RANDOLPH COMMUNITY COLLEGE
INCOMPLETE GRADE FORM
(This form must be completed on each student who receives a final grade of “I”)
(Please turn all incomplete forms in to the Registrar immediately after entering grades)
An incomplete grade has been issued to
______________________________/_________/_______/______________________________
Student ID Number Course No. Section Course Title
Fall
Spring
_______________
Summer
Term
Because of the following reason(s):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Presently the student’s grade for work that has been completed is _____. In order for the student
named above to be given credit for this course, he/she must compete the following work during
the next semester:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
__________________________________________ __________________
Instructor’s Signature Date
_________________________________________ __________________
Student’s Signature Date
The faculty member should distribute a copy to each of the following:
1. Registrar Original
2. Instructor
3. Advisor
4. Student
5. Department Chair