mcb 229

Petition for Makeup Exam in MCB 229
Last revised: Thursday, January 16, 2003

Note: This page must be filled out and returned to Prof. Terry if you missed an exam or know that you will have to miss an exam, and you are eligible for a makeup exam.

A. Student Petition -- fill in and give this to your instructor as soon as possible.
Date of this petition. __________________
Your Name (print): ________________________________________ Lab Section: ________
Your E-mail address (print): ________________________________________ Your Phone #: ___________

Exam missed (check the one you missed):
Check Exam # Exam Date Makeup Date Makeup Location & time
___ 1 Feb. 25 Mar. 3 TLS 153, 3 p.m.
___ 2 Apr. 8 Apr. 14 TLS 153, 3 p.m.

Reason for Missing Exam: (explain as fully as possible – use reverse if more space is needed)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Documentation attached: ___ No ___ Yes, provided by ___________________________
Note: Appropriate documentation should always be presented if available, to help the instructor understand why you missed an exam. Examples include: note from athletic coach, note from infirmary or physician, obituary, copy of court summons, etc.
B. Instructor Response -- to be filled in by instructor only!
Permission for makeup exam is: ____ granted ____ denied
instructor signature: __________________________________________________

C. Makeup exam policy
Makeup exams are available only to students who have a legitimate excuse for missing an exam, such as illness, scheduled job interview out of town, athletic team event out of town, death in the immediate family, etc. If you know in advance that you must miss an exam, complete this form and give it to the instructor in advance, and bring documentation to support your anticipated absence. If you miss an exam unexpectedly because of last minute illness or accident, complete this form and hand it to the instructor when you return to campus (or as e-mail attachment if you will be away for some time) with documentation of your situation.
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