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 Oce 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 Oce.
• 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 Oce at MJCESeForms@mjc.edu.
INSTRUCTOR AND DIVISION USE ONLY
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