Make-Up Request Form Fall 2018
Please follow these instructions when a student misses an exam. Please do not administer your own make-up exam.

1. Complete this form BEFORE THE END OF THE SCHOOL DAY (on the day the exam was missed).
2. Label the MAKE-UP EXAM and any accompanying materials with each student's name.
3. By the MORNING AFTER THE MISSED EXAM, put the exam/materials in a manilla envelope available in the office. Lable the envelope with your name, course name and grade. Put into Michal's mailbox in the office.
4. If a student missed multiple days of classwork prior to the exam or there are other extenuating circumstances, please see Shulamith about providing the student with a make-up extension.

Email address *
Faculty Name *
Your answer
Date of the missed exam *
MM
/
DD
/
YYYY
Course Name *
Your answer
Grade *
Student Name *
Your answer
Student Name
Your answer
Student Name
Your answer
Student Name
Your answer
Student Name
Your answer
If you are aware of extenuating circumstances, please describe here:
Your answer
The student will be taking the exam online *
A copy of your responses will be emailed to the address you provided.
Submit
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