Universal Grade Change Form

Nursing Students General Students

Published

University: ______________________

To: Professor ____________________

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 Grade Point Average and I won't get into:

______ Medical School

______ Graduate School

______ Dental School

______ My Fraternity/Sorority

______ The Mickey Mouse Club

______ Tri County Tech

__ 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 tutor couldn't find a copy of your

exam.

__ 7. I didn't come to class and the person whose notes I used did not cover

the material asked for on the exam.

__ 8. I studied the basic principles and the exam wanted every little fact.

__ 9. I learned all the facts and definitions but your exams asked about

general principles.

__ 10. You are prejudiced against:

____ Males

____ Jews

____ Blacks

____ Females

____ Catholics

____ Whites

____ Protestants

____ Moslems

____ Minorities

____ Chicanos

____ People

____ Students

__ 11. If I flunk out of school my father will disinherit me or at least cut

my allowance.

__ 12. I was unable to do well in this course because of the following

illness:

____ mono

____ broken little finger

____ acute alcoholism

____ pregnancy

____ VD

____ fatherhood

____ motherhood

__ 13. You told us to be creative but you didn't tell us exactly how you

wanted that done.

__ 14. I was creative and you said I was just shooting the bull.

__ 15. I don't have a reason; I just want a higher grade.

__ 16. 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

__ 17. This course was:

____ too early, I was not awake.

____ at lunchtime, I was hungry

____ too late, I was tired

__ 18. My (dog, cat, gerbil) (ate, wet on, threw up on) my (book, notes,

paper) for this course.

__ 19. Other__________________________________

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