Change of Grade Report

Change of Grade Report
Admissions/Records PO Box 8000 Graham, NC 27253 336-506-4270 www.alamancecc.edu
Course Prefix: Prefix Course #: #
Section #: #
Student's Name:   Name   Student ID#: #
When did Student take this course?
Summer    Spring    Fall
Note: For "WP: or "NA" Grades use drop form only.

Previous Grade Reported:   Previous Grade

Grade now being reported: New Grade
State Reasoning
Noted on Watermark*

Faculty
Completed on spreadsheet Prior to submitting form?

Yes
Faculty Signature*

Clear
Department Head's Email:
example@example.com
Academic Dean's Email:
example@example.com
Date

MonthDayYear
Date
For Regristar's Office Only
Processed By
Date

MonthDayYear
Date
Should be Empty: