Student Responsibility Card

1. What was the assignment that you failed to turn in?

__________________________________________________________________

2. Why did you fail to turn in the assignment?

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

3. What is your plan for completing the assignment? (When and where will you
finish it?)
__________________________________________________________________
__________________________________________________________________

4. When will you turn in the assignment?

__________________________________________________________________
All of the above information is completely accurate and true to the best of my
knowledge.
Student Signature: ________________________________________________