Aromas-San Juan USD | E 5121 Students
Grades/Evaluation Of Student Achievement
GRADE CHANGE FORM
DATE OF GRADE CHANGE REQUEST: GRADE LEVEL:
STUDENT NAME: STUDENT ID#:
(Please Circle Applicable Grading Period)
ELEMENTARY SCHOOL: FIRST SECOND THIRD TRIMESTER
HIGH SCHOOL: PROGRESS REPORT: 1 2
PROGRESS REPORT: 4 5
COURSE: COURSE #:
REASON FOR GRADE CHANGE:
_ CLERICAL OR MECHANICAL MISTAKE
_ INCOMPLETE GRADE:
GRADE ORIGINALLY RECORDED: GRADE CHANGED TO:
DATE GRADE CHANGE COMPLETED BY REGISTRAR:
* This form is to be completed in its entirety and shall be maintained by the registrar.
* Any supporting comments and/or documentation must be attached to this form.
* Grades may only be changed within six weeks of assigning the initial grade. Grades may be changed up to the next six week period that school is in session.
* Grades may only be changed by the teacher of record. In the event of a catastrophic situation prohibiting the teacher from signing the form, the form may be signed by both the principal and superintendent.
Exhibit AROMAS-SAN JUAN UNIFIED SCHOOL DISTRICT
version: January 25, 2012 San Juan Bautista, California