MONTCALM COMMUNITY COLLEGE

Incomplete Grade/Make-up

Student Name: _______________________________________________

Address:  ___________________________________________________                   ___________________________________________________        

ID No: _____________________________________________________

Instructor: __________________________________________________

Course Title: _____________________________________

Course Number:_____________________________

  Semester: Fall _______  Spring _______ Summer _______ Year________

A.      Course work to be completed:

B.       Expected date of completion: _______________________________


Student's grade to date:  ______________________________________


Weight of incompleted work: ___________________________________

 Final grade if work is not completed: _____________________________



Student's Signature __________________________________________                                                                                                                 
Date _{______________________________}


Instructor’s Signature________________________________________

Date  __________________________

NOTES: THE STUDENT IS RESPONSIBLE FOR COMPLETING THE WORK.

THE INSTRUCTOR IS RESPONSIBLE, FOR MAKING TWO COPIES OF THIS FORM (ONE FOR STUDENT,  ONE FOR INSTRUCTIONAL ADMINISTRATOR) AND ATTACHING THE ORIGINAL TO THE FINAL GRADE ROSTER WHEN RETURNED TO THE REGISTRAR

 Rev. 9/98