FRESNO CITY COLLEGE
STUDENT GRADE REVIEW PETITION
Received by:
Date Received:
NAME:
First MI Last
STUDENT ID:
ADDRESS: PHONE #:
Number and Street Apt # (if any)
CITY/STATE/ZIP:
Include Area Code
EMAIL:
GRADE REVIEW PROCEDURE: It is the student’s responsibility to be aware of final grades. If the student believes a
computational or procedural error has taken place, this petition may be submitted to Admissions and Records up to the last
day of the semester (excluding summer sessions) following the semester in which the grade was received. In unusual
circumstances, a student may petition for a grade change after the one cycle period. In these cases, the petitions are still
submitted to Admissions & Records, but must receive the approval of the Academic Standards Committee for the late
submission before they are processed.
Schedule ID
(5 digit section #)
Course
(i.e. MATH-103)
Instructor
Name
Semester
(i.e. 2018SP)
Grade
Received
STUDENT STATEMENT: Write a clear and concise reason you believe the error has occurred (USE REVERSE IF NECESSARY).
Student’s Signature: Date:
INSTRUCTOR: Please check the appropriate box, write comments in the space provided, then sign and date:
THE GRADE SHOULD BE CHANGED TO:
New Grade
(Sign the attached copy of your class roster notating any
specific assignments, scores, etc., that support revision.
NO COMPUTATIONAL OR PROCEDURAL ERROR HAS BEEN MADE
INSTRUCTOR COMMENTS:
Instructor’s Signature: Date:
Reviewed by Dean of Instruction: Date:
ADMISSIONS AND RECORDS NOTES:
Academic Standards Committee Designee: Date:
Copy or Email to Student by: Date: Processed by: Date:
Student_Grade_Rvw_Pet_ACC030918
