Name:  

E-mail: 

Course:  BSAD 112 BSAD 113 BSAD 114

Approximate percentage of lecture 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:

If you have missed an excessive number of classes and have discussed extenuating circumstances above, what if any, documentation will you provide?

Assignment:   

Score you received      

Score you believe you deserve: 

Are there specific parts of your assignment for which you believe you did not receive credit?  Please describe:

If your assignment came with an evaluation form, please discuss any disagreement that  you may have with all specific ratings that you received.  You must discuss each rating in question.

Please indicate any parts of the answer to the question that you acknowledge to be missing from your assignment:

Please respond to any comments your TA wrote on your assignment:

Please explain why you believe you deserve more points:

Additional comments:

Is your belief that you deserve more points based at least in part on a comparison with another person's assignment?  Yes No

If your petition is based on comparison with another student's assignment and score, you must submit both your own assignment and that of the other student for review.  Both assignments will be reviewed and both scores may be adjusted up or down as deemed appropriate.  Please write "Understood." 

If your petition is not based on comparison with another student's assignment, have you discussed this assignment with anyone else?  Not applicable Yes No

If you have discussed this assignment with anyone else, please indicate the names of all individuals with whom you have discussed this question:

If you have discussed this assignment with anyone else, please describe in detail what you have discussed:

Names of other student(s) whose assignment(s) you are submitting for comparison:

I certify that all the information I have given above is correct and understand that a review of my assignment, and those of others, may result in either no change in the score, an increase in the score, or a decrease in the score for all assignments.  If I have submitted someone else's assignment for comparison, I certify that I have received that person's permission to do so.  I understand that frivolous petitions and petitions that are incomplete or negligent may result in a significant penalty.

Please write "Understood." 

Please submit this petition and return your assignment to the instructor.