Late Work Form

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Late Work Form

Student submission notifying the teacher that they wish the assignment submitted after the due date to be counted towards their grade. Each student acknowledges that they have three late passes per term. All other late work will receive a zero in the gradebook.

Email *

Student Name *

What class period? *

1st Block

2nd Block

3rd Block

4th Block

Assignment Name *

Why was the assignment late? *

How many late passes have you used so far?

(I will be verifying this information when grading the assignment)

This is my first late pass request for the term.

This is my second late pass request for the term.

This is my last late pass request for the term.

I have used all three passes. I understand that there will now be a 50% deduction in my grade for the unit notebook check assignments.

Have you made your parents aware that your assignment is late and how many times this has occurred this term? *

Yes, my parents are aware.

No (Parents will be notified by email, so you may want to tell them first.)

A copy of your responses will be emailed to the address you provided.

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