University of California, Santa Barbara

To Professor ____________________, Dept. of ________________
From: __________________________, Perm # __________________

I think my grade in your course, ___________________, taught in ___________ quarter, 200__,
should be changed from ______ to _______ for the following reasons:

______1. The persons who copied my paper got a higher grade than I did.

______2. The person whose paper I copied got a higher grade than I did.

______3. This course will lower my Grade Point Average and I won't get into:
______Law School ______Tri County Tech ______The Mickey Mouse Club
______Medical School ______Graduate School
______Dental School ______My Fraternity/Sorority

______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 whose notes I used did not cover 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 general principles.

_____10. You are prejudiced against:
______Males ______Jews ______Blacks ______Minorities
______Females ______Catholics ______Whites ______People
______Protestants ______Moslems ______ Chicanos ______Students

_____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 ______pregnancy
______acute alcoholism ______VD ______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: _______________________________________________________________________