To: Professor _________________________
From: Undergraduate Student ___________________________

I think my grade in your course should be changed from ______ to _______ for the following reasons:

1. I was unable to do well in this course because of the following illness:
______mono
______broken baby finger
______acute alcoholism

______VD
______pregnancy
______fatherhood

2. This course will lower my Grade Point Average and I won't get into:
______Law School
______Medical School
______Graduate School
______Dental School
______A Fraternity/Sorority
______Tri County Tech

3. 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

4. You are prejudiced against:
______Males
______Jews
______Blacks
______Females
______Catholics
______Whites
______Protestants
______Moslems
______Minorities
______Chicanos
______People
______Students

5. This course was:
______too early, I was not awake.
______at lunchtime, I was hungry
______too late, I was tired

OTHER REASONS

______6. I have to get an A in this course to balance the F in my other courses.

______7. I'll lose my scholarship.

______8. I'm on a varsity sports team and my tutor couldn't find a copy of your exam.

______9. I didn't come to class and the person whose notes I used did not cover the material asked for on the exam.

_____10. I studied the basic principles and the exam wanted every little fact.

_____11. I learned all the facts and definitions but your exams asked about general principles.

_____12. The persons who copied my paper made a higher grade than I did.

_____13. The person whose paper I copied made a higher grade than I did.

_____14. If I flunk out of school my father will disinherit me or at least cut my allowance.

_____15. You told us to be creative but you didn't tell us exactly how you wanted that done.

_____16. I was creative and you said I was just shooting the bull.

_____17. I don't have a reason; I just want a higher grade.

_____18. My (dog, cat, gerbil) (ate, wet on) my (book, notes, paper) for this course.

_____19. Other ______________________________