CONTRACTUAL AGREEMENT FOR ISSUANCE OF “INCOMPLETE”
LAST NAME FIRST NAME MIDDLE NAME LOLA STUDENT ID #
COURSE TITLE COURSE NO./SECTION CRN NO. SEMESTER/YEAR INSTRUCTOR
It is agreed that the following assignment must be completed on or before
DATE
SEMESTER
in order to remove the “I” received for the above-listed course.
I understand that an “I” will be placed on my transcript until I complete the aforementioned assignment. If I do not complete the assignment by the date listed above, I understand that the “I” will convert to an “F”.
ASSIGNMENT:
It is understood that completing the contracted assignment will not guarantee a passing grade. My grade will be based on the quality of work as well as the completion of the assignment by the date stated.
____________________ ________ ____________________ __________
Student’s Signature Date Instructor’s Signature Date