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Incomplete Grade Form

Instructor's Name: Instructor's Email:

Course Number and Name :

Course was taken :

Student's Name : Student's Email :

Student's ID :

Reason for the incomplete grade:

Describe the incomplete work :

Date work must be submitted :

I, , understand that if the missing work is not submitted by the date indicated above, my incomplete grade will convert to an F.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

July 12, 2017 1:17 pm CDT

Incomplete Grade Form Uploaded by KWC eForms Administrator - bblount@kwc.edu IP 24.106.144.66

March 2, 2018 3:07 pm CDT

Lindsey Crowe - lcrowe@kwc.edu added by C Bryan Blount - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66

October 2, 2018 3:16 pm CDT

Lindsey Crowe - lcrowe@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66

October 2, 2018 3:48 pm CDT

Lindsey Crowe - lcrowe@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66

October 2, 2018 3:48 pm CDT

Margaret Smith - margaret.smith@kwc.edu added by KWC eForms Administrator - bblount@kwc.edu as a CC'd Recipient Ip: 24.106.144.66