Grade Request Form

1
Student Name* This field is required.Please only place the student first and last name not middle or nick names.
Prefix
First Name
Middle Name
Last Name
Suffix
2
Student Number* This field is required.
3
Staff Name* This field is required.Please only put your name upon this form as listed in your employee records. You may used Dean or otherwise as a prefix.
Prefix
First Name
Middle Name
Last Name
Suffix
4
Staff E-mail* This field is required.
Email Verified
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
5
Employee ID#* This field is required.Please put your Employee ID information below.
The ID information list upon you badge.
6
Student's Class Canvas Report* This field is required.Please upload the report issued from your "Free for Teacher Canvas report related to the student.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
7
Staff Supportive document/Justification for grade* This field is required.Please upload any additional information you need or must add to justify the grade given.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
8
What program, college, school or workshop is issuing these grades?* This field is required.Please tell us what program, school, and/or college these grades are being reported from.
College of Ecclesiastical Music Studies
College of Institutional Studies
College of Ecclesiastical Transportation Studies
College of Ecclesiastical Community Development
College of Ecclesiastical Community Development Programs
College of Ecclesiastical Legal Studies
College of Ecclesiastical Business Studies
College of Ecclesiastical Studies
College of Ecclesiastical Music Studies
College of Ecclesiastical Music Studies
College of Ecclesiastical Music Studies
College of Ecclesiastical Music Studies
Local Church
Sites Center
Other Religious order
Prisons Ministry Sites
Prisons Education Sites-Federal
Prisons Education Sites-State
Jail Education Sites-Local (City/County)
WCNAC-Local Church Sunday Schools
Workshop-Online
Workshop-In person
9
Signature* This field is required.By signing this from you certify that you are the official reporting the information, as appointed by the Dean of program, school, college and others (by decree issued by the Bishop). That all information has been reviewed and is true and correct record of the students/program participants. Any violation of this form (or misuse thereof) can lead to being fine (up to $5,000.00), removal or arrest for false information. In addition to civil action in either the court of law or the ecclesiastical court.
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