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Chisholm Dashboard

This document is a student request form for extending an assessment or assignment deadline. It requires the student to provide their name and details of the course, unit, and assessment. The student must sign to request an extension and provide a reason. Extensions longer than one week require a medical certificate. The maximum extension is two weeks unless authorized by the Education Manager. The teacher will then approve or decline the request, and may provide a revised due date. Extensions of more than two weeks require additional approval from the Education Manager.

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Chantal Limpers
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54 views

Chisholm Dashboard

This document is a student request form for extending an assessment or assignment deadline. It requires the student to provide their name and details of the course, unit, and assessment. The student must sign to request an extension and provide a reason. Extensions longer than one week require a medical certificate. The maximum extension is two weeks unless authorized by the Education Manager. The teacher will then approve or decline the request, and may provide a revised due date. Extensions of more than two weeks require additional approval from the Education Manager.

Uploaded by

Chantal Limpers
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Community Services

Student Request for Extension of Assessment/Assignment


(Please submit this form before the original due date)

1. It is required that all students submit their work by the DUE DATE.
2. Extensions longer than one week require a Medical Certificate.
3. There is a MAXIMUM extension of 2 weeks from original due date unless authorized by the
Education Manager of Student Services.
Student/Class Details
Student Name & ID Date:
Course Code & Title
Unit Code & Title
Teacher Name

Assessment for which the extension is sought


Assessment

Due date:

Student Signature:
Reason for Extension Request

Doctor’s Certificate Provided

Yes Please attach if relevant No

Teaching Staff (Approval or Decline)

No Yes Approved Revised Due Date:

Comment:

Teachers Name & Signature:

Name Signature Date


For Extension Applications for More than 2 Weeks
Education Manager or Student Services Name & Signature:

Name Signature Date

H:\Admin\Forms\2020\Dept Course Forms\2020 Student Request for Extension - CS v2.1.doc

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