STI BALAGTAS CHANGE OF GRADE FORM Reminder: Any form of erasures will invalidate this form This section is to be accomplished by the Faculty Member STUDENT INFORMATION Student Number 2000306198 Last Name First Name Middle Name MONTEMAYOR,IYLE JHAVEY CORPUZ School Year 2023 - 2024 Program Classification Graduate Tertiary Senior High School Term: 1st 2nd Grade/Year Level: 3RD YEAR Class Number Program Title/Strand Course Code and Title CTHC 1010 - BL61 Foreign Language 1 24011 BS HOSPITALITY MANAGEMENT CHANGE OF GRADE From (Old Grade) Summer To (New Grade) 5.00 3.0 JUSTIFICATION Briefly explain the justifiable reason/s for the change in the student's previous grades. Please provide a list of the student’s grades in the course and documentation of how the final grade was calculated specifically, grading criteria, class record, and old student grade form. For class record, attach the Summary of Class Record for Tertiary or SHS Class Record. Faculty Member’s Full Name and Signature Date Requested 08/17/2024 Cate Norreine P. Santiago REQUIRED SIGNATORIES (Please ensure all fields required are completely filled out with supporting documents before signing.) DESIGNATION REMARKS PRINTED NAME SIGNATURE BASED ON STATUS DATE PROGRAM HEAD/ ASSISTANT PRINCIPAL ACADEMIC HEAD/PRINCIPAL MELISSA R. AZARCON ENDORSED NOT ENDORSED ENDORSED NOT ENDORSED ENDORSED NOT ENDORSED APPROVED DISAPPROVED ENDORSED NOT ENDORSED GRADES ARE POSTED GRADES ARE NOT POSTED GRADES PRINTED AND ISSUED TO STUDENT GRADES ARE NOT PRINTED AND ISSUED TO STUDENT REGINA R. MAPE SCHOOL ADMINISTRATOR/ DEPUTY SCHOOL ADMINISTRATOR JESSIE M. VERANO SCHOOL PRESIDENT/SCHOOL DIRECTOR KERWIN C. KAW ACADEMIC OPERATIONS MANAGER STI HO ENCODER REGISTRAR FELICIANO MONTEMAYOR Change of Grade Form | FT-AOG-004-00