Contract for Incomplete Grade

University of California, Berkeley Online Master of Public Health

For official information regarding incomplete grades, visit the Berkeley Academic Guide. Please read the following carefully:
A grade of Incomplete (noted “I” on the transcript) may be assigned by an instructor if a student’s work has been of passing quality but is incomplete for reasons beyond the student’s control. The student must make arrangements for an incomplete with the instructor before the end of the term.
Incomplete grades are contingent upon Instructor approval, and Instructors are under no obligation to grant them. In cases where an Instructor agrees to assign an incomplete grade, it is important to arrive at an agreement about exactly what is required in order to finish the course, what percentage of the grade will be based on the remaining work, and what the student’s deadline is. This Contract for Incomplete Grade will be used to document the agreement.
IMPORTANT: Students should not formally re-enroll in the course in CalCentral to complete the remaining work.

This form should be completed by the Instructor after a Request for an Incomplete Grade has been made by the student. Once this form has been completed and signed by the Instructor, it will be sent to the student to be countersigned. The Program, Instructor, and Student shall all retain copies of this document.

Student Name*

Student Email*

example@example.com

% of Course Work Completed*

Grade for % Completed*

Anticipated date to resolve incomplete*

Next time course is offeredOn a specific date

Anticipated date to resolve incomplete

Date

Work to be completed by student (e.g. term project, paper, examination, etc)*

Additional Comments

Instructor Name*

Instructor Email*

example@example.com

Instructor Phone*

I acknowledge I have read and consulted with instructor on the completion of this form.

If conditions of the contract change, please submit a new form. A signed copy of this form will be retained by the program.

Faculty Signature

Student Signature