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INCOMPLETE GRADE FORM:

1. Student Name: ___________________________________

2. Student ID: _______________________________________

3. Course Name and Course Number:


4. Date: ________________ E-mail: ____________________

5. Enrolment Semester: ______________________________

6. Student, Please Provide Reason for request below:
Please state reason you would like to receive an incomplete grade and pick up the course at a later date:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


PLEASE NOTE: At Trafalgar Distance Learning Institute all courses must be completed in the course progression presented in your Student Course Syllabus. In order for you to graduate all courses must be taken and completed in progression, as stated.

It is the studentís responsibility to notify the TDLI of the Incomplete Status Request before it is granted!

Student Signature: ___________________________________________________

Date: ______________________________________________

Student Services Advisor: ___________________________________________________

Date: ______________________________________________

Presidents Signature and Date: ___________________________________________________

END OF INCOMPLETE GRADE FORM.


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