explanation as to why s/he was unable, for good reason, to
submit a case within the expected timescale.
Please confirm below whether you are submitting this request within the permitted deadline.
If you are submitting this request outside the permitted deadline, please state below why this is
the case. You will need to provide a satisfactory explanation, which may need to include
supporting evidence.
Please provide your explanation here.
Part 7 – Requesting a meeting
Would you like to meet with the member of staff from the College who will be
making a decision about your case, before they have made that decision?
If Yes, the College will make contact with you to arrange a meeting. If there are
good reasons why you cannot attend a meeting in person, it should be possible to
arrange an alternative way to discuss matters – e.g. a phone call or Skype call.
If No, please be aware that the College representative who will be deciding on your
case may still wish to speak to you either in person, by phone or similar.
Academic Appeal form [SR12-Nov15]
Select Y or N
Page 4
Once you have completed all parts of this form up to the end of Section 1, please send the form and
accompanying evidence to:
College of Business, Arts and Social Sciences:
appeals-cbass@brunel.ac.uk
College of Engineering, Design and Physical Sciences:
appeals-cedps@brunel.ac.uk
College of Health and Life Sciences:
appeals-chls@brunel.ac.uk
Email is strongly preferred for submission of an academic appeal, and supporting evidence may be
scanned and emailed. However, you may submit this form in hardcopy if necessary – please consult
your College Office for relevant details of how to do so. Please ensure that you get proof of postage
if you are posting your appeal form or any supporting evidence.
If you do not receive an email confirming receipt of your appeal within 5 working days, please
contact your College’s appeals email address as above.
The University will endeavour to consider cases promptly, but please be aware that each case is
investigated thoroughly and sometimes this can take several weeks. The decision can only be
communicated to you in writing, so it is very important that you provide your current email address
details.
Outcome of College-Level Academic Appeal
This section is to be completed by the College
Was the student offered a meeting
Select Yes or No
If not, please state why
Please state here why the student was not offered a
meeting as part of the College appeal process
Did the student take up the offer of a
meeting
Select Yes or No
If yes, when did the meeting take place
Click here to enter the date
What is the outcome of the decision at College level?
Please give full details of the outcome of the student’s submission of a College-level academic
appeal, including the reasons for the decision.
Action to be taken by the Chair of the Board of Examiners
Please give full details of any Chair’s Action to be taken as a result. If appropriate, please attach
evidence that the Chair has agreed to take such action.
Outcome completed by:
Enter name here
Outcome approved by:
Enter name here
Date
Click here to enter the date
ONCE COMPLETED, THE FORM SHOULD BE UPLOADED TO THE DEPARTMENTAL APPEALS SECURE INTRABRUNEL SITE
Academic Appeal form [SR12-Nov15]
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SECTION 2: FORMAL APPEAL – UNIVERSITY LEVEL
If you are dissatisfied with the outcome of your College-level academic appeal, then you are
permitted to submit a ‘University-level’ appeal for consideration by the Academic Appeals
Committee. You must submit this request within 15 working days of the notification of the outcome
of your College appeal (SR12.35). Please proceed to fill in Section 2 of this form. The information
and outcome from Section 1 of this form will also be considered by the Academic Appeals
Committee. Note that you cannot proceed to a University-level appeal until the College-level stage
has been completed.
Part 1 – The decision you are appealing against
Which aspect(s) of the College-level decision are you dissatisfied with?
Please ensure you are submitting a copy of this form with Section 1 already fully completed, including the
College Outcome section. Please also attach/enclose any further formal outcome letter you may have been
sent informing you of the decision.
Enter here the relevant details, relating to the question above, and include as much information as
you feel is necessary in order for the Academic Appeals Committee to reach its decision
Is this the first University-level appeal you have submitted in relation to
this matter, or is it a resubmission of an appeal that has previously been
rejected at the Eligibility Check stage?
Select Yes or No
If this is a resubmission of an appeal which has previously been rejected at the Eligibility Check
stage, please summarise what is new (especially new evidence) in this submission
Part 2 – Why should the decision be different, and what do you think would be a fair outcome?
Please explain
(i)
Why you think this decision should have been different, and
(ii)
What you think the decision should have been.
This is your opportunity to explain in full your grounds for your University-level appeal, and tell us what
outcome you think would be fair (for example, to be allowed to re-sit failed modules, or to re-submit a
thesis).
Enter here the relevant details, relating to the question above, and include as much information as
you feel is necessary in order for the Academic Appeals Committee to reach its decision
Part 3 – Supporting documentation
Please list here any additional documentation you are submitting in support of your appeal. Scans
are normally acceptable, but you may later be asked to supply original documents (which will be
returned to you at the earliest opportunity) for confirmation purposes.
Please ensure you include the evidence listed below when you submit this form. If they have not been
included, please explain why below.
List here the documentation you are submitting in support of your academic appeal, and if
something relevant to your appeal has not been included, please explain why
Academic Appeal form [SR12-Nov15]
Page 6
Once completed, please email the form and evidence to academic-appeals@brunel.ac.uk
Email is strongly preferred for submission of an academic appeal, and supporting evidence may be
scanned and emailed. However, you may submit this form in hardcopy if necessary – via post to the
Clerk to the Academic Appeals Committee, c/o Room 217, Bannerman Building, Brunel University
London, Kingston Lane, Uxbridge, Middlesex, UB8 3PH. Please ensure that you get proof of postage
if you are posting your appeal form or any supporting evidence.
If you do not receive an email confirming receipt of your appeal within 5 working days, please
contact the above email address.
The University will endeavour to consider cases promptly, but please be aware that each case is
investigated thoroughly and sometimes this can take several weeks. The decision can only be
communicated to you in writing, so it is very important that you provide your current email address
details near the beginning of this form.
Outcome of University-Level Academic Appeal
This section is to be completed by the University
What is the outcome of the decision at University level?
Please give full details of the outcome of the student’s submission of a University-level academic
appeal, including the reasons for the decision.
Date of Appeals
Committee decision
Click here to enter the date
Action to be taken by the Chair of the Board of Examiners
Please give full details of any recommendation for action to the taken by the Board of Examiners,
including expected timings.
Academic Appeal form [SR12-Nov15]
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