HansenMath: Request for re-Test
To apply for a retest, this form must be filled out and submitted. You have 72 hours from when your original test was physically returned to apply for retest. Retests must be approved by Mr. Hansen. You will receive an e-mail reply shortly regarding next steps.
Email address *
First Name *
Your answer
Last Name *
Your answer
Class / Period *
Name of assessment you wish to re-test *
Your answer
Original score on assessment you wish to re-test *
Your answer
Which specific problem numbers did you get wrong? *
Your answer
Why do you feel you performed below your potential of this test? *
Your answer
Prior to re-test, on a separate sheet of paper, you need to correct the problems you got incorrect and explain what you did wrong. Did you do this? *
Required
Why do you believe you'll do better on a re-test? What steps have you taken to increase the likelihood of improvement? *
Your answer
What dates are you available to re-test in the next few days? (Let me know: lunch or time after school) *
Your answer
As the student, I understand I must wait for Mr. Hansen to send an e-mail reply to this request prior to attempting a re-test. Mr. Hansen also reserves the right to revoke this retest policy ay any time. *
Required
A copy of your responses will be emailed to the address you provided.
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