Extenuating Circumstances Form v2 2024
Extenuating Circumstances Form v2 2024
This form should be completed by students who wish to make the Board of Examiners
aware of any extenuating circumstances which they believe may have adversely affected
their performance either during the year or in assessments. The extenuating circumstances
policy must be read in full prior to submitting this form.
The Board of Examiners is unlikely to take any action unless it believes that the extenuating
circumstances have had a significant effect. A Board of Examiners can only make
judgements about the impact of extenuating circumstances in light of evidence of student
academic ability demonstrated in non-affected work. Students are encouraged to submit
incomplete coursework, even if they fail to meet the deadline so a mark is available for the
Board of Examiners to consider. Students should therefore consider this carefully before
submitting the form and required evidence.
Full Name
Student ID Number
Date of Birth
Centre
Programme of Study
Work affected: (list all that apply i.e. Business Behaviours Exam)
Coursework
Examination
Details of extenuating circumstances and how this has affected your work. Please include
dates:
Please note that the Board of Examiners will not seek evidence on your behalf, it is your
responsibility to do this. ONCAMPUS reserves the right to reject cases where evidence is
not provided.
Please note that submitting a false claim or false documentation is a serious matter and
would be regarded as fraud in an attempt to gain unfair advantage. This would be
considered an offence and would be dealt with under the Student Disciplinary Policy.
ONCAMPUS reserves the right to check on the validity of the document (s) they submit by
contacting the third party directly.
I confirm that the information I have given is true and that I have read and understood the
guidelines in the Extenuating Circumstances Policy. I give my consent for my medical
information to be shared with the Board of Examiners in support of my case.
Signed Dated
Authorisation (office use only):
Extenuating circumstances case accepted: Yes No
Authorised by:
Signature:
Job title:
Date: