CSC236H - Fall 2016: REQUEST FOR SPECIAL CONSIDERATION
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  Student number: ___________________   Lecture section: __________


  Last name:      ___________________   Instructor:   ____________


  First name:   _______________     Name of TA:   _______________


  Email address:  _______________     Lab room:  _____________


  Assignment/Test number: ________    Date of request: ____________


Reasons for request (be concise and clear, use the reverse if needed; submit supporting documentation together with this form, on MarkUs:

https://markus.teach.cs.toronto.edu/csc236-2016-09/