Please print this form and attach the assignment in question.
Please provide the following information if applicable. It will help
us to make sure that your grade gets corrected if there is an error.
Give this form and the assignment to the person who graded it. NOTE:
Regrade requests must be made within two weeks of the time that the assignment
was returned to you.
Student Name _____________________________ Section (circle): Mon Tue AM Tue PM Wed Thu AM Thu PM Fri
Bench TA _______________________________ Date turned in _____________
Type of Assignment (circle): prelab problem set test Experiment name (if prelab or problem set) ____________________
Grading TA (if prelab or problem set) _____________________________
Please indicate the number of the relevant question, and describe the
reasons why you believe that the score should be changed:
Response of grader: agree disagree agree partly Revised grade for assignment: ____ out of 10
Comments: