HOMEWORK RESPONSIBILITY FORM If you do not have your assignment with you, complete this form and turn in where you normally turn in your homework. Failure to complete this form when you do not turn in an assignment indicates that you are not taking responsibility for your homework and constitutes an automatic zero for the assignment due today. I, (Name)_________________________________________, know that (Assignment Title) ___________________________________________ was due today. I will do one of the following: CHECK ONE: _____1. Turn in the completed assignment to Room ________ before 3:00 p.m. today. _____2. Turn in the completed assignment next class with parent’s signature. _____3. Email the completed assignment to my teacher before 5:00 p.m. today. _____4. Accept a zero for this assignment. Signature: _________________________________ Date: _______________
"HOMEWORK RESPONSIBILITY FORM"