Fillable form to the Registration office, DS120 or through (Daemen College)

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form to the Registration office, DS120 or through (Daemen College)

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COVID-19 SC/UC REQUEST TO RECOVER GRADE IN SPRING 2020
ATTENTION ADVISOR AND STUDENT: This form is to be completed by the student their Advisor. The Advisor should consult with the
Registration office to assure that the original grade earned was at least a grade of D. The student will need to sign the form and provide
documentation (to the Advisor) to support the reason for the request to recover the grade. The Advisor will submit the completed and signed
form to the Registration office, DS120 or through Secure Upload (found on Registrar’s Office Forms page).
STUDENT NAME: ___________________________________________________________________ ID#: _________________
Last First
MAJOR: ____________________________________________________________
COURSE FOR WHICH RECOVERY OF ORIGINAL LETTER GRADE IS REQUESTED:
__________ _____________________________________________________________ ___________
Course # Course Title Credit Hours
__________ _____________________________________________________________ ___________
Course # Course Title Credit Hours
__________ _____________________________________________________________ ___________
Course # Course Title Credit Hours
Please indicate which of the following is the reason for the grade recovery request:
□ The course is required in the student’s major
□ The letter grade is required for graduation
□ The grade is required by a graduate or professional school
□ The grade is required by Accreditation
□ Other:_____________________________________________________
ADVISOR’S NAME: _____________________________________________________________
ADVISOR’S SIGNATURE: _______________________________________________________ DATE: __________________
STUDENT’S SIGNATURE: _______________________________________________________ DATE: __________________
SC-UCRecoveryForm2020 4/2020
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form to the Registration office, DS120 or through (Daemen College)

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Completed 19 August 2020

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