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Appeals Application Form
For more information on the Appeals Application Form please click
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Name
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First
Last
Email
*
Module Code/Title
Tutor Name
Date of Course
Date Provisional Results Received
Please clearly state your reason(s) for your appeal. Include all details relevant to this appeal. (You may also attach copies of any support evidence if you wish):
Please select the relevant Phase/Stage of Appeal applicable: Phase 1 – The Aspire Training Appeals Procedures (Local Appeals Process):
Phase 1 – Stage 1: A review of the provisional module score by the module tutor
Phase 1 – Stage 2: A review of the assessment evidence during the external authentication process
Phase 1 – Stage 3: Re-Check of all learner evidence, marking documentation and additional feedback emerging from Stages 1 and 2
Phase 2 – QQI Appeals Procedures (National Appeals Process):
Phase 2 – Stage 1: Internal QQI Review
Phase 2 – Stage 2: Appeals Review Panel
Signature
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Date Submitted:
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