Exam Question Reevaluation Request Form
Staple your exam to this sheet and hand them in together within one week from receiving your exam
back. Note: You must fill a separate form for any questions you want considered.
Reevaluation Consideration Form for Question #______ on Exam #_____
Date: ________________
Name: __________________________________
Grade originally received: ____________
Category you think you belong in: ________________
Why?
In the following space please write the correct solution, in your own words, to the problem (which
would have earned a top score):
All individual student exams have been photocopied in order to ensure students are not cheating. My
signature below signifies that I have not altered my exam in any way in order to earn a higher grade
through the re-grade process:
__________________________________________