Incomplete (I) Grade Agreement
According to University Policy, a grade of Incomplete (I) is to be assigned “when a student, because of
illness or other cogent reasons, is unable to complete the requirements of the course.” A student wishing
to be considered for an I grade in a course must contact the instructor before the end of the semester,
indicating the reason(s) for the request. The student and instructor must then complete this form, and send
it to the Office of the Registrar by the deadline for submission of final grades.
1. (a) Student’s Name:
(b) Student’s SUNY Fredonia ID:
(c) Semester:
(d) Course Subject Code and Course Number (e.g., MATH 210):
(e) Course Title:
(f) Section Number (e.g., 02):
(g) Instructor’s Name:
(h) Instructor’s Department:
(i) Instructor’s Telephone Number:
(j) Date:
The requirements for the course must be completed before the end of the next regular semester, or by an
earlier date set by the instructor; otherwise, an I becomes an F (or the grade indicated in 4 below) on the
student’s permanent record. Once the work for the course has been completed and received by the
instructor, the instructor will submit the student’s grade for the course to the Office of the Registrar.
2. Date by which the course work must be completed:
3. List the course work to be completed:
4. Grade student would receive if no additional course work were completed:
5. Instructor and Student: We agree to the conditions stated above.
Student Signature: Date:
Instructor Signature: Date:
6. Once this form has been completed, it should be sent by the instructor to the Office of
the Registrar via campus mail. If time is critical (for example, it is near the deadline for
final grades to be submitted), it may be sent electronically to:
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