GRADE VERIFICATION Instructor: A current progress report is required for the following student as a part of their Military Science/ ROTC program. Please indicate on this form what grade the student should expect to receive at the present time in this semester. __________________________________ Student Name ________________________________ M- Number __________________________________ Semester ________________________________ Date TO BE COMPLETED BY STUDENT: COURSE COURSE SECTION CODE NUMBER NUMBER ________ ________ ________ TO BE COMPLETED BY INSTRUCTOR: GRADE INSTRUCTOR SIGNATURE DATE _______ _______________________________ ______ ________ ________ ________ _______ _______________________________ ______ ________ ________ ________ _______ _______________________________ ______ ________ ________ ________ _______ _______________________________ ______ ________ ________ ________ _______ _______________________________ ______ MILITARY SCIENCE DEPARTMENT 901 South National Avenue, Springfield, MO 65897 • Phone: (417) 836-5791 • Fax: (417) 836-5792 http://www.missouristate.edu/milsci An Equal Opportunity/Affirmative Action Institution