MJC Enrollment Services 435 College Avenue, Student Services Bldg. 1st Floor Modesto CA 95350 Phone (209)575-6853
Instructor Grade Correction
Instructor Name: Today’s Date:
OFFICE USE ONLY
Sta Initials: Date:
Instructor Signature: Date:
Note: Please forward via email to your Division Dean for approval.
Division Dean Signature: Date:
Note: When form is complete with both signatures, please forward to Enrollment Services Oce at MJCESeForms@mjc.edu.
03/2020_SJB
Note to Instructor: This form can only be used when students’ grade is to be corrected due to a clerical or a
calculation error. If you made a clerical or calculation error when issuing this students’ grade, complete this form,
sign it and submit to your Division Oce.
• This form can only be used for ONE YEAR from the end of the term in which the error was made.
• This form cannot be used to change a “W” grade.
• This form cannot be used to issue a grade to a student who is not enrolled.
Student Name: Student ID: w
Course Name: Section #:
Semester: Fall Spring Summer Year:
Change Grade From: to
Explanation: Clerical Error Calculation Error Other
Please use the space below to describe the type of error selected above.
When form is complete with both signatures, please forward to Enrollment
Services Oce at MJCESeForms@mjc.edu.
INSTRUCTOR AND DIVISION USE ONLY
click to sign
signature
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signature
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