Predicted Grades Request Form
icants are encouraged to submit results from any national, regional or international high school graduation or university entrance
examinations. If final exam results are unavailable before the application deadline, your high school can complete the Predicted Grade
TO THE SCHOOL OFFICIAL: Please complete the Predicted Grades Request Form by the application deadline, and submit the form (or
your own high school form) either via email to firstname.lastname@example.org
from a verifiable school email address; by mail, in a
sealed envelope; or uploaded with the High School Transcript, Secondary School Report or Counselor Recommendation.
Student Name (Surname, Given Name):
Date of Birth (yyyy/mm/dd):
School Official (Name and Title):
Official School Email Address:
Official Examination Name:
Results Release Date (yyyy/mm/dd):
Subject (Full Name) *
Level (HL or SL, AS-Level
or A-Level, etc.)
* Please be as specific as possible. For example, for IB language exams, please indicate whether the student is sitting for IB Language A: Language &
Literature, IB Language A: Literature, IB Language B, or IB Language ab initio.
Predictions provided are the most up-to-date and accurate to the best of my knowledge. Final results must be provided to
Northeastern University as soon as they become available, sent either by an examination board, or as an officially certified copy by
the high school. Northeastern University reserves the right to rescind any offer of admission if final results are not within a close range
of the predicted results.
School Official’s Signature
Have predicted grades been shared with the student? Yes No