To: Professor____________________ From:___________________________

I think my grade in your course,___________________, should be
changed from ______ to _______ for the following reasons:

______1.    The persons who copied my paper got a higher grade than I did.

______2.    The person whose paper I copied got a higher grade than I did.

______3.    This course will lower my Grade Point Average and I won't get
            ______Law School
            ______Medical School          ______Graduate School
            ______Dental School           ______My Fraternity/Sorority
            ______The Mickey Mouse Club   ______Tri County Tech

______4.    I have to get an A in this course to balance the F in

______5.    I'll lose my scholarship.

______6.    I'm on a varsity sports team and my tutor couldn't find a copy
            of your exam.

______7.    I didn't come to class and the person whose notes I used
            did not cover the material asked for on the exam.

______8.    I studied the basic principles and the exam wanted every
            little fact.

______9.    I learned all the facts and definitions but your exams
            asked about general principles.

_____10.    You are prejudiced against:
            ______Males         ______Jews          ______Blacks
            ______Females       ______Catholics     ______Whites
            ______Protestants   ______Moslems       ______Minorities
            ______Hispanics     ______People        ______Students

_____11.    If I flunk out of school my father will
            disinherit me or at least cut my allowance.

_____12.    I was unable to do well in this course because of the following
            ______mono                  ______broken baby finger
            ______acute alcoholism      ______pregnancy
            ______VD                    ______fatherhood

_____13.    You told us to be creative but you didn't tell us exactly
            how you wanted that done.

_____14.    I was creative and you said I was just shooting the bull.

_____15.    I don't have a reason; I just want a higher grade.

_____16.    The lectures were:
            ______too detailed to pick out important points.
            ______not explained in sufficient detail.
            ______too boring.
            ______all jokes and not enough material.
            ______all of the above.

_____17.    This course was:
            ______too early, I was not awake.
            ______at lunchtime, I was hungry.
            ______too late, I was tired.

_____18.    My (dog, cat, gerbil) (ate, wet on, threw up on) my
            (book, notes, paper) for this course.

_____19.    Other___________________________________________________