Incomplete ("I") Grade Form

Please note, this form is only for courses in the Department of Physics. Any student that wishes to request an Incomplete ("I") grade should always consult with the instructor of the course first. This form will be forwarded to the instructor of the course indicated for approval.

Student first name *

Student middle initial

Student last name *

Student ID # (e.g., A01234567) *

Student TXST email address (e.g., x_y123@txstate.edu) *

Course # (PHYS ____) *

Course section #

Semester taken *

Year *

Instructor last name (and first initial, if necessary)

Instructor TXST email address (e.g., ab12@txstate.edu) *

Reason for Incomplete Grade *

What percentage of the required coursework has the student completed? *

What is the grade average of the completed work? *

Indicate in this space what work the student must complete for the "I" grade to be removed. *

Date by which the instructor requires that the work be completed *

If the requirements are not met by the deadline, what grade will the instructor assign? *

The form is submitted by: (Check one of the following) *

Instructor

Student

If you happen to see this, do not fill this field.