Fillable OFFICE OF ADIMISSIONS CHANGE OF GRADE FORM (Little Priest Tribal College)

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OFFICE OF ADIMISSIONS CHANGE OF GRADE FORM (Little Priest Tribal College)

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OFFICE OF ADIMISSIONS
Revised 10/2020 Address: P.O. Box 270 Winnebago, Nebraska 68071 • Phone: 402.878.3307 • Fax: 402.878.2309 •Website: www.littlepriest.edu
CHANGE OF GRADE FORM
Student’s Name: ______________________________________
Student ID #: ________________
Course #: ______________________________
Course Title: ________________________________________
Term: _________________________
Original Grade: _____________________
New Grade: ______________________
Instructor’s Signature: ____________________________________ Date: ______________
Do not write below this line.
The VP of Academic Affairs signature is necessary only after the sixth (6) week of the following
school semester.
VP of Academic Affairs: _______________________________ Date: ________________
Date posted by Director of Admissions: _______________________________
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OFFICE OF ADIMISSIONS CHANGE OF GRADE FORM (Little Priest Tribal College)

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Completed 3 February 2021

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