ATA Certification Program
Cetification Exam
Request Form to Appeal Certification Exam Review
Review appeals must be submitted within six months of receipt of the exam review. Candidates must be current members of ATA. After that date their review appeal will no longer be possible. Please read the review policy before signing this request form.
I am currently a member of ATA and hereby request an appeal of the Certification Examination Review which was taken by me at the place and on the date indicated. I enclose payment* which I understand will be refunded along with my original review fee if my grade is changed from "fail" to "pass" as a result of this appeal. If the grade of "fail" is upheld, I understand that I will receive a copy of my translations, marked to show how I failed to meet the ATA Certification Committee's standards. I realize that errors marked on my translation will not necessarily be all of the errors found by the graders.
I have read the ATA Review Appeal Policy and by requesting this review, I agree to submit the appropriate necessary documentation justifying an appeal and to abide by the policy. I also understand that this is the last step in the process and the final decision cannot be appealed again.
| Signature | Date |
| Name of Candidate (please print): |
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| Membership # (if known): |
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