Incomplete Grade Agreement

Instructor Name*

First NameLast Name

Instructor Mid Mich Email*

example@midmich.edu

Semester*

2024FA, 2025WI, 2025SU, etc.

Enter the course number.*

ENG.111, MAT.104, BIO.138, etc.

Enter the course title.*

Medical Terminology, Fundamentals of Communication, Freshman English Composition, etc.

Provide a link to the course syllabus.*

Provide the Simple Syllabus link.

Student's Name*

First NameLast Name

Enter the student's Mid Michigan College Student ID Number.*

You can find Student ID Numbers in your Self-Service Course Roster.

Student's Mid Mich Email*

example@midmich.edu

If a student is unable to complete all the requirements of a course because of extenuating circumstances they may be eligible for an incomplete grade. Extenuating circumstances may be a car accident, death in the family, or hospitalization. In order to qualify for an incomplete grade agreement the student must have completed at least 75% of the coursework. It is at the discretion of the instructor to grant an Incomplete Grade (I).

Upon completion of the course requirements listed below the instructor will change the student's grade from Incomplete (I) to the regular letter grade earned by the student in the course. If the student fails to comply with these requriements by the due date listed below the incomplete grade (I) will autmatically be changed to a grade of Failure (F).

If the incomplete is for the fall semester it must be completed by the end of the next winter semester.
If the incomplete is for the winter semester it must be completed by the end of the next fall semester.
If the incomplete is for the summer semester it must be completed by the end of the next fall semester.

Provide the remaining course requirements and explain how the student's work will be evaluated.*

The student is responsible for completing these requirements to complete this agreement.

Incomplete Grade Agreement/Course Requirements Due Date*

MonthDayYear

Instructor Signature*

Today's Date*

MonthDayYear

Acknowledgement of Incomplete Grade Agreement*

I, the student, acknowledge that I currently have an Incomplete Grade (I) and must complete the requirements outlined above by the due date entered above or my Incomplete Grade (I) will automatically change to a Failure Grade (F).

Student Phone Number*

Area CodePhone Number

Student Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student Signature*

Today's Date*

MonthDayYear

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