Revised 9/2008 – Office of Admissions
GRADE CHANGE PETITION
Office of Admissions and Records
DIRECTIONS: A grade may only be changed on the basis of a MISTAKE, FRAUD, BAD FAITH, or
INCOMPETENCE (Title 5, Section 55760).
STATUE OF LIMITATION: Grade Change Petitions will only be accepted and considered within
one year of the ending date of the semester/session that the course was completed.
PETITION REVIEW: Process may take up to 6-8 weeks or longer.
Step 1: Student completes and submits the “Grade Change Petition” to the Admissions Office. Copies of supporting
documents must be attached.
Step 2: Admissions Office Assistant forwards petition information to the instructor.
Step 3: Instructor submits response to the Office of Academic Affairs for approval or denial.
Step 4: Admissions Office Assistant receives and inputs approval or denial, then notifies student of outcome.
COURSE DESCRIPTION:
Course Name & Number Section Number Semester Year
Instructor’s Last Name First Name Grade Received Grade Earned
REASON: ( ) Mistake ( ) Fraud ( ) Bad Faith ( ) Incompetence
EXPLANATION: (Attach copies of supporting documentation, please note documents will not be returned).
Student’s Signature: Date:
OFFICE USE ONLY
A&R Assistant: Input Date: Notification Date: Other:
(Print Name) LAST, FIRST MI STUDENT ID NO.
OFFICE USE ONLY
Intake Clerk:
Name: Student ID #:
Last First
Address: Date of Birth:
Number Street
E-Mail:
City State Zip
