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PHS - Grade Change Request Form
Please use this form to submit electronic grade change requests for students.
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* Indicates required question
Email
*
Your email
Teacher Name
*
Your answer
Student Name (Last Name, First Name)
*
Your answer
Student ID Number
*
Your answer
Grade Level
*
10th
11th
12th
Name of Counselor
Ms. Bates (Last Names: A - Carri)
Ms. Martinez (Last Names: Carrj - F)
Ms. Jacobo (Last Names: G - H)
Ms. McDonald (Last Names: I - Men)
Ms. Frantz (Last Names: Meo - Po)
Ms. Talamantes (Last Names: Pq - San)
Mr. Lindshield (Last Names: Sao - Z)
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Course Number
Your answer
Course Title
*
Your answer
Old Grade
*
Your answer
New Grade
*
Your answer
Check Term Below
*
1st Quarter
1st Semester
Extended Day - Fall
3rd Quarter
2nd Semester Progress
2nd Semester
Extended Day - Spring
Summer School
Required
School Year for Grade Change
*
Your answer
Reason for Grade Change Request
*
Your answer
Please carefully read below and click to confirm.
*
By clicking here, this serves as your digital signature and acknowledgement of a valid grade change for the student listed above..
Required
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