Change of Grade
Instructor's Name
*
First Name
Last Name
Instructor's Email
*
example@example.com
Student Name
*
First Name
Last Name
LoLA/Banner ID #:
*
Course Information
*
Reason for Grade Change
*
Department Head's Email for approval
*
example@fletcher.edu
Dean's Email for approval
*
example@fletcher.edu
Registrar's Office Use
Processed by:
*
Date
*
-
Month
-
Day
Year
Date
Comments:
Submit
Should be Empty: