2015-10-02
Incomplete Grade Request Form
A student may request a grade of incomplete (“I”) when coursework has been satisfactory but the student is
unable to complete all course requirements before the end of the semester. The Incomplete Grade Request
Form must be signed by both the instructor and student, and submitted to the Enrollment Center by the end of
the semester. Course work must be completed and a grade submitted to the Enrollment Center by a mutually
agreed-upon date. A grade of “F” will be recorded if the deadline is not met.
Students should be aware that a grade of incomplete negatively impacts course completion rate and may impact
satisfactory academic progress calculations. It is the responsibility of the student to submit outstanding work
to the instructor by the mutually agreed upon date.
Student Information
First Name:
Last Name:
Student ID #:
Email Address:
Phone #:
Course Information
Term: Fall Spring Summer
Course Subject, Number, and Section:
Course work remaining:
The course is to be completed and the grade reported to the Enrollment Center no later than the
following date (not to exceed the end of the following semester): ______________________________.
Student Signature:
Date:
Instructor Signature:
Date: