Rev. 6/19/12 White Registrar’s Office Canary – Student’s Major Department Pink - Student
Change of Grade Request
Student Name Z#
(Last) (First) (Middle)
Local Address Major
ORU Email_____________________________@oru.edu___ Date _______________________
Class: FR SO JR SR GRAD
I receive veteran’s benefits. Yes No
I am an international student. Yes No I am a student athlete. Yes No
Fall Spring Summer Session: 1 2 3 4 5 6 7 Year
Change grade from to
Course Name
The instructor’s signature is required for all grade changes and additional signatures are required for
changing grades from Letter to Letter (Ex: B to A). Rationale is not required for changing P/NP (Pass/No
Pass), AU (Audit), M (Missing Grade), I (Incomplete), or E (Extension of Incomplete) to Letter grade.
Rationale:
ACTION
SIGNATURE
DATE
Approved
Not Approved
_________________________________________________
Instructor
______________________
Approved
Not Approved
__________________________________________________
Department Chair of Course (Letter to Letter only)
______________________
Approved
Not Approved
__________________________________________________
College Dean of Course (Letter to Letter only)
______________________
Approved
Not Approved
__________________________________________________
Student Accounts
______________________
Recorded
CRN
Subject
Course
Section
Required for an Audit-to-Letter grade change that raises enrollment above
18.5 credit hours and all part-time enrollment (11.5 credit hours or less).
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit