Name:  

E-mail: 

TA: 

Approximate percentage of lecture sessions you have attended: 

Approximate percentage of discussion section sessions you have attended: 

If you have missed an excessive number of class meetings (more than 2-3 during the quarter), please describe any extenuating circumstances:

Color of exam: 

Question number: 

Official answer (letter):       Answer you chose: 

Reason you chose the answer you chose:

Reason you did not choose the official answer: 

Additional comments:

I certify that (1) I have not discussed this question with any other person, (2) I have not received any help in filling out this application, and (3) the reasoning indicated is my own.  You may quote from the textbook or course notes to support your point of view if the quotations are put in proper quotation marks and the source (including page numbers) is clearly indicated.  I understand that misrepresentations and other fraud may result in severe sanctions by the university.

Please write "Understood."