To: (professor/teacher/instructor) ________________________
From: _____________________
I think my grade in your course,_________________, should be changed from___to___for the following reasons:
  1.____The persons who copied my paper made a higher grade than I did.
  2.____The person whose paper I copied made a higher grade than I did.
  3.____This course will lower my GPA and I won't get into:
             __Med School  __Dental School  __PA School  __PT School  __Vet Med School  __Nursing School
             __Grad School  __Chiropractic School  __ Acupuncture School __study abroad program  __Mickey Mouse Club
  4.____I have to get an A in this course to balance the F in ___________.
  5.____I'll lose my scholarship.
  6.____I'm on a varsity sports team, and my coach couldn't find a copy of your exam.
  7.____I got a concussion playing __________.Â
 8.____I had an ___early ___ away game ___during labs___during exam times.
 9.____I had to leave ___class ___labs early, because Coach says I have to be at practice before class/lab ends.
10.____I didn't come to class, and the person whose notes I used did not cover the material asked for on the exam.
11.____I studied the basic principles but the exam wanted every little fact.
12.____I studied the facts and definitions but the exam asked about general principles.
13.____I understood the material; I just couldn't do the problems.
14.____I can work the problems, but your exam expected understanding.
15.____You are prejudiced against:
            __males  __females  __Protestants  __Jews  __Catholics  __Muslems  __Buddhists __atheists
            __Asians  __Blacks  __Chicanos __Whites  __minorities __jocks  __students Â
            __young people  __old people  __people
16.____If I flunk out of school my father will disinherit me or at least cut my allowance.
17.____I was unable to do well in this course because of the following:
            __mono __acute alcoholism  __drug addiction __VD  __broken finger  __pregnancy__fatherhood
            __I have an allergic reaction to brain work  __I am intellectually challenged.
            __My (father, mother, grandmother, grandfather, aunt, uncle, friend) (died, was injured in a plane, train, auto crash)
18.____You told us to be creative but you didn't tell us exactly how you wanted that done.
19.____I was creative and you said I was just shoveling bull.
20.____The lectures were:
            __too detailed to pick out important points __not explained in sufficient detail __all jokes and no material
            __too serious--not enough entertainment to keep me awake   __too boring.
21.____This course was:
             __too early, I was not awake.  __too late, I was tired.  __at lunchtime, I was hungry.
22.____My (dog, cat, gerbil) (ate, wet on, threw up on) my (book, notes, term paper) for this course.
23.____All my other profs have agreed to raise my grades.
24.____I am entitled to a higher grade.
25.____I don't have a reason; I just want a higher grade.