Grade Change Application Form
University of Smart Minds
Student's Name
First Name
Last Name
Email Address
example@example.com
Student ID
Semester
Course Code
Course Title
Change grade:
  Â
1
  Â
to
  Â
2
  Â
Reason for change:
Instructor's Name
First Name
Last Name
Student's Signature
Application Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: