PETITION FOR INCOMPLETE/
EXTENSION OF INCOMPLETE
Registrar’s Office
The grade I (incomplete) is given only after the student establishes with the instructor and the Department
Chairman, by petition, that his or her work is incomplete for good cause.
INSTRUCTIONS
Complete top part of form (one course per form).1.
Obtain signatures of both instructor and Department Chairman.2.
Instructor should post incomplete grade as part of the final grade entry for the semester. Extensions of 3.
Incomplete grades will be posted by the Registrar ’s Office.
Date: Name:
Major: Student ID#: Z
CPO/Local Address:
ORU Email: @oru.edu Phone Number:
Course: / - - /
CRN Subj. No. Sec. Course Title Semester Taken
I receive veteran’s benefits. Yes No I am an international student. Yes No
Reason for requesting incomplete or extension of incomplete:
GRANTING AN INCOMPLETE
I understand that I have until the date the instructor indicates or no later than the end of the following regular
semester to complete the remaining course work. If it is not completed, my Incomplete will convert to a failing
grade.
Stud ent’s S ignat ure Dat e
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
EXTENSION OF INCOMPLETE
My instructor has approved an extension of my Incomplete. I understand that my course work must be
submitted by or I will receive a failing grade for the course.
Date
Stud ent’s S ignat ure Dat e
ACTION SIGNATURE DATE
Instructor Approved c
Not Approved c
Department Chairman Approved c
Not Approved c
Registrar’s Office - White Dept. Chair - Canary Instructor - Pink Student - Goldenrod 05.06.13
click to sign
signature
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click to sign
signature
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