Summative Re-test Ticket
This form should be completed by the student and given to your teacher on the day of the
retest.
Student Name
Teacher Name
Title of Summative
Date of Original Summative
Scheduled Date of Retest
Reason for taking the re-test
Score:
Time:
Please choose at least THREE of these helpful ways to prepare for the retest, and staple ALL of
your work to this paper.
_____I have attended reteaching sessions offered by the teacher. (Number of sessions
determined by teacher based on student need).
_____I made test corrections, with explanations.
_____I copied, reviewed, or rewrote notes from class.
_____I reread pages ________in my textbook (hardback, paperback, or online) and took
notes, answered questions, or worked the problems.
_____I studied by: (choose TWO to be able to check this item)
_____making flashcards and reviewing with someone (Name:_______________)
_____studying with a partner (Name:___________________)
_____explaining the information, skill, or concept to an adult (Name:_______________)
_____having my parent or another adult re-explain the information, concepts or skills
_____playing an educational game (Name of game:__________________) approved by
my teacher
_____Other:_______________________________________________________
I understand that it is my responsibility to prepare for the retest.
Student Signature______________________________
Date______________
I have monitored my child’s preparation for the retest and I feel he/she is prepared for the
retest.
Parent Signature________________________________
Date_______________