CSC236H - Fall 2018: REQUEST FOR SPECIAL CONSIDERATION
           ===========================================================


  Student number: ___________________   Lecture section: __________


  Last name:      ___________________   Instructor:   Danny Heap


  First name:   _______________     Name of TA:   _______________


  Email address:  _______________ 


  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, to
csc23618f@cs.toronto.edu