Y:\Registrar Documents\Forms, Signs, Labels\Incomplete Grade Contract-Form 120-July 2016.doc
FORM
120
INCOMPLETE
GRADE
CONTRACT
1845 E. Northgate Drive
Irving, TX 75062
Phone: 972-721-5337
UNIVERSITY OF DALLAS
STUDENT AND COURSE INFORMATION:
Student Name: ______________________________________________________________________________
(Last) (First) (Middle)
Student ID Number : ____________________ Professor: __________________________________________
Incomplete Grade Contract Effective Term: Fall Spring Summer Year: _____________
Course Number: _________________________________________________ CRN: _____________________
(Prefix-Course Number-Section Example: BUAD 6300 010)
Reason for Request: _________________________________________________________________________
___________________________________________________________________________________________
COMPLETED ASSIGNMENTS:
Has the student fulfilled enough work in the course to merit an Incomplete grade?
Yes
No
REQUIRED ASSIGNMENTS:
The following must be completed by ____/____/____. If the assignments are not completed by the deadline,
the default grade of I/_______ will be assigned. Assignments must be submitted and graded by the professor
awarding the incomplete grade.
Required Assignments (please specify exams/quizzes/papers/projects)
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
SIGNATURES AND APPROVALS:
I understand a default grade of ____ will be assigned if incomplete assignments are not submitted according
to the contract.
I understand the terms of this contract and agree to abide by the terms of this contract.
Student Signature: ____________________________________________________ Date: _______________
Supervising Faculty Signature: ___________________________________________ Date: _______________
Incomplete Grade Contracts approved by the appropriate Office of the Dean are on file with the Office of the
Registrar.
Dean’s Office: ________________________________________________________ Date: _______________
Constantin College
Satish & Yasmin Gupta College of Business
Braniff Graduate School of Liberal Arts
Ann & Joe O. Neuhoff School of Ministry
PR
I/PR
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