Fillable REQUEST FOR CHANGE OF GRADE (Louisiana Tech University)

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REQUEST FOR CHANGE OF GRADE (Louisiana Tech University)

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REQUEST FOR CHANGE OF GRADE
TO: ___________________________________________
FROM: ___________________________________________
DATE: ___________________________________________
I request that the following grade change be made:
Student: _________________________
Student Number: _________________________
Course and Section #: _________________________
Quarter: _________________________
Grade Reported: _________________________
Grade Changed to: _________________________
Reason: ____________________________________________________
____________________________________________________________
____________________________________________________________
________________________
Professor/Instructor
________________________
Program Chair
________________________
Dean of College
ONLY ONE GRADE CHANGE PER FORM
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REQUEST FOR CHANGE OF GRADE (Louisiana Tech University)

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Completed 23 July 2020

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