Grade of Incomplete Form
Instructions:
This form is to be filed whenever a grade of Incomplete (I) is assigned. Original should be sent to the student’s
academic dean. When all signatures are present, copy of the form should be given to the student and another sent to
the department/school. Send the original to the Office of the Registrar.
University Policy:
The grade of Incomplete (I) is given only when a student’s work is satisfactory in quality but, due to reasons
beyond his or her control, has not been completed. It is not given in lieu of an “F” or “W.” A grade of “PR” is
not to be used for this purpose.
The instructor assigning the grade will stipulate in writing, at the time the grade is given, the conditions under
which the “I” may be removed.
The grade of “I” will remain on the record until the faculty member submits a new grade. After one calendar
year, “I” grades will change to a grade of “F.”
This form must be submitted prior to the end of the semester for each grade of “I.”
The grade of Incomplete will be assigned to:
Name of student: _____________________________________ Student ID: ___________________
Course CRN: ________________________________________ Semester/Year: ________________
Instructor: __________________________________________
A grade of Incomplete is justified for the following reasons:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
The following information should be detailed and specific. Use reverse side if necessary. For example: Student
must take final by a specific date; must submit a report by a specific date; or must repeat the course, etc. The work
to be completed consists of the following:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
