Faculty Notification of Administrative Action

This form is to be used by Enrollment Services to notify a Faculty member or Academic Dean of an administrative action that has affected a student's enrollment or grade in a class for which the faculty member is/was responsible.

Send email notification of this action to: (enter with @tcc.edu email address)*

Do you have additional people that need to be notified of this action?*

Yes
No

Send additional email notification to: (include @tcc.edu)

Email of person/office sending notification (enter with @tcc.edu)*

Student Name*

First

Last

Student SIS ID:*

Date action was taken*

Semester*

Fall
Spring
Summer

Class (ex. ACC 123)*

Class Section*

Campus of the Class*

Chesapeake
Norfolk
Portsmouth
Virginia Beach

Action*

Grade Changed
Student has been deleted from the course roster as a result of a directive from the below office
Other, please describe

Grade Changed Information*

Use this field to indicate the original grade and the new grade (ex. "The grade was changed from a D to a B")

Student deleted as a result of a directive from the following office(s):*

Note to faculty: if the course is still in session, please print an updated course roster. Also, the student should not be allowed to continue attending/participating in the course.

Business Offce
Dean of Student Services
Financial Aid
Provost
Office of the College Registrar
Other

Other (Enrollment Services, please describe)*

Other comments or notations