Grade Change Request Form printable pdf download

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

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

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

Have all the students been given the same consideration?

YES

Did you allow this student to turn in work late?

YES

If YES, were all of the students given this opportunity?

YES

Did you re-grade work for this student?

YES

If YES, did you re-grade the same work for all the students?

YES

_______________________________________________________________________________________________________

Instructor’s Signature

Date

Office Use Only

Approved by CAS:

YES

Date: ________________

Comments:

Grade Change Request Form