Petition For Extension Of Time For Removal Of A Grade Of Incomplete printable pdf download

Petition For Extension Of Time For Removal Of A Grade Of Incomplete

Office of The University Registrar 72 Fifth Avenue New York, NY 10011 Tel 212.229.5620 Fax 212.229.5648

PETITION FOR EXTENSION OF TIME

FOR REMOVAL OF A GRADE OF INCOMPLETE

GRADUATE STUDENTS ONLY

This form should be used only to request an extension of the deadline for the removal of an incomplete grade.

Instructors should submit the original grade in MyNewSchool/ALVIN or use a change of grade form to change a

grade. Please note: The maximum time allowed for an extension is 6 (six) months. Students may request up

to 2 (two) extensions for a course. If coursework is not completed by the approved date specified on this

form, a permanent grade of incomplete will be assigned.

CHECK ONE:

FIRST EXTENSION

FINAL EXTENSION

STUDENT NAME: ____________________________________________________ID:____________________

(PLEASE PRINT CLEARLY)

COURSE MASTER NUMBER: ________________________________

COURSE TITLE: ____________________________________________________________________________

INSTRUCTOR NAME: _______________________________________________________________________

TERM AND YEAR COURSE WAS TAKEN: _________________________________

STUDENT SIGNATURE: ________________________________________________ DATE: _______________

Please extend the deadline for the work to be completed and the grade submitted to the Registrar’s

Office to: __________________________.

MONTH/DAY/YEAR

INSTRUCTOR SIGNATURE: __________________________________________ DATE: __________________

CHAIRPERSON SIGNATURE: _________________________________________ DATE: _________________

Additional approval required for Final Extension only:

DIRECTOR OF ACADEMIC AFFAIRS: ____________________________________DATE: _________________

REGISTRAR’S OFFICE USE ONLY:

ENTERED: _____________ _____________

INITIALS

DATE

Petition For Extension Of Time For Removal Of A Grade Of Incomplete