S/U Grade Change Request

Information IMPORTANT

Students must first meet with a Counselor before this form can be processed. Please see S/U Grading Option FAQs for more information. This form must be submitted between Thursday, May 21, 2020 and Tuesday, June 15, 2020. No requests will be accepted after 5:00 PM on June 15, 2020.

STUDENT INFORMATION
Please enter your 10 digit NSHE ID:
The phone number must be in the following format: ###-###-####
Which counselor have you met with?
COURSES
Courses requesting to be changed:

* At least one course entry is required to complete this form.

COURSE #1
Course (Ex. ENG 101)
5-digit class number:
Original class grade:

** Converted grade will be S **

** Converted grade will be U **

COURSE #2
Course (Ex. ENG 101)
5-digit Class Number:
Original class grade:

** Converted grade will be S **

** Converted grade will be U **

COURSE #3
Course (Ex. ENG 101)
5-digit Class Number:
Original class grade:

** Converted grade will be S **

** Converted grade will be U **

COURSE #4
Course (Ex. ENG 101)
5-digit Class Number:
Original class grade:

** Converted grade will be S **

** Converted grade will be U **

COURSE #5
Course (Ex. ENG 101)
5-digit Class Number:
Original class grade:

** Converted grade will be S **

** Converted grade will be U **

COURSE #6
Course (Ex. ENG 101)
5-digit Class Number:
Original class grade:

** Converted grade will be S **

** Converted grade will be U **

SIGNATURE
Per consultation with a Counselor, I understand by submitting this form I am requesting a permanent change to my academic record and understand the implications of the S/U grade. All grades are final upon degree posting and are not eligible for change. I have also read and understand the Satisfactory/Unsatisfactory (S/U) Grading Option FAQ sheet found at https://www.csn.edu/registrarforms.
Enter full legal name:

Today's Date: Jun. 3, 2020