Please remit to: Ms. Migdalia Turner

University Registrar’s Office Glassboro, New Jersey 08028-1701

CHANGE OF GRADE REQUEST

A faculty member wishing to change a grade that has been recorded may request such a change by completing this form in full for each grade change and submitting it to the Dean of his/her Division. The Dean’s Office is responsible for forwarding the form to the Office of the Registrar. Students may not submit the form. Do not use pencil. A copy of the signature of the dean or dean’s designee must be on file in the Registrar’s Office.

NAME OF STUDENT ___________________________________ ID# _________________

Check if applicable: CANDIDATE FOR _____SPRING _____SUMMER _____FALL GRADUATION

COURSE TITLE ______________________________SUBJ & CRS#____________________

DATE ORIGINAL GRADE RECORDED___________________________________________

ORIGINAL GRADE___________________ NEW LETTER GRADE____________________

EXPLANATION IN FULL FOR REQUESTING CHANGE OF GRADE:

_____________________ _____________________________________________________ DATE PROFESSOR SIGNATURE

_____________________ _____________________________________________________ DATE DEPARTMENT CHAIRPERSON SIGNATURE

_____________________ _____________________________________________________ DATE COLLEGE DEAN/DESIGNEE SIGNATURE _____________________________________________________________________________