Petition for Incomplete Grade

INCOMPLETE GRADE PETITION
Instructors are not allowed to accept work after the last day of the term UNLESS a student has received formal approval for an incomplete grade.

To request an incomplete grade, submit this form prior to the last day of the term. If you have not already done so, you should then contact the instructor to discuss your sitation and to determine what, if any, work would be allowed for late submission. You will be expected to show that extenuating circumstances beyond your control do not allow you to complete remaining coursework on schedule. Documentation may be required.

ELIGIBLITY: You must meet the following criteria to qualify for an incomplete.
- You have attended at least 60% of the term
  - fall & spring semesters: through week 10
  - summer semester: through week 6
- You are currently passing the course
- You have submitted at least of 80% of work due to date
- Legitimate cause prevents completion of remaining work by the due date
  - Legitimate cause may include, but is not limited to, such things as illness, unavoidable absence, or significant life change.
- All remaining work may reasonably be completed in an agreed-upon time frame
- You initiate the request for an incomplete grade before the end of the academic term
The maximum due date for submission of work is one year from the FIRST DAY of the semester for which the incomplete is issued. For example, if you are granted an incomplete grade for a spring 2023 course, the maximum extension allowed is the FIRST DAY of Spring 2024. Instructors are authorized to require completion at an earlier date. It is recommended that the due date not exceed the first day of the subsequent term.

Exception to maximum due date: incomplete grades cannot extend beyond the last day of the month you are graduating. For example, if you are graduating in spring 2023, all grades, including incompletes for the spring semester, must be submitted on or before the last day of May 2023. No extension beyond that date is allowed.

If the work approved for late submission is not received by the established due date, the incomplete will be converted to a fail.

If you are receiving finanical aid, you should be aware that all incomplete grades are considered F for the purpose of aid eligibility.

The university’s incomplete grade policy may be viewed in full at www.uwest.edu on the academic forms page and in the Academic Catalog.

Questions: Registrar@uwest.edu
DATE SUBMITTED*

MonthDayYear
Date
NAME*

First NameFamily / Last Name
STUDENT ID*
EMAIL*
example@example.com
CURRENT ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
INTERNATIONAL STUDENT (F-1)*

NOYES
LEVEL OF STUDY*

UndergraduateGraduateIntensive EnglishNon-Degree
UNDERGRADUATE*

Business AdministrationLiberal ArtsPsychologyUndeclared
GRADUATE*

DBMIN Buddhist MinistryMA Buddhist Spiritual CareMA PsychologyMA Religious StudiesMBA / Professional MBA / Post MBAMDIV Buddhist ChaplaincyPHD Religious Studies
NON-DEGREE*

Undergraduate CertificateGraduate CertificateOpen Enrollment
TERM*
E.g. Fall 2022
COURSE CODE & TITLE*
MOST RECENT DATE YOU ATTENDED or PARTICIPATED IN THIS CLASS:*
INSTRUCTOR'S NAME*
REASON FOR REQUEST*
Provide clear explanation showing why you should be granted an incomplete grade in this class
ARE YOU GRADUATING THIS TERM?*

NOYES
Incomplete grades cannot extend beyond the last day of the last month you are graduating. If you are graduating this term, the last date for submission of any outstanding work is PRIOR TO the last day of the last month of the term so that the professor may meet the deadline for submission of grades for graduating students. No extension beyond that date is allowed.
By signing, I verify that I am the student of record. I understand that I may be required to submit documentation to justify my request.

If an incomplete grade is granted, I understand that it is my responsibility to remain in contact with my instructor to determine the specific work that will be accepted and the format and date for submission, and to submit work by the established deadline. Finally, I understand that if I do not submit the work by the approved deadline my grade will be changed to F or NP, as applicable.
Signature*

Clear
APPROVALS

PLEASE REVIEW INCOMPLETE GRADE POLICY BEFORE APPROVING. Policy is included in the Academic Catalog, or you may contact Registrar@uwest.edu to request a copy.

INSTRUCTOR APPROVAL

Do you verify student's last date of attendance (above)? ______

If no, when was the student's last date of attendance? ________

Has student completed at least of 80% of work due to date? _______

Is the student currently receiving a passing grade in the class? _______

Is this request approved? _______________________

NAME: ___________________ Date: ______________

SPECIFIC COURSE WORK REQUIRED

DUE DATE (may not exceed maximum due date): ____________

DEPARTMENT CHAIR APPROVAL (department offering course)

Is this request approved? ___________________

NAME: _________________________ DATE: ____________

COMMENTS:

CAO APPROVAL (If required)

NAME: _________________________ DATE: ____________

COMMENTS:

REGISTRAR'S OFFICE

Received:

Processed:

By:

Comments:
Should be Empty:

INCOMPLETE GRADE PETITION