Secondary Grade Modification
(Within 45 school days of the end of the marking period or semester)
Office Of Curriculum And Instructional Programs
MONTGOMERY COUNTY PUBLIC SCHOOLS
Rockville, Maryland
INSTRUCTIONS
As set forth in MCPS Regulation IKA-RA, Grading and Reporting, a grade modification may only be issued for the immediately preceding marking
period or semester. The documentation to request a grade modification must be reviewed and a determination issued by the principal within 45
school days of the end of the marking period or semester, as appropriate. Requests to modify fourth marking period or spring semester course
grades must be reviewed and a determination issued by the principal within 45 school days of the beginning of the following school year.
A copy of MCPS Form 355-27A is provided to the teacher and school counseling office to retain, according to established procedures.
SECTION I: STUDENT INFORMATION
Student Name
_____________________________________________________________________________________________
Student ID Number ___ ___ ___ ___ ___ ___ ___ ___ Grade____
Course Name _______________________________________________________________Course #______________________
SECTION II: MODIFICATIONS
GRADE CHANGE FOR SCHOOL YEAR _______-_______
Term MP 1 MP 2 MP 3 MP 4 Final
S1
From To From To From To
S2
From To From To From To
Reason for requesting modification (please attach documentation, as appropriate):
SECTION III: TEACHER
Recommend modification? o Yes o No
If not recommended, please explain:
Teacher (Please Print Name) ________________________________________________________________________________
Teacher Signature ______________________________________________________________________ Date____/____/_____
SECTION IV: PRINCIPAL
Recommend modification? o Yes o No
If not recommended, please explain:
Principal (Please Print Name) _______________________________________________________________________________
Principal Signature ____________________________________________________________________ Date____/____/_____
SECTION V: COMPLETION
Date Grade Modified: ___/___/____
By: Printed Name
______________________________________________ Title/Position:______________________________
Signature: ________________________________________________________________________________________________
Copies to: Teacher; School Counseling Office for filing in Grade Modification Folder
MCPS Form 355-27A
November 2020
