Fillable Student & Course Information (University of North Texas Health Science Center)

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Student & Course Information (University of North Texas Health Science Center)

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Change of Grade Form
University of North Texas Health Science Center
Office of the Registrar, SSC 240
3500 Camp Bowie Blvd.
Fort Worth, TX 76107-2699
(817) 735-2201 / Fax (817) 735-0448
registrar@unthsc.edu
Student & Course Information
Student ID or Social Security Number
Last Name First Name Middle Name
Course Prefix & Number
Course Title
Semester & Year of Original Grade
Select Program:
SPH GSBS TCOM SHP-PA SHP-PT SCP
Change Grade from ______ to ______
Reason for Change:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Instructor Signature
Date
Department Chair Signature
Date
Academic Dean Signature
Date
PROCEDURE FOR CHANGE OF GRADE
1. Instructor/Student obtains Change of Grade form from the Academic Dean’s Office or the Office of the Registrar.
2. Instructor completes form, signs, and obtains Department Chair’s signature.
3. Instructor delivers form to the Academic Dean’s Office
4. Academic Dean’s Office signs the form and sends to the Office of the Registrar for processing.
For Registrar’s Use Only
Revised 03/13/2017 Grade Changed in EIS _________
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Student & Course Information (University of North Texas Health Science Center)

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Completed 24 July 2020

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