Extra-Credit Submission Form

Include this form as the first page of each extra-credit submission. Type your responses.

See “Instructions for Extra-Credit Submissions” on my Web page.

Student’s name:

Instructor’s name: Dr. Mercer

Course prefix, number, and title:

Date written or submitted:

Brief description of what you did for extra credit (including the title and version, if applicable, of any performance to which you are responding):

Amount of time you spent on each activity (such as viewing, researching, and writing) connected with this extra-credit work:

Total amount of time you spent on this extra-credit work:

Explanation of how this extra-credit work relates to this class:

List of the sources, if any, that you used for this extra-credit assignment:

Response: On a separate page, typed and double-spaced in Times New Roman 12 and with one-inch margins, write in your own words a response concerning this extra-credit work. (See “Instructions for Extra-Credit Submissions.”)

Printouts: Attach in hard copy any other materials relevant to this extra-credit assignment, such as Internet printouts.