IU School of Liberal Arts at IUPUI: Incomplete Grade Report Form

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Incomplete Grade Report Form

NOTE: This form is not to be completed, nor is a grade of "Incomplete" to be given, if the student has not successfully completed at least 75% of the required course work.

Work Completed	% of Final Grade	Grade Given
Department :	Date :
Instructor :	Phone :
Permanent Address :
Student Name :
Course Name :	Course Number :	Section Number :
Semester during which the course was taken :

Course Grading Structure :





Incomplete Work (may not total more than 25% of total grade) :
Work Completed	% of Final Grade	Grade Given




Description of work to be done :
Deadline for work to be completed :
Student signature signifying awareness and agreement :_____________________________________________		Date :

NOTE: For clarification, relevant portions of the syllabus may be attached, especially in complex cases. This form will be filed in the SLA Office of Student Affairs. Approved by SLA Chairs, April 15, 1991.