Rev. 6/19/12 White – Registrar’s Office Canary – Student’s Major Department Pink - Student
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:
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
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).
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