• Request Form for Optional Retest: Math

     

     

    Name (printed): ________________________________________________                  Block: _________

     

    This request form plus the retest must be completed on or before two weeks from the date the original test was returned. Your final due date is:


    _________________________________________________________

     

    Test Name: ____________________________________________________________   Original score: __________

     

    Explanation of the low score/why you would like to retake this assignment: (maximum retake score that can be earned is an 80%)

     

    _______________________________________________________________________________________

     

    _______________________________________________________________________________________

     

    Create and complete three different independent activities of your choice in order to improve your understanding of the concept.

     

    1. ___________________________________________________________________________________

     

    2. ___________________________________________________________________________________

     

    3.  ___________________________________________________________________________________

     

    Please attach the following:

    ❏                   Evidence of the three independent activities that you listed above

    ❏                   Corrected test (must show how problems were solved -- not just the revised answers)

    ❏                   Study guide given to prepare for the original test (must show how problems were solved --
                          not just the revised answers)

    ❏                   Evidence of the homework given to prepare for the original test

     

    I have worked hard to improve my understanding of the concept and feel that I am ready to retake the test listed above.  Thank you!

     

    Student signature: _________________________________________________

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    For teacher use:

    Approval of the student’s request to retake the assignment?       YES                  NO

     

    If no, explanation provided: _______________________________________________________________________________

     

    ____________________________________________________________________________ Score after retake: __________

Last Modified on February 5, 2020