Cañada College College of San Mateo Skyline College
Office of Admissions & Records Office of Admissions & Records Office of Admissions & Records
4200 Farm Hill Blvd 1700 West Hillsdale Boulevard 3300 College Drive
Redwood City, CA 94061-1099 San Mateo, CA 94402-3784 San Bruno, CA 94066-1662
FAX: (650) 306-3113 FAX: (650) 574-6506 FAX: (650) 738-4200
TELEPHONE: (650) 306-3100 TELEPHONE: (650) 574-6165 TELEPHONE: (650) 738-4100
NOTICE OF GRADE OF INCOMPLETE
Student ID: G_____________________________
Student Name: _____________________________________________________________________
Last First MI
For the (check box): Fall Spring Summer Year: 20______
You have been assigned a grade of incomplete in the following class:
In order to earn credit in the above course, you are required to successfully accomplish the specific
assignment listed below by (date within one year) _______________________________. In the event the
assignment has not been completed within this time, the default grade of ________ will be assigned. For
more detailed information regarding the “Incomplete” grade, please consult the current college catalog.
Specific assignment to complete the course:
Instructor’s Name: _____________________________________________ Date: ______________________
Print a copy of this completed form for your record before you submit to Cañada, CSM, or Skyline.
Click here if form should go to Cañada (Stephen Soler)
Click here if form should go to College of San Mateo (Steven Trinh)
Click here if form should go to Skyline (Susan Lorenzo)
CAN_CSM_SKY_IncompleteGradeForm1: 1/8/2014
Received by: _____________________ Date: ______________
