I do not guarantee the reliabilty or the acceptance of this form by any professors at any university. If this doesn't work, don't blame me. (end disclaimer)
Universal Grade Change Form
_____________________ University
 

To: Professor __________________________________ From: _________________________________________________________

 

I Think my grade in your course, _____________________________, should be changed from a ____ to a ____ due to the following reasons:

 

____ 1. The person(s) who copied my paper made a higher grade than I did.

____ 2. The person(s) whose paper I copied made a higher grade than I did.

____ 3. This course will lower my G.P.A. and I won’t get into:

                ____ Medical School             ____ Graduate School

                ____ Dental School               ____ My Fraternity/Sorority

                ____ Tri-County Tech           ____ The 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 tutor couldn’t find a copy of your exam.

 ____ 7. I didn’t come to class and the person(s) whose notes I used did not have 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 basic principles.

 ____ 10. You are prejudiced against:

                ____ Males         ____ Females         ____ People

                ____ Blacks        ____ Whites          ____ Chicanos

                ____ Catholics    ____ Protestants   ____ Moslems

                ____ Students     ____ Other: _______________________________________

____ 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 baby finger

                ____ Acute Alcoholism     ____ VD

                ____ Pregnancy                 ____ Fatherhood

____ 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: _________________________________________________________

____ 20. All of the above.

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