Fillable Instructor Grade Change Form (Edison State Community College)

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Instructor Grade Change Form (Edison State Community College)

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Revised 05/14/2020
Instructor Grade Change Form
(Return to info@edisonohio.edu)
Student’s Information
Last Name
First Name
M.I.
Student ID#
Phone Number
Course Information
Dept.
Num.
Term Code
Term
Year
(e.g. ENG)
(e.g. 21S)
(e.g. 2015SS)
(e.g. Spring)
(e.g. 2016)
Grade Information
Grade Reported as _____ Change grade to _____
Explanation for Grade Change:
Instructor’s Signature: Date:
Incomplete grade “I” will be changed to a failing grade if work is not completed within the allotted time which is to be no more
than 100 calendar days after the last day of the semester.
Office Use
FGID or FGRN
CRI: R-GRACHA
Processed by
Date
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Instructor Grade Change Form (Edison State Community College)

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Completed 26 July 2020

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