Student Request for Review of a Course Issue for Pharmaceutical Sciences (PSC)

Date of Request:
Name of Student Requesting Review:*
Student ID:*
Course Number and Title:*

Issue Involves (check all that apply):

If Other Please Describe:
Description of Your Issue (e.g., clarity of questions, fairness in scoring, accommodation not provided):
Relief Sought (e.g., change in my score, change in my letter grade):

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