Initial Submission Form

SAMU Student Advocacy Centre Initial Submission Form

Connect with a Centre Representative by filling out this form.

Responses may take up to 1-2 business days.

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Name *

First Name

Last Name

MacEwan Email *

Your Programs Department/Faculty *

What Academic / Non-Academic Issue are you facing? * You will be given room to go into detail later in this form. (if you are facing more than one issue, please base your selection on the main issue you are facing)

Academic Misconduct (Academic Integrity Violation)

Non-Academic Misconduct

Academic Standing Issues (Academic Probation or Required-to-Withdraw)

Conflict Between Students

Student & Professor Conflicts

Human Rights Issue

Sexual Violence Issue

Exam / Assignment Issue

Course-Specific Issue

COVID-19 Information

Filing a Complaint

Not Sure

Other

Has this issue been determined to be a Severe Academic Misconduct?

Yes

Have you faced an Academic Integrity Violation (Academic Misconduct) in the past?

Yes

How would you like to handle the issue you are having with your exam / assignment?

Reassessment of Mark

Request an Incomplete (IN)

Deferral

Not Sure

Other

How would you like to handle the issue you are having with your course?

Fill out an Exception Request Form

Request an Incomplete (IN)

File a Complaint

Not Sure

Other

Please give a detailed description of the issue you are facing *

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