Faculty Assessment Correction Request Form
Submit a request to correct or review faculty assessment records using this form. Please provide accurate information to help us process your request efficiently.
Your Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Faculty Member's Name
*
First Name
Last Name
Assessment Type
*
Please Select
Exam
Assignment
Project
Participation
Other
Assessment Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Correction Requested
*
Score Adjustment
Re-evaluation
Record Update
Other
Describe the Correction Needed
*
Urgency of Correction
Not Urgent
1
2
3
4
Very Urgent
5
1 is Not Urgent, 5 is Very Urgent
Attach Supporting Document (optional)
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