Incomplete ('I') Grade Form

Student first name *

Student last name *

Student ID (A0...) *

Student Texas State Email *

Course (i.e.: SOWK 1350) *

Course CRN

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Semester and Year *

Instructor (Last Name, First Initial)

Instructor TXST email *

Reason for Incomplete Grade *

What percentage of the required coursework has the student completed? *

What is the grade average of the completed work? *

Indicate in this space what work the student must complete for the 'I' grade to be changed. *

Date by which the instructor requires that the work be completed *

If the requirements are not met by the deadline, what grade will the instructor assign? *

The student has been notified of and agreed to the requirements, deadline for completion, and results of not completing the requirements by the deadline as outlined in this form. *

Yes

The student has been notified of the requirements, deadline for completion, and results of not completing the requirements by the dealine as outlined in this form but has not yet responded. *

Yes

Student Acknowledgement

The student understands that by not completing the requirements set before them by the deadline(s) determined by the instructor, the student will receive a zero for the assignments and the grade earned in the course.

Copies of this completed form will be distributed to:

Instructor
Student (Instructor will share)
School of Social Work Director
Program Director(s)

Upon completion of the Incomplete ‘I’ and for official submission of a Change of Grade utilize the Change of Grade link through the Office of the University Registrar.

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