Office of the Registrar
Hepburn 214
Email: Registrar@njcu.edu
Website: https://www.njcu.edu/registrar
Phone: 201/200-3334
Fax: 201/200-2062
REQUEST FOR PASS – FAIL GRADE
NOTE TO STUDENT
:
Pass/Fail Options: Students have the option of requesting a final grade of “Pass” or “Fail” instead of a letter grade in an elective course, in a
general studies course (but NOT in an ACR course), or in an academic minor program course. The Pass/Fail option is limited to a total of
NINE semester hours within the student’s total degree program. No more than ONE course per semester may be selected under this option.
During the regular semesters, this application must be filed with the Registrar by November 1
st
for Fall and April 1
st
for Spring.
During summer session, the deadline for filing is determined by the calendar for the specific summer session. See summer
calendar for dates.
STUDENT COMPLETES THIS SECTION:
Current Semester and Y
ear
Class#
Course Title
Student Email (Required)
Instructor‘s Name
Rev 9/2016 lcr
(PRINT) LAST NAME FIRST NAME STUDENT ID NUMBER
REGISTRAR’S OFFICE USE ONLY:
Registrar’s Staff Initials
1. Use Adobe Acrobat Reader DC to complete this form. If
needed, this can be downloaded from Adobe.com for Free.
2. All fields with a red box are required.
3. Once form is completed, click on the SUBMIT button and
the request will be emailed to registrar@njcu.edu. If errors
are encountered, save the PDF form and either email
registrar@njcu.edu or fax: 201-200-2062.
Student Signature Date
(
Type your name as your signature on the line above.)
