UNDERGRADUATE
Grade OR Grade Change
Please email completed form to grades@uoguelph.ca
OR hand deliver to Megan MacLeod, Office of Registrarial Services, UC Level 3
OR fax to 519-766-0143
Student’s Name:
{surname} {first name}
__
__________
___________________________
________________
___________________________
___________________________
___________________________
___________________________
____________________________________________________
____________________________________________________
Student’s I.D. Number:
C
ourse Number & Section:
{eg. PSYC*2310*01} {Course eg. PSYC*2310} {Section eg. 01}
Course Title:
Semester Course Taken:
{example: F10}
Current Grade:
{as posted on Colleague}
Revised Grade:
{new final grade or “no change”}
Reason for Revision
___________________________, ______________________
___
Result of student appeal of original grade
___ Correction of miscalculation of grade
___ Result of completed Deferred Privilege
___ Other {explain: please print clearly below}
________________________________
Instructor’s Signature: Date:
______________
________________________________
Chair’s:
Date: ______________
OFFICE USE ONLY
Date Processed __________________________________ By____________________
Continuation of Study From _______________
_ To__
_________________
Dean’s Honours List Yes________________
__ No___
________________
Letter Required Yes__________________ No_________
__________
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