Verification Form for “P” Grade Developmental Math

 Verification Form for “P” Grade Developmental Math (To process this form, students must include their “A” number NOT their Social Security Number) Date: Term:
Student (Print Name): Student Signature:
Math Course/Section Student A#: Test Score Instructor Signature Specialist Signature TSI Complete / College Ready: Yes No Math Instructor is responsible to:  Sign Verification Form  Enter the grade of “P” in grade book  Submit a grade of “P” on the official grade roster at the end of the semester Student is responsible to:  Get a Verification Form from the Student Success Specialist or print it from: http://develop.southtexascollege.edu/dev‐math/pdf/P‐Grade Form.pdf  Provide Math Instructor with Verification Form to sign.  Return Verification Form to one of the individuals listed below: Pecan Campus Velma Cervantes (956) 872‐3461 Office Building K 1.614 [email protected] Starr Campus Celinda Esparza (956) 872‐1994 Office Building J 3.1004 [email protected] Mid‐Valley Campus Herlinda (Linda) Medrano (956) 973‐7668 Office Building B 202‐A [email protected] Return this form to your Student Success Specialist *Original for Student Success Specialist**Copy for the Instructor***Copy for Student