REQUEST FOR AN INCOMPLETE
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Name:
ID#
Address:
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Concentration:
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POLICY ON THE ASSIGNMENT OF AN INCOMPLETE:
An incomplete may be assigned only when a faculty member concludes that a limited portion of the
required course work has not been completed and evaluated in the prescribed times period due to
unforeseen but fully justified reasons, and when there is still a possibility of earning credit. An Incomplete
may be assigned only when the student is doing passing work. It is the responsibility of the student to bring
pertinent information to the attention of the Instructor, and to determine from the instructor the remaining
course requirements which must be satisfied to remove the Incomplete. A final grade is assigned when the
work agreed upon has been completed and evaluated.
An “I” must be made up within one calendar year or less following the end of the term during which it was
assigned. This limitation prevails whether or not the student maintains continuous enrollment. Failure to
complete the assigned work will result in an “I” being counted as a failing grade.
PROCEDURE-STUDENT: Read the policy above, complete the top portion of this form, then indicate below the
reason you are requesting an Incomplete. This form should be submitted to your Instructor.
PROCEDURE-INSTRUCTOR: If an incomplete is justified under the above policy, indicate the assignments(s)
necessary to remove the Incomplete. Submit one copy of this form to your department and sign off on the reverse side
of your final grade roster.
The above student is doing passing work at this time and is required to complete the following assignment(s) to remove
this Incomplete:
Instructor’s Signature:_______________________________________________-Date_______________