COLLEGE CONNECTIONS
INCOMPLETE FORM
The I grade is a student initiated grade subject to the approval of the instructor, taking into account the
circumstances under which the incomplete is requested. The student must complete course requirements
within a mutually agreed upon time, which may not exceed one calendar year. Failure to do so will result
in an F grade
STUDENT J NUMBER
TODAY’S DATE
LAST NAME
FIRST NAME
EMAIL ADDRESS
PHONE NUMBER
COURSE DISCIPLINE
(ie: ENG, MAT, etc.)
COURSE NUMBER
(ie: 1510)
CRN
TERM/YEAR
(ie: Spring 2020)
Reason for Incomplete:
What must student do to resolve the incomplete?:
Date all work must be submitted by:
I understand if the work outlined above is not resolved by the agreed upon date that the incomplete grade
will become an “F.”
STUDENT SIGNATURE:
INSTRUCTOR SIGNATURE:
INSTRUCTOR: NO GRADE SHOULD BE ENTERED FOR THE STUDENT IN BANNER.
Please send completed form to JadeBarber@mail.sunyjcc.edu.