retake Agreement
This form must be completed and submitted before any retake.
Name ____________________________________ Subject _________________________________
Teacher ____________________________ Period ________ Date Submitted __________________
Assessment to Retake (Topic) __________________________________________________________
Original Grade _____ Date Assessment Taken _____________ Date Grade Posted ______________
To be eligible to take a retake you must complete the circled tasks below as chosen by your teacher:
1.
Complete all missing assignments (must be turned in with this form)
2. Attend an approved tutorial Date: ____________ Teacher Signature: ___________________
3. Complete an alternate assignment given by your teacher (must be turned in with this form)
4. Complete test corrections (must be turned in with this form)
Explain the circumstances that led to your needing to retake this major grade.
_____________________________________________________________________________________
_____________________________________________________________________________________
Explain why you believe your performance on the retake will be stronger.
_____________________________________________________________________________________
_____________________________________________________________________________________
By signing below, I am stating that I understand I am limited to one retake opportunity per grading period. By
taking this retake, I am aware I will not receive any other retake opportunity this grading period. If I am in a Pre-Ap
or AP class, I realize that the maximum amount of points I can receive on this retake is 75. If I am in a Prep class, I
understand that the maximum amount of points I can receive on this retake is 80. I recognize that I have one week
from the time my original grade is posted on Gradespeed to submit this form and retake my assessment.
Signature ___________________________________________________________ Date___________________
Parent Signature _____________________________________________________ Date____________________
Process for test corrections in order to retake a test:
o Rewrite the problem and draw any diagrams as best as
you can.
o Show the work that you did wrong.
o Work the problem correctly and check solution with the
teacher.(This must be completed before the retake)
o Explain and highlight where the error was in the
incorrect solution.
o Attach corrections to the back on this sheet, making
sure all parts are filled out.
o
Teacher will sign after getting this all completed.