Name:________________________________________________________

Student ID:__________________________________________________

Course (Name and Number):____________________________________

Todays Date:___________________ Submittal Date:______________

Request to Review: (What?)___________________________________

Instructions: You may request that any graded work be reviewed for regrade. You must

request review within 5 days of this work being returned to you. YOU MUST NOT MARK

OR WRITE ANYTHING on ANY work that is submitted for regrade. You must complete all

parts of any form questions appropriate to your request. Please print neatly.

If you believe an error has been made in arithmetically calculating points you do

not need to fill in this form, otherwise NO grade change will be considered without

this form. You must resubmit the entire work for regrade. If you have requested

regrade of more than delta E (about 8 percent) of total points, the entire work

may be re-evaluated. Be precise, detailed and specific.

Question Number and/or part:______________________________________________________

Why is this to be re-graded (what, why)?__________________________________________

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Question Number and/or part:______________________________________________________

Why is this to be re-graded (what, why)?__________________________________________

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Question Number and/or part:______________________________________________________

Why is this to be re-graded (what, why)?__________________________________________

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Question Number and/or part:______________________________________________________

Why is this to be re-graded (what, why)?__________________________________________

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