TVCC Grade Change Form
Modified 12/21 - Version 2.0
Today's Date
*
/
Month
/
Day
Year
Requester Name
*
First Name
Last Name
Requester Cardinal ID
*
EX) gwashington or clara.barton
Requester Email
*
gwashington@tvcc.edu
Student's Name
*
First Name
Last Name
Student ID
*
Semester / Cycle for Grade Change
*
Year for Grade Change
*
Reason Codes
1.
Student completed Work
3.
Submitted work found/discovered
2.
Calculation Error by Instructor
4.
Other / Miscellaneous (Describe)
Course Change ( A reason code must be selected)
Course Name (ENGL)
Course Number (1301)
Section Number (ONL01)
Original Grade
New Grade
Reason Code
1
A
B
C
D
F
P
NC
I
W
100
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1
0
P
NC
I
1
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2
A
B
C
D
F
P
NC
I
W
100
99
98
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3
2
1
0
P
NC
I
1
2
3
4
3
A
B
C
D
F
P
NC
I
W
100
99
98
97
96
95
94
93
92
91
90
89
88
87
86
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3
2
1
0
P
NC
I
1
2
3
4
4
A
B
C
D
F
P
NC
I
W
100
99
98
97
96
95
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93
92
91
90
89
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86
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4
3
2
1
0
P
NC
I
1
2
3
4
5
A
B
C
D
F
P
NC
I
W
100
99
98
97
96
95
94
93
92
91
90
89
88
87
86
85
84
83
82
81
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79
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77
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10
9
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6
5
4
3
2
1
0
P
NC
I
1
2
3
4
Other / Miscellaneous' Reason
0/300
Are you a Satellite Campus Director, Division Chair, AVP, or the VP of Instruction?
*
Yes
No
Are you a ...
Please Select
Division Chair/Satellite Campus Director
AVP
VPI
Select appropriate DIVISION CHAIR email address for APPROVAL
Please Select
randall.vandertuin@tvcc.edu
jason.smith@tvcc.edu
daniel.allen@tvcc.edu
rbrittain@tvcc.edu
jcooper@tvcc.edu
dana.curry@tvcc.edu
kristin.huggins@tvcc.edu
john.placyk@tvcc.edu
erichardson@tvcc.edu
arogers@tvcc.edu
suzzette.stringer@tvcc.edu
If submitting a grade change for TDCJ (pre-service and in-service), please choose randall.vandertuin@tvcc.edu. If submitting a grade change for Health Science, please choose jason.smith@tvcc.edu.
Select appropriate AVP email for APPROVAL
*
Please Select
erichardson@tvcc.edu
jason.smith@tvcc.edu
DivisionChair Email
example@example.com
AVP Email
example@example.com
VPI Email
*
Submit
Should be Empty: