Petition for Incomplete Grade

"*" indicates required fields

Students with verifiable, unavoidable reasons for being unable to complete a course within the normal course time may submit this form to the faculty member of the course to request an incomplete grade (“I” grade). To be eligible, a student must have satisfactorily completed more than 60% of the course requirements and attendance (passed the withdrawal deadline for the course).

Form must be processed prior to the last day of instruction for the course.

Student Name*

First Middle Last

TCC ID*

Course Information*

Class Number

Subject

Catalog Number

Class Section

Semester*

Year*

I am requesting an incomplete grade for the following reason:*

Attach additional pages or documentation

Drop files here or

Max. file size: 32 MB.

Please list the outstanding work/assignments needed to complete the course/ Note: completion due date may not be set beyond the last day of instruction for the subsequent semester(without written approval of the Campus Provost)

Outstanding work/assignments*

Assignment Name

Course Weight (%)

Due Date

STUDENT: By signing below, I agree to complete the work/assignments detailed above before the due date. If I do not, I understand my currently assigned course grade will remain on my permanent academic record.

Signature*

Date*