Request to Retake a Test

Name: _____________________________________ Test to be retaken: ____________________________ Have you had to retake any tests previously in this course this semester? ________________________________ If so, which ones? ___________________________________________________________________________ Your answers to the questions below will be used to determine whether you will be allowed to retake the test, so put some thought into them. Explain why you think you did not do well on this test.

Do you feel that you put adequate time into preparing for this test? How much of your homework did you do before this test?

Do you think your performance on this test was a fair representation of your knowledge at the time you took it? Explain.

Besides improving your grade, what benefit will you get from retaking this test?

What will you do to ensure that your performance on the retake will be better than it was on the original test?

What will you do in the future to ensure that you are prepared for your test on the day its given. Be specific.

I understand that the teacher decides whether to grant me the opportunity for a retake. I also understand that my second score will replace the first score, better or worse, and that it is my responsibility to ensure that I do better on the retake. Signed _____________________________________________ Date ______________________