Professional Development Framework:
Sample Request for Appeal
Appeal of a Central Committee decision for advancement to Levels D or E
| Name: | John Doe |
| Unit: | 11B |
| Date of request: | November 2, 2009 |
Date notified of not being advanced: |
October 16, 2009 |
| Current Level: | Level C |
| Level applied to: | Level D |
I hereby request an Appeal of the Central Committee’s decision regarding my advancement to Level D. I can be reached by phone at 333-333-3333, or by Email at johndoe@med.umich.edu . Thank you and I look forward to arranging for the interview.
Last reviewed: 1/2012


