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Re-Assessment Application

Name: __________________________________________________________
Title of Assessment: __________________________ Score: _____________

REFLECT:
1. Check ProgressBook. Did you complete ALL the homework assignments on time in order to
prepare for this assessment?

2. What did you do to prepare for this assessment? Did you seek extra help?
Explain in detail.



3. What do you need to work on in order to perform better on your re-assessment?
Be specific.



RE-LEARN:
! Redo all of the problems that you missed on your assessment on a separate sheet of paper
! Meet with Miss Collins to go over your assessment and do additional practice. Please bring
this application, your assessment, and your corrections to this meeting.
I met with Miss Collins on ________________________________

RE-ASSESS:
APPROVED to re-assess Teachers signature: _________________________
Re-Assessment date/time: ____________________

NOTES:
! Reassessment opportunities are only available if you have stayed current on your
assignments and have demonstrated your best effort in and outside class.
Miss Collins will determine if you have demonstrated these criteria.
! Unit Tests may NOT be retaken.
! All reassessments must be complete within one week of receiving your original
assessment back.
! This application must be turned in at least one day prior to your reassessment.

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