Incomplete (I) Grade Record

Students interested in requesting a grade of Incomplete (I) should discuss this with instructor prior to completing this form.  PLEASE NOTE:
* According to Kentucky legislation (KRS 639.102-8), your name, typed, constitutes an electronic signature.  KRS 639.102(8) STATUTE:  http://www.lrc.ky.gov/KRS/369-00/102.PDF

First Name
Last Name
Email
Student ID Number
EDP Course and Section
Credit Hours
Semester
Year
Reason for Incomplete
How Grade is to be Calculated
Work Completed By
Year Completed
Course Instructor
Student Signature *
?
PLEASE NOTE: * According to Kentucky legislation (KRS 639.102-8), your name, typed, constitutes an electronic signature. KRS 639.102(8) STATUTE: http://www.lrc.ky.gov/KRS/369-00/102.PDF