Grade Change Form
For instructor use only; therefore, must be sent from your Prescott College email address. Please complete all fields. Be sure to click both the Submit AND the Sign Here buttons to complete the routing.This form is routed directly to the Registrar's Office.
Instructor Information
Instructor Name
*
First Name
Last Name
Instructor E-mail
*
example@example.com
Program
*
OnCampus Undergraduate
Online Undergraduate
Online Masters
Online PhD
Student Name
*
First Name
Last Name
Student Middle Name
Used for verification purposes
Course ID Number
Course Title
*
Year and Term
*
Example: Fall 2017
Session
*
Term
Block
Semester
Former Grade
*
Revised Grade
*
Reason for Grade Change
*
Signature
I authorize this change of grade
On-Campus Undergraduate Program Only
The fields below are for the On-Campus Undergraduate Program Only
Former Writing Emphasis Credit
N/A
Yes
No
Revised Writing Emphasis Credit
N/A
Yes
No
Submit
Should be Empty: