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Change of Grade Form
8/4/2016

Change of Grade Request Form

WHITWELL HIGH SCHOOL

 

Course Name__________________________________________

Teacher Name__________________________________________

Student Name__________________________________________

Current Grade__________________________________________

New Grade____________________________________________

Reason for Change______________________________________

Request Date__________________________________________

Approved_________________Not Approved_________________

 

Signature _____________________________________________

(Principal/Assistant Principal)

 

Date_________________________________________________

copy must remain in permanent record and with transcript