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Request of Incomplete Grade
I ___request that I be granted an Incomplete for this course listed below because___ ___ ___ I understand that an Incomplete is by definition an extension, and I will not be granted further time to complete my assignment(s) beyond the eighth week of the next regular semester. I also agree to abide by the published policies on Incompletes as delineated in the policy stated on the second page of this form. Signed: ___ Date: ___ *****
I [1]
because [1]
I [2]
because [2]
Signed
Date
Course Dept: ___ Number: ___ Section: ___
Course Dept
Number
Section
Course Title:___
Course Title
Semester: Fall Spring Summer Year:_____
Semester
Fall
Spring
Year
Student Name:___
Student Name
ID:___ Instructor:___
ID
Instructor
Instructions for the removal of β€˜I’
1. The following tests, materials, etc. must be completed: ___
1. The following tests, materials, etc. must be completed [1]
1. The following tests, materials, etc. must be completed [2]
2. The final grade will be calculated as follows:
2. The final grade will be calculated as follows [1]
2. The final grade will be calculated as follows [2]
3. The student's grade without this work currently is calculated to be a _____
3. The student’s grade without this work currently is calculated to be a
KSU Catalog, page 45, 2007-2008 – Policy on Incomplete Grades
A grade of β€œI” is to be assigned only for an unforeseen and extraordinary circumstance or situation which would have prohibited a student from completing a minor part of a course requirement, such as the final exam, one major exam, completion of a term paper or class project, or part of the requirements of a laboratory, and the student has made a request to the instructor prior to the end of the term. In some cases, a grade of β€œI” can be assigned when the course constitutes an β€œI” based on accrediting or certification requirements.
An Incomplete earned in any given term (summer session/semester) must be removed by the end of the eighth week of classes during the next regular academic semester; otherwise, the β€œI” will be changed automatically to a grade of β€œF.”
Instructor signature: _____ Date: _____
Instructor signature
Date
Student signature: ___ Date: ___
Student signature
Date
A copy of this form must be submitted to the Chairperson of the academic unit in which the course was offered at the time the 'I' grade is submitted.
1/3/08 JPC