Nursing Program
EXCEPTION TO POLICY OR GRIEVANCE FORM
A student with a grievance or requesting an exception to policy must complete-this-form electronically within 48 hours and email it to both the Nursing Program Director and the instructor of the course in order for the request to be reviewed.
______ Safety ____ Prioritization ____ Professionalism ____ Academic ____ Other
1. Describe a situation in which you have a grievance regarding
2. Does this matter require an exception to a current nursing program or college policy?
3. Explain why you require this exception to the policy. (Provide specific details)
4. Provide supporting documentation (if applicable)
5. What is your plan to meet program requirements in the future? Provide a specific plan of action.
This is my Explanations so I need help to make it more professional
1. Describe a situation in which you have a grievance regarding:
I’m filing a complaint regarding a course I was told I failed, NSG 218 Dana lied and fabricated my grade, she discriminated against me, she was not there to teach me she was there to bully and call names for example she will say “do you even speak English,” I will fail you. ” You will go back to your home.
i Regret letting pass your people last semester. ” Meaning my black people. You complain to Ambera and Lisa told Jamei and Jamie told me and everyone is one my side>
and I have proof, but no one was interested in doing anything about it, all my classmates sow it. and I have evidence. I had some students say will be ready to be witness if i needed t, i would not have wasted my time if I had known what I know now. It doesn’t matter if Jamie and Lisa are your buddies.
I have reason to believe that the grade I received from the teacher did not fairly reflect how I performed my clinical. it took clinical before and i pas both of them A.

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