INCOMPLETE MARK FORM
CHECKLIST FOR INSTRUCTORS Instructions: Please ensure the conditions below have been satisfied before proceeding with the submission of an Incomplete Mark Form. If ALL conditions are not met, the student may not be eligible for the incomplete (IN) grading option. If necessary, please consult with your department chair or school director prior to continuing with this process. Student has requested an incomplete mark in the course. Situations in which the student is incapacitated, an appropriate University designee (e.g. department chair, ombuds, etc.) may initiate the request. Student is unable to complete the work for the course due to extenuating circumstances, and appropriate documentation to support the extenuating circumstance has been provided by the student (or the student’s designee). Student is currently passing the course; D or better for undergraduate, C or better for graduate student. Student is unable to complete the required work between the course withdrawal deadline and the end of classes. As instructor of record, I understand that I must complete and submit an Incomplete Mark Form to my department chair/school director prior to or at the submission of the incomplete. Expectations and timeline for completion of the course has been discussed with the student. A copy of the Incomplete Mark Form has been (will be) given to the student and all other copy holders on the form. Unless the course is completed or an extension is granted, Incomplete Grades will automatically lapse to the default grade designated on the Incomplete Mark Form at the end of one semester (not including summer sessions) for undergraduate students and at the end of one year for graduate students. For a complete description of the Incomplete Grade Policy in the University Catalog, please refer to Academic Policies – Grading Policies at http://www.kent.edu/catalog. Rev. 05/10/16
INCOMPLETE MARK FORM
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This form must be submitted to the department chair/school director at the time final grades are submitted. Instructors are required to specify a grade to be assigned if the work is not completed by the deadline. This default grade must be reported on this form and on the grade roster at the time final grades are submitted. The department chair/school director will distribute copies after verifying that all sections have been completed. 
SECTION I (TO BE COMPLETED BY INSTRUCTOR) STUDENT NAME STUDENT ADDRESS STUDENT ID NUMBER STUDENT COLLEGE/ SCHOOL/ REGIONAL CAMPUS STUDENT EMAIL ADDRESS CHECK ONE UNDERGRADUATE STUDENT @KENT.EDU GRADUATE STUDENT SHOULD BE AWARDED THE GRADE OF INCOMPLETE (IN) FOR COURSE ID NOTE: If this is an Honors or Experimental course, a copy of this form must be sent to the Honors College. YEAR AND TERM SUBJECT AREA COURSE NUMBER SECTION NUMBER GRADE TO DATE (MUST BE PASSING) INSTRUCTOR NAME  SECTION II (TO BE COMPLETED BY INSTRUCTOR) 
JUSTIFICATION FOR AWARDING INCOMPLETE (Appropriate documentation is generally required to support the extenuating circumstance.)
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REQUIREMENTS THE STUDENT NEEDS TO COMPLETE 
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DEADLINE FOR COMPLETION OF REQUIREMENTS* GRADE TO BE ASSIGNED IF REQUIREMENTS ARE NOT COMPLETED (DEFAULT GRADE)* *Per University Policy, incomplete grades in undergraduate courses must be completed according to the date above or within one semester (not including summer sessions); incomplete grades in graduate courses must be completed according to the date above or within one calendar year. Please refer to full policy on reverse. *This default grade will also be reported on the grade roster at the time final grades are submitted. 
SECTION III (TO BE COMPLETED BY INSTRUCTOR, STUDENT, DEPARTMENT CHAIR/SCHOOL DIRECTOR) Your signature indicates understanding of the terms of this agreement, including the default grade to be assigned if requirements are not satisfactorily completed by the deadline. Instructor __________________________________________________________________ Date ___________________________ Student ___________________________________________________________________ Date ___________________________ Department Chair/School Director ______________________________________________ Date ___________________________ DISTRIBUTE COPIES TO: Instructor, Student, Department Chair/School Director and Dean of Student’s College
Rev. 05/10/16