If your address has changed, please notify Student Services at 250.852.7000
or 1.800.663.9711 (Canada toll-free), or send an email to firstname.lastname@example.org, or
send a fax to 250.852.6405 and include your name and student number.
OPEN LEARNING FACULTY MEMBER
MARKED ASSIGNMENT FORM
COURSE NUMBER ASSIGNMENT NUMBER
STUDENT’S COMMENTS ON ASSIGNMENT
DATE SENT TO OPEN LEARNING
PAGE 1 - STUDENT TO COMPLETE. USE A SEPARATE FORM FOR EACH ASSIGNMENT.
PROVINCE POSTAL CODE
This is an editable PDF. Fields must
be filled out with the latest version of
Adobe Reader or Adobe Acrobat.
• Save this form to your computer
before filling it out.
• Fill out Page 1 of the form. Save the
form after filling it out.
• Print the form and mail it to your
Open Learning Faculty Member with
your assignment OR email the form
and your assignment as attachments
to your Open Learning Faculty
Your Open Learning Faculty Member
will provide your assignment grade and
any feedback on Page 2 of this form.
STUDENT’S LAST NAME FIRST NAME INITIALS
MAILING ADDRESS - INCLUDE SUITE NUMBER IF APPLICABLE
COUNTRY TELEPHONE NUMBER