DCPS Grade Change Form

DCPS Grade Change Form
1. To initiate a grade change, this form should be completed by the individual requesting the change (teacher, principal, or school counselor).
2. All required sections of this form must be completed.
3. Upon approval, the school counselor should print the email (grade change form)and approval form. Both documents should be placed in the students’ cumulative file.
First and Last Name of the Staff Person Requesting the Grade Change

First NameLast Name
Your Email
example@example.com
Email of School Counselor (Double Check email address for Accuracy)
example@example.com
Email of School Principal (Double Check email address for Accuracy)
example@example.com
Student's First and Last Name

First NameLast Name
Student's ID Number
School
School Year
Student Grade Level at the Time the Original Grade Was Assigned:
Course Name
Class Period (Secondary Only) Elementary enter NA
Teacher Name For the Course with the Grade Change
Grading Period for Grade Change
Original Letter Grade

Other
Original Percentage Grade
New Letter Grade

Other
New Percentage Grade
If you do not know, enter 0.0
Reason For Grade Change Request
Should be Empty: