Nursing & Health Sciences

Division of Nursing and Health Sciences Course Status Form: Incomplete Course Status


Completed prior to end of semester in which the Incomplete grade will be received. Forward to Program Coordinator prior to the end of the semester in which the incomplete will be received.


Student Name ________________________          Semester And Year ____________________

Student contact information during break ______________________________________________________

Course # Name _______________________         Grade: Incomplete

Course Faculty ________________________           Advisor: _________________________

To Course Faculty:

The grade of “I” indicates that work is satisfactory but, because of extenuating circumstances during the semester, has not been completed by the end of the term. The grade is given at the discretion of the instructor when the student has made substantial progress toward completion of coursework. (LCSC College Catalogue, 2009 – 2011, pg 84). An incomplete grade is meant to apply to written work which needs to be completed; it does not include attendance in the classroom or clinical setting after the end of semester in which the course was taken.

Course Faculty with student: List outstanding coursework and due dates (if attachment, add signature)



            Student’s initials________ Faculty Signature__________________________Date__________


Student is to meet with course faculty and the Program Coordinator prior to the end of the semester in which an Incomplete grade is assigned in an NHS course. A plan will be developed to address progression issues. Normal progression to the next semester in NHS program is jeopardized when successful course completion has not occurred.

Program Coordinator Plan:


Classes to register for:___________________________________________________________________


Petitions needed:_______________________________________________________________________


Faculty contacts needed/reason___________________________________________________________



Student Signature:________________________________________________Date:______________________


Coordinator Signature:______________________________________________Date:____________________


Date “I” Resolved:__________ Initials:_________            Change of Grade Form submitted to registrar:______

Program Coordinator sends copies to:

  • Assessment Director
  • Advisor
  • Administrative Assistant for students (Lew or Cd’A)
  • Coordinator/Director
  • Course Faculty
  • Student