Skip to content

Student Appeal Form

Complete the following information then click the Submit button.

* Name:

* Student Number or Username:

* Current Address:

Street number (and apartment number, if appropriate)
* City:  * State:  * Zip: 

* Phone:

* LCC E-Mail Address: (Must be LCC Email)

* Course Number:

* Semester/Year Course Was Taken:

* Course Title:

* Grade Received:

* Faculty Member's Name:

The process requires you to first contact your instructor to resolve the issue. If you haven't already done so, please contact your instructor. If you have, please continue with this form.

* Did you meet with the instructor about this issue?


Nature of the Appeal

* What is the complaint or the decision or action being appealed? Why is it considered wrong? What documentation, if any, can you supply?

Desired Settlement

* Explain what decision or action you believe would be appropriate.

* Required Fields

Student Affairs Division

Student Affairs Division
Gannon Building
2nd Floor - StarZone
Phone: (517) 483-1200
Additional contact information »

Facebook Twitter YouTube