FY2025 MSVCC P&P (MELA Approved, Under APA, Submitted to SOS)

APPENDIX G: MSVCC GRADE CHANGE FORM

PROVIDER MSVCC GRADE CHANGE FORM (To be completed for each course reported. Please maintain confidentiality.) Course Name: [Enter Course Name] Course Number: [Enter Course Number] Section: [Enter Section] Course Title: [Enter Course Title] Term: [Enter Term] Providing College: [Enter Providing College]

Instructor: [Enter Instructor Name] Host College: [Enter Host College] Receiving Individual: [Enter Receiving Individual] Student Information: Student Name Student ID

Incorrect Grade or Status/LDA

Correct Grade

Reason for Grade Change: [Enter Reason for Grade Change]

Submit by email to the Chief eLearning Officer (CELO). CELO will disseminate to student’s Host College and/or process.

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