Fillable STUDENT GRADE CHANGE REQUEST FORM (Spokane Community College)

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STUDENT GRADE CHANGE REQUEST FORM (Spokane Community College)

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CCS 40-338 (07/18)
Marketing and Public Relations
STUDENT GRADE CHANGE REQUEST FORM
Name:
Student ID:
Email:
Phone:
This form is intended to address student concerns regarding the final grade given for a completed course at
either Spokane Community College or Spokane Falls Community College. This process must be initiated no
later than the tenth instructional day of the quarter following the quarter of the appealed grade course (excluding
summer quarter).
Students should have completed the following steps before initiating a grade change request:
Student is enrolled at either SCC or SFCC.
Student has communicated their concern to the instructor that issued the grade, but their concern has
not been resolved.
This form is being initiated no later than the tenth instructional day of the quarter following the graded
course that is being appealed (excluding summer quarter).
Course Taken:
Instructor Name:
Quarter Taken: Fall Winter Spring Summer
Year:
Grade Received:
Explanation of concern and basis of grade change request:
Extraordinary Circumstance: Please check this box if there is an absence of the instructor for which the
grade change is being sought, or an extraordinary circumstance exists that has prevented the student
from initiating this request prior to the tenth instructional day of the quarter following the graded course
that is being appealed.
Explanation of Extraordinary Circumstance:
Student Signature:
Date:
CCS 40-338 (07/18)
Marketing and Public Relations
Once completed, this form is to be turned in to the Division Dean for the course grade being challenged.
Students will receive written notification describing the outcome of their petition, i.e., approved or denied.
FOR OFFICE USE ONLY
Grade Change Request: Granted Denied
Final Grade Assigned
Dean’s Signature:
Date:
Appeals of Dean’s decision should include a copy of the decision notification and be submitted to the Chief
Academic Officer for the appropriate campus, as outlined in the Grades Procedure 4.40.01 A. The student will
receive written notice of the outcome of their petition, i.e., approved or denied.
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STUDENT GRADE CHANGE REQUEST FORM (Spokane Community College)

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Completed 8 October 2020

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