College of Pharmacy

Directions for Submission of Academic Grievances to the College of Pharmacy Academic and Professional Standards Committee:

Academic Grievance Submission

1. Concisely state the grievance and the impact action on the grievance will have on your academic career. You may submit your grievance on-line, via e-mail or hard copy.
2. Submit the petition with the appropriate supporting materials*.

*Supporting material can be faxed, e-mailed or mailed to:

Angela Austin Haney
203 Pharmacy Building
Corvallis, OR 97331
angela.austinhaney@oregonstate.edu
Fax: (541) 737-3999 (Attn: Angela)

Date (MM/DD/YY):
OSU ID:

Last Name:

First Name:

Middle Initial:

ONID or OHSU Email Address:

Current Phone:

Current Address (please include street address, city, state, and zip code):

Please email, fax, or mail all supporting documents to:

Angela Austin Haney
203 Pharmacy Building
Corvallis, OR 97331
Email: angela.austinhaney@oregonstate.edu
Fax: (541) 737-3999 (Attn: Angela)

State clearly your grievance and your efforts to resolve the issue:

State the impact action on your grievance will have on your academic career:

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