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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 _____________________________________________________________________________