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Petition for Incomplete Grade

"*" indicates required fields

Students with verifiable, unavoidable reasons for being unable to complete a course within the normal course time may submit this form to the faculty member of the course to request an incomplete grade (“I” grade). To be eligible, a student must have satisfactorily completed more than 60% of the course requirements and attendance (passed the withdrawal deadline for the course).

Form must be processed prior to the last day of instruction for the course.

Student Name*
Course Information*
Class Number
Catalog Number
Class Section
Drop files here or
Max. file size: 20 MB.

    Please list the outstanding work/assignments needed to complete the course/ Note: completion due date may not be set beyond the last day of instruction for the subsequent semester(without written approval of the Campus Provost)

    Outstanding work/assignments*
    Assignment Name
    Course Weight (%)
    Due Date

    STUDENT: By signing below, I agree to complete the work/assignments detailed above before the due date. If I do not, I understand my currently assigned course grade will remain on my permanent academic record.

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