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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.

 

 

Target Audience:UMHS Nurses | Author/Contact: Stephanie Minerath
Last reviewed: 1/2012