Incomplete Grade Contract
Date: _______________________________
Semester/year___________________
Student name first-last): _____________________________ HCC Student ID#_____________________
I understand that I will receive a final grade of “I” (Incomplete) and agree to complete my assignment(s)
for this class (Course Prefix & Number) _____________________________ Course CRN #____________
as assigned by my instructor (Instructor’s Name) _____________________________________________.
I will submit my completed work as specified below to the instructor by (date) __________________.
I understand that according to the HCC Student Handbook that the grade of an “I” is conditional. See
page 3 of the HCC Student Handbook.
“The grade of “I” (Incomplete) is conditional. If you receive an “I” you must arrange with the instructor
to complete the course work within six months. After the deadline, the “I” becomes an “F”. All “I”
designations must be changed to grades prior to graduation. The changed grade will appear on
your record as “I”/Grade (example: “I/A”).”
12345(Add additional pages if needed)
I certify that I understand that if I do not complete the assignments as described above to my instructor
my final grade of I (Incomplete) will automatically become an (F) for the course.
Student Signature: __________________________________________ Date: _____________________
Instructor Signature: ________________________________________ Date: _____________________
Program Chair/Director Signature: _____________________________Date: ___________________