University Name:

Professor's Name:

Professor's E-mail Address:

Your name:

Your e-mail address:

Course name:

You'd like your grade changed from to .

Check off all the reasons why you'd like your grade changed:

The persons who copied my paper made a higher grade than I did.

The person whose paper I copied made a higher grade than I did.

This course will lower my Grade Point Average and I won't get into:

Medical School Graduate School Dental School

My fraternity/sorority Tri County Tech The Mickey Mouse Club

I have to get an A in this course to balance the F in

I'll lose my scholarship.

I'm on a varsity sports team and my tutor couldn't find a copy of your exam.

I didn't come to class and the person whose notes I used did not cover the material asked for on the exam.

I studied the basic principles and the exam wanted every little fact.

I learned all the facts and definitions but your exams asked about general principles.

You are prejudiced against:

Males Females Blacks Whites Jews Catholics

Protestants Moslems Chicanos Minorities Students

People

If I flunk out of school my father will disinherit me or at least cut my allowance.

I was unable to do well in this course because of the following illness:

mono acute alcoholism VD broken baby finger pregnancy

fatherhood

You told us to be creative but you didn't tell us exactly how you wanted that done.

I was creative and you said I was just shooting the bull.

I don't have a reason; I just want a higher grade.

The lectures were:

too detailed to pick out important points

not explained in sufficient detail

too boring

all jokes and not enough material

all of the above

This course was:

too early, I was not awake.

at lunchtime, I was hungry.

too late, I was tired.

My my for this course.

Other