Name: ______________________________________ Hour: ______

I HAVE PROVEN MASTERY!

Fill out this sheet if you believe that your performance on a portion of a chapter test PROVES that you
have a higher level of mastery on one of the standards for the chapter.

Staple this sheet to your check point AND chapter test and turn them in to Mrs. Gibson.

Standard Number: ____________

Original Score: __________ Requested Score: __________

Mistakes I made on the original check point (be specific about what concepts you didnt understand):

List the question numbers from the chapter test that prove that you have a higher level of mastery on
the indicated standard:

Why do your answers to these questions prove that you have attained the level of mastery that you
indicated above? Be specific with your explanations.