Fill - Free fillable Application-for-Grade-of-Incomplete - Application for Grade of Incomplete PDF form

TexasWoman’sUniversity

OfficeoftheRegistrar

TWUOfficeoftheRegistrarPOBox425559Denton,TX76204E‐mail:registrar@twu.eduFax:940‐898‐3097Phone:940‐898‐3036

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DocType:_____AI_______

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Description:_____/_______

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Forofficeuseonl

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ApplicationforGradeofIncomplete

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STUDENTID:___________________NAME(PRINT):____________________________________,_____________________________

LASTFIRSTMI

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MailingAddress:______________________________________________________________________________________________

Street  City   State  ZipCode

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____________________________________________________________________________________________________________

Term/YearDepartmentCoursenumberSectionnumberCourseTitle

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Reasonforrequest:_________________________________________________________________

(Completedbystudent)

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Worktobecompleted:______________________________________________________________

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(CompletedbyInstructor)

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ThegradeofIncomplete(I)isgivenonlywhenastudenthaspassinggradesin2/3ofassignedwork,but,becauseofextenuating

circumstances,cannotcompleteallofthecourseworkbytheendofthesemester.Extenuatingcircumstancesinclude(1)

incapacitatingillnesswhichpreventsastudentfrom

attendingclasses;(2)adeathintheimmediatefamily;(3)changeinwork

scheduleasrequiredbyanemployer;or(4)otheremergenciesdeemedappropriatebytheinstructor.AgradeofIncompleteshould

notberequested,norgiven,forlackofcompletionofworkbecauseofprocrastinationordissatisfactionwith

thegradeearned.

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Oncetheappropriateworkiscompleted,theinstructormustsubmittotheRegistrar’sOfficeacompletedchangeofgradeform,

signedbyboththeinstructorandthechairpersonofthedepartment.Ifnogradechangeissubmittedwithin365daysofthegrade

ofIncompletebeingassigned,the

defaultgradeindicatedabovewillbeappliedtothecourse.

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Anyexceptionstotheregulationslistedinthestudentcatalogpertainingtogradesofincompleterequiretheapprovalofthe

instructor,departmentchairandthedeanordirectoroftheacademicunitinwhichthecoursewasoffered.

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StudentSignature:______________________________________Date:__________________________

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Approved:____________________________________________ Date:__________________________

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Instructor

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Approved:____________________________________________ Date:__________________________

DepartmentChair

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Note:TheApplicationforGradeofIncompleteshouldbeapprovedbytheInstructor,thenreturnedtotheChairoftheDepartment*forfinal

approvalbeforesubmittingtotheregistrar’sOffice.

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Datebywhichworkistobe

completed:______________

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Defaultgradetobeassignedin365daysifstill

incomplete: B C D F

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Application-for-Grade-of-Incomplete - Application for Grade of Incomplete

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