Incomplete ('I') Grade Form

Student first name *

Student middle initial

Student last name *

Student ID # (e.g., A01234567) *

Student TXST email address (e.g., x_y789@txstate.edu) *

Course # (SOWK ______) *

Course section #

Semester taken *

Instructor last name (and first initial, if necessary)

Instructor TXST email address (e.g., zz100@txstate.edu) *

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 removed. *

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 dealine 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 understand 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)
Program Director
School of Social Work Director
School of Social Work Admin III

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

If you happen to see this, do not fill this field.