Fillable EARLY GRADE RELEASE FORM FOR GRADUATES OF OTHER (Columbus State Community College)

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EARLY GRADE RELEASE FORM FOR GRADUATES OF OTHER (Columbus State Community College)

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NOTE TO STUDENT:
 Please contact your Instructor before the end of the first week of the semester to inquire
if they are willing to participate in releasing your grade early. Due to course delivery and
content, instructors may choose not to participate in the early grade release process. If the instructor
elects not to participate, it is your responsibility to find an alternative solution.
 Your signature on this form verifies that you are a current term graduate of another institution and
grants Columbus State Community College permission to release your grade(s) to your home
institution via official transcript.
NOTE TO INSTRUCTOR:
 The student named on the attached form is graduating this semester from another institution and is
requesting that their grade in your course be transferred early to their home institution through the
Office of the Registrar.
 The early release of the grade is not required and you may choose not to release the
grade earlier than the standard grade deadline. If you decide not to release the grade
early, please inform the student immediately.
 If you release the grade early, please return the completed form to the Office of the Registrar by the
indicated deadline below.
 The final grade stated on the form must be the grade that will appear on the student’s official
transcript
STUDENTS MAY NOT DELIVER THIS FORM. Instructors, please return this form via e-mail to
earlygrade@cscc.edu from your Columbus State Community College e-mail address. In-person delivery
may be made by a Columbus State Community College employee. Identification will be checked if
delivered in person. Faxed copies will not be accepted. Do not fax this form to the other Institution.
This form is processed by the Office of the Registrar at Columbus State Community College. For any
questions or concerns, please e-mail earlygrade@cscc.edu
The form is to be returned to:
IN PERSON: STUDENT CENTRAL, UPPER LEVEL, MADISON HALL
E-MAIL: earlygrade@cscc.edu
by 4:30 p.m. on: Submitted to Graduating Institution by:
SPRING SEMESTER 2020: April 24, 2020 SPRING SEMESTER 2020: April 29, 2020
SUMMER SEMESTER 2020: July 24, 2020 SUMMER SEMESTER 2020: July 29, 2020
AUTUMN SEMESTER 2020 December 11, 2020 AUTUMN SEMESTER 2020 December 16, 2020
SPRING SEMESTER 2021: April 30, 2021 SPRING SEMESTER 2021: May 05, 2021
SUMMER SEMESTER 2021: July 23, 2021 SUMMER SEMESTER 2021: July 28, 2021
AUTUMN SEMESTER 2021: December 10, 2021 AUTUMN SEMESTER 2021: December 15, 2021
SPRING SEMESTER 2022: April 29, 2022 SPRING SEMESTER 2022: May 04, 2022
SUMMER SEMESTER 2022: July 29, 2022 SUMMER SEMESTER 2022: August 03 2023
AUTUMN SEMESTER 2022 December 09, 2022 AUTUMN SEMESTER 2022 December 14, 2022
SPRING SEMESTER 2023: April 28, 2023 SPRING SEMESTER 2023: May 03, 2023
SUMMER SEMESTER 2023: July 28, 2023 SUMMER SEMESTER 2023: August 02, 2023
AUTUMN SEMESTER 2023: December 08, 2023 AUTUMN SEMESTER 2023: December 13, 2023
INSTRUCTIONS AND INFORMATION FOR STUDENTS AND FACULTY
RLR:prc/Early Grade Release Form/04-20-2020
EARLY GRADE RELEASE FORM FOR GRADUATES OF OTHER INSTITUTIONS
STUDENTS MAY NOT DELIVER THIS FORM.
Instructors, please return this form via e-mail to earlygrade@cscc.edu from your Columbus State Community College e-mail
address. In-person delivery may be made by a Columbus State Community College employee. Identification will be checked if
delivered in person. Faxed copies will not be accepted. Do not fax this form to the other Institution.
I
N PERSON: STUDENT CENTRAL, UPPER LEVEL, MADISON HALL
E-
MAIL: earlygrade@cscc.edu
by 4:30 p.m. on: Submitted to Graduating Institution by:
S
PRING SEMESTER 2020: April 24, 2020 SPRING SEMESTER 2020: April 29, 2020
SUMMER SEMESTER 2020: July 24, 2020 SUMMER SEMESTER 2020: July 29, 2020
AUTUMN SEMESTER 2020 December 11, 2020 AUTUMN SEMESTER 2020 December 16, 2020
S
PRING SEMESTER 2021: April 30, 2021 SPRING SEMESTER 2021: May 05, 2021
SUMMER SEMESTER 2021: July 23, 2021 SUMMER SEMESTER 2021: July 28, 2021
AUTUMN SEMESTER 2021: December 10, 2021 AUTUMN SEMESTER 2021: December 15, 2021
S
PRING SEMESTER 2022: April 29, 2022 SPRING SEMESTER 2022: May 04, 2022
SUMMER SEMESTER 2022: July 29, 2022 SUMMER SEMESTER 2022: August 03 2023
AUTUMN SEMESTER 2022 December 09, 2022 AUTUMN SEMESTER 2022 December 14, 2022
S
PRING SEMESTER 2023: April 28, 2023 SPRING SEMESTER 2023: May 03, 2023
SUMMER SEMESTER 2023: July 28, 2023 SUMMER SEMESTER 2023: August 02, 2023
AUTUMN SEMESTER 2023: December 08, 2023 AUTUMN SEMESTER 2023: December 13, 2023
Tඐඍ C඗ඕ඘ඔඍගඑ඗ඖ Oඎ Aඔඔ Fඑඍඔඌඛ Rඍ඙ඝඑකඍඌ F඗ක Tඐඍ Pක඗උඍඛඛඑඖඏ Oඎ Tඐඑඛ F඗කඕ
Tඐඍ Eඉකඔඡ Gකඉඌඍ Rඍඔඍඉඛඍ Pක඗උඍඛඛ එඛ ඉඞඉඑඔඉඊඔඍ ඗ඖඔඡ ග඗ උඝකකඍඖග ඛඍඕඍඛගඍක ඛගඝඌඍඖගඛ ඟඐ඗ ඟඑඔඔ ඊඍ ඏකඉඌඝඉගඑඖඏ
ඎක඗ඕ ඉඖ඗ගඐඍක එඖඛගඑගඝගඑ඗ඖ ඉග ගඐඍ ඍඖඌ ඗ඎ ගඐඑඛ උඝකකඍඖග ඛඍඕඍඛගඍක.
STUDENT INFORMATION
Please print clearly - To be completed by the Student
This form will not be processed if all fields are not completed correctly.
Student Name:_________________________________________________ Date: _____/_____/_____
Daytime Telephone Number:___________________ E-mail Address:_____________________________
Cougar ID Number________________ University ID Number (e.g. BuckID):______________________
Institution to which the grade should be sent: _________________________________________________
Name of Coordinator of Graduation at the graduating institution: __________________________________
If graduating from The Ohio State University: College from which you are graduating:
_________________________________________________________________
Contact Person Telephone: ________________________
STUDENT SIGNATURE (Required):________________________________________________________
COURSE INFORMATION
Please print clearly - To be completed by the Instructor
This form will not be processed if all fields are not completed correctly.
Course Name (e.g.: ENGL 1100): ______________________
Course Title per CSCC Catalog (e.g.: Composition I): __________________________________________
Number of credit hours: ________ Semester and Year: _________________________________
Final grade earned: ________
(By your signature below, you guarantee that this is the grade that will appear on the student’s official transcript.)
Instructor name (Please Print): _____________________________________ Date: _____/_____/_____
INSTRUCTOR SIGNATURE (Required):___________________________________________________
EARLY GRADE RELEASE FORM FOR GRADUATES OF OTHER INSTITUTIONS
RLR:prc/Early Grade Release Form/04-20-2020
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EARLY GRADE RELEASE FORM FOR GRADUATES OF OTHER (Columbus State Community College)

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Completed 2 October 2020

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