Change of Grade Form

This form is to be completed by the instructor of the course. The determination of the student’s grade by the instructor shall be final in the absence of mistake, fraud, bad faith, or incompetence. The procedure for the correction of a grade given in error shall include expunging the incorrect grade from the record. (If change is not within 30 days of the term – our office will get additional approval from the Vice President of Instruction)

Student Information

Student Name(Required)

First Last Student ID

Course Information

Term(Required)

Fall

Spring

Summer

Year(Required)

(CRN) Course Registration #(Required)

Subject and Course(Required)

example: ENGL 1500

Course Title(Required)

Current Grade to be Changed(Required)

Grade Change Requested(Required)

Reason for grade change(Required)

Instructor Information

Instructor Name(Required)

Instructor Email(Required)

Enter Email Confirm Email

Instructor Signature(Required)

Date(Required)

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