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: _________________________
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.
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:______
