Grade Change Form
Note: This form should only be completed by the instructor.
Student BYUH ID #
*
Student Name
*
First Name
Last Name
Instructor Name
*
First Name
Last Name
Instructor Email
*
example@example.com
Department
*
Semester
*
Please Select
Fall
Winter
Spring
Year
*
Course and Grade Information
For semesters starting Fall 2026 and onward, enter "0000" in the Class Number field.
Course Subject
*
Course Number
*
Section
*
Class Number
Original Grade
*
New Grade
*
Reason for Change
Check what applies:
*
Instructor's Error
Completed (I Grade)
Other (Specify Below)
*
Has the semester of the class passed one year?
*
Yes
No
Course Subject Dean
*
Please Select
Charles Bradshaw
Aaron Shumway
Inoke Hafoka
Nancy Tarawhiti
Aaron Curtis
Matthew Bowen
Brad Smith
Brandyn Akana
Rebekah Strain
Dean's Email
*
example@example.com
Vice President's Email
*
example@example.com
Instructor's Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: