Census Roster Adjustment Form
The census roster adjustment form has two purposes.
A formal request by a faculty member to reinstate a student administratively dropped from a course in error based on an inaccurate census roster. This request MUST be submitted within 24 hours of contact from the advising team or dual credit office.
A formal request by a faculty member to administratively drop a student after the census date who was marked as attending on a census roster but had not attended.
Either request is subject to review and monitoring by the Trinity Valley administration and Registrar. Verification of attendance records may be requested.
Select one:
*
On census, I certified a student as attending but they should have been marked as not-attending.
On census, I certified a student as not-attending but they had completed the Student Success Agreement in Canvas by the end of the census date and should be allowed to remain in the course.
On census, I certified a student as not-attending but they had attended class at least once by the end of the census date and should be allowed to remain in the course.
Acknowledge the following statement:
Trinity Valley's institutional practice is for faculty to closely monitor their rosters between the beginning of the term and census and mark all students who do not complete the Student Success Agreement or attend class at least once by the end of the census date as "Never Attended" by 10:00 AM the day after the census date. I acknowledge that I only have two business days to correct my error. I also understand that I may need to provide evidence of attendance.
Why was the student's attendance incorrectly marked on your official census roster?
*
Why was your census roster submitted incorrectly?
Faculty Name
*
First Name
Last Name
Faculty Email
*
example@tvcc.edu
Student Name
*
First Name
Last Name
Student ID Number
*
Term
*
Please Select
Fall
Wintermester
Spring
Summer
Year
*
Please Select
2024
2025
2026
2027
Course information
*
Course Prefix (ENGL)
Course Number (1301)
Course Section (ONL01)
Course
Faculty Signature
*
Division Chair
*
Please Select
Brittain, Robert
Cooper, Jenny
Curry, Dana
Huggins, Kristin
Placyk, John
Richardson, Erica
Rogers, Amy
Stringer, Suzzette
AVP
*
Please Select
Richardson, Erica
Smith, Jason
Division Chair Email
example@example.com
AVP Email
example@example.com
Registrar
example@example.com
Caroline
example@example.com
Submit
Should be Empty: