Request for Re-mark This form is to be used where you believe you have grounds for requesting a formal review of a result on an assessment task after an informal review has occurred with the Original Marker (see Part B of the Assessment Procedure - Validation and Moderation). Student detailsStudent ID number * Given name * Family name * Phone number * Student email address * (this must be your La Trobe student email address, e.g. j3smith@students.latrobe.edu.au) Campus * -- Please Select --Albury-WodongaBendigoChisholm InstituteMelbourne (Bundoora)Melbourne (City)MilduraSheppartonSydneyOnlineOther Assessment task detailsSubject code * Subject name * Name of Subject/Instance Coordinator * Original Marker's name * Please enter below the email address of your Subject Coordinator * * *(e.g. j.smith@latrobe.edu.au). If your Subject Coordinator was the Original Marker please enter the email address of the Head of your Department, Discipline Lead or the Director, Learning and Teaching. Title of assessment task * Original mark awarded * I met/had discussions with the Original Marker on the following date: * Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJuneJulyAugSeptOctNovDec Year 2017201820192020202120222023202420252026 Please summarise the feedback given to you by the Original Marker. * I confirm that I wish to apply for a re-mark on the basis that * the original assessment did not follow the published assessment criteria or marking scheme. The following documents are attached to my application:the original, marked piece of work * (.doc, .docx, .pdf file types only. Max 8MB file size) a clean copy of the piece work to be re-marked, should the re-marking be approved * (.doc, .docx, .pdf file types only. Max 8MB file size) a letter detailing the grounds for the re-mark request (.doc, .docx, .pdf file types only. Max 8MB file size) In submitting this * I acknowledge: the above details are true and correct an application for a re-mark will only be accepted where appropriate grounds exist according to the Procedure the mark given as an outcome of a formal review replaces the original mark and can be higher, lower or the same as the original mark. Privacy All information provided by applicants will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application to determine your eligibility for a scholarship, bursary or grant, and to assess your application as part of the ranking and allocation process. In accordance with privacy laws, personal information about you contained in your application will not be used for any other purpose or disclosed to any person who is not part of the La Trobe assessment and allocation process, without your permission. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting the Scholarships Office. The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy Validation