Contract for Completion of Incomplete Grades Red Deer College 100 College Blvd., Box 5005 Red Deer, Alberta CANADA T4N 5H5 Telephone: 403.342.3400 Fax: 403.357.3660 E-mail: [email protected] Web-site: www.rdc.ab.ca The personal information that you provide on this form is being collected under the authority of the Post-Secondary Learning Act and the Freedom of Information and Protection of Privacy Act of Alberta. It will be used by the instructor in order to provide you with a final grade and will be disclosed to the Student Records office. The information will be protected in compliance with the provisions of the Freedom of Information and Protection of Privacy Act of Alberta and in accordance with RDC Records and Information Management Policy. If you have any questions about the collection and use of this personal information, please contact the Registrar, Red Deer College, 100 College Blvd., Box 5005, Red Deer, Alberta, T4N 5H5, Telephone: 403. 342.3400. To be completed by instructors and students Complete this form when an incomplete grade has been assigned and completion of the course will exceed 30 days from the date final grades were due. Submit the completed form to the Office of the Registrar. STUDENT INFORMATION LAST NAME FIRST NAME MIDDLE NAME RDC STUDENT ID # COURSE INFORMATION SUBJECT COURSE SECTION TERM COMPLETION DATE FINAL GRADE IF REQUIREMENTS ARE NOT COMPLETED Requirements to be completed: AUTHORIZATION STUDENT SIGNATURE DATE INSTRUCTOR SIGNATURE 04/17
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