Change of Grade
STUDENT NAME CLASSIFICATION STUDENT NUMBER
CHANGE OF GRADE
REMOVAL OF AN “I” GRADE*
_ for
from
to
COURSE AND NUMBER SECTION SEMESTER AND YEAR PREVIOUS GRADE NEW GRADE
Reason for Grade Change:
This form should NOT be given to a student to be returned to this office. Please return it to the Office of the Registrar in
person, by mail, or by email.
INSTRUCTOR SIGNATURE DATE (MM/DD/YYYY)
DIVISION HEAD SIGNATURE DATE (MM/DD/YYYY)
* Signature of Division Heads and Deans are required for “I” grades
VICE CHANCELLOR FOR ACADEMIC AFFAIRS SIGNATURE DATE (MM/DD/YYYY)
_
Recorded Office of Student Records: _
Revised 9/2/2020
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