Incomplete Grade Assignment

This form is to be completed by the instructor of the course.

Student Information

Student Name(Required)

First Last Student ID

Student Email(Required)

The Admissions and Records Office will route this form electronically for signature to the email you provide for your student.

Course Information

Term(Required)

Fall

Spring

Summer

Year(Required)

This field has been auto-populated with the current year.

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Year

(CRN) Course Registration #(Required)

Subject and Course(Required)

example: ENGL 1500

Course Title(Required)

The assignment of this "I" (Incomplete) grade meets the Title 5 CCR 55023 unforeseeable emergency and justifiable reasoning. The conditions for removal of the "I" grade are as follows:(Required)

DEADLINE FOR COMPLETION: The “I” may be made up no later than one semester following the end of the term in which it was assigned unless instructor has designated a different completion date in the conditions outlined above.

If the student does not complete the work outlined above, their grade will become:(Required)

example: C

Instructor Information

Instructor Name(Required)

Instructor Email(Required)

Enter Email Confirm Email

Instructor Signature(Required)

Date(Required)

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