"Grade Change Request Form - Hartwick College" - Oneonta, New York

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Grade Change Request (Instructor Use Only)
Office of Academic Affairs
2nd Floor Bresee Hall
Hartwick College
Oneonta, NY 13820
Please complete this form and return it to the Office of Academic Affairs to be heard at the next Committee on
Academic Standards meeting. DO NOT RETURN THIS FORM TO THE OFFICE OF THE REGISTRAR. Use
this form to change a final grade ONLY. Do not use this form to submit a final grade for an incomplete, unless the
incomplete has expired, in which case this form must be used. The form for issuing a grade for an incomplete grade is
available on the Registrar’s Office website.
Student’s Name: _________________________________________________________________________________________
Term: ____________________ Course (i.e. ACCO-101-A): ______________________________________________________
Instructor’s Name: _______________________________________________________________________________________
Old Grade: ___________
New Grade: _____________
Is this grade change being requested because of a clerical error?
YES
NO
:
If YES
Use the space below to describe the clerical error that resulted in the grade being misreported. Have you made sure that
you did not make any clerical errors on other students’ grades?
YES
NO
If NO: Explain why you are requesting this grade change and answer all the questions below (use additional sheet of paper if
needed):
Were other students in this class in the same situation as the student above?
YES
NO
Have all the students been given the same consideration?
YES
NO
Did you allow this student to turn in work late?
YES
NO
If YES, were all of the students given this opportunity?
YES
NO
Did you re-grade work for this student?
YES
NO
If YES, did you re-grade the same work for all the students?
YES
NO
_______________________________________________________________________________________________________
Instructor’s Signature
Date
Office Use Only
Approved by CAS:
YES
NO
Date: ________________
Comments:
5R
Grade Change Request (Instructor Use Only)
Office of Academic Affairs
2nd Floor Bresee Hall
Hartwick College
Oneonta, NY 13820
Please complete this form and return it to the Office of Academic Affairs to be heard at the next Committee on
Academic Standards meeting. DO NOT RETURN THIS FORM TO THE OFFICE OF THE REGISTRAR. Use
this form to change a final grade ONLY. Do not use this form to submit a final grade for an incomplete, unless the
incomplete has expired, in which case this form must be used. The form for issuing a grade for an incomplete grade is
available on the Registrar’s Office website.
Student’s Name: _________________________________________________________________________________________
Term: ____________________ Course (i.e. ACCO-101-A): ______________________________________________________
Instructor’s Name: _______________________________________________________________________________________
Old Grade: ___________
New Grade: _____________
Is this grade change being requested because of a clerical error?
YES
NO
:
If YES
Use the space below to describe the clerical error that resulted in the grade being misreported. Have you made sure that
you did not make any clerical errors on other students’ grades?
YES
NO
If NO: Explain why you are requesting this grade change and answer all the questions below (use additional sheet of paper if
needed):
Were other students in this class in the same situation as the student above?
YES
NO
Have all the students been given the same consideration?
YES
NO
Did you allow this student to turn in work late?
YES
NO
If YES, were all of the students given this opportunity?
YES
NO
Did you re-grade work for this student?
YES
NO
If YES, did you re-grade the same work for all the students?
YES
NO
_______________________________________________________________________________________________________
Instructor’s Signature
Date
Office Use Only
Approved by CAS:
YES
NO
Date: ________________
Comments:
5R