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Grade Change Request

*Teacher fills out the grade change request form. * Admin receives the form to review in an email. *Admin will reply to the email with approval. * PEIMS Clerk will receive the admin email and correct the grade.
Student Name(Required)
Teacher Name(Required)
What area will the grade change be indicated?(Required)
Select the cycle that apply(Required)
Select the semester that apply(Required)

Cycle 1

Current Average(Required)
Select the average you would like to correct.
Enter the new average.
Reason(Required)

Cycle 2

Current Average(Required)
Select the average you would like to correct.
Enter the new average.
Reason(Required)

Cycle 3

Current Average(Required)
Select the average you would like to correct.
Enter the new average.
Reason(Required)

Cycle 4

Current Average(Required)
Select the average you would like to correct.
Enter the new average.
Reason(Required)

Cycle 5

Current Average(Required)
Select the average you would like to correct.
Enter the new average.
Reason(Required)

Cycle 6

Current Average(Required)
Select the average you would like to correct.
Enter the new average.
Reason(Required)

Semester 1

Current Average(Required)
Select the average you would like to correct.
Enter the new average.
Reason(Required)

Semester 2

Current Average(Required)
Select the average you would like to correct.
Enter the new average.
Reason(Required)
Hidden

Section Break

Submitter Name(Required)
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