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Grade Change Petition Form - Free Education Template | ZenBuild | ZenBuild

Templates→Education→Grade Change Petition Form

Grade Change Petition Form

Students formally petition for a grade change with academic justification and supporting evidence.

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CategoryEducation

IndustryEducation

Fields12

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grade changepetitionacademicstudent rightscollege

Grade Change Petition Form — Form Fields

This education template includes 12 fields. Students formally petition for a grade change with academic justification and supporting evidence. Free to customize and use on ZenBuild.

Student Full Name (text, required)
Student Email (email, required)
Student ID (text, required)
Course Name and Number (text, required)
Instructor Name (text, required)
Semester and Year (text, required)
Current Grade (dropdown selection, required) — options: A, B, C, D, F, Incomplete, Withdrawal
Requested Grade (dropdown selection, required) — options: A, B, C, D, Pass, Incomplete Resolution, Other
Basis for Petition (dropdown selection, required) — options: Grading Error, Assignment Not Recorded, Medical Circumstances, Other
Detailed Explanation (long text, required)
Supporting Evidence (file upload, optional)
I confirm I have first discussed this with the instructor (checkboxes, required)