Print this page out, fill in the form and turn it in to the instructor. Requests for reappraisals will not be accepted on the same day that material is returned.

Family Name :

Given Name :

Student ID :

Contact Email :

Instructor :

Section :

Date of Submission :

Description of what you would like to have reappraised and why:

I understand that the entire body of work will be remarked and that the reappraisal could result in the mark being adjusted higher, lower or not at all.

Student Signature :