Norwich University of the Arts Vice-Chancellor: Professor John Last
APPLICATION FOR AN EXTENSION TO AN ACADEMIC DEADLINE This form must be completed by all students at Norwich University of the Arts who wish to apply for an extension to an academic deadline. The extension requires signed approval from the Course Leader. The form must be submitted before the published assessment deadline. It is important to speak with your tutor and to read the full regulations on Extension to an Academic Deadline (in your copy of the Student Regulations and Procedures and available on the intranet) before submitting any request. All applications for an extension must outline the reasons for the application and provide documentation to support the claim. Claims will not be considered without relevant supporting evidence. Where permission for an extension is not sought or not approved, and the work is submitted late, a student may receive a ‘fail’ grade and the regulations governing Resubmission or Termination will apply. THIS SECTION TO BE COMPLETED BY STUDENT 1. Full name
2. Student number
3. Course
4. The unit you are requesting an extension for (eg BA4):
5. The length of extension you are requesting:
6. Reasons for requesting an extension (if you need extra space, please continue on page 2 of this form):
7. You are required to provide documentation in support of your application (eg medical certificate). Please confirm what type of documentation you are providing:
8. I confirm that the information I have provided on this form is correct and I agree to the University holding this information for the purposes of processing this application and in accordance with the University’s notification under the 1998 Data Protection Act. NB We will accept a typed or electronic signature only if you email this form to us from your University email account. If you are submitting this form as hard copy, please sign in pen in the space below. Signed
Date WHEN COMPLETED PLEASE EMAIL THIS FORM DIRECTLY TO YOUR COURSE AREA, OR SEND IT TO THE ADDRESS BELOW:
Course Administrator Norwich University of the Arts 3-7 Redwell Street Norwich NR2 4SN
Tel: ++ 44 (0)1603 610561 Fax: ++ 44 (0)1603 615728
You will be notified by the Course Leader of the outcome of your application within 5 days of submitting this form.
For Course Leader Use Only Date form received: Approval of request
Supporting documentation attached Yes / No
Yes / No
Revised date by which the work is to be submitted:
If the request has not been approved, please state reasons why:
Signed Form revised: January 2013 [AR:AS]
Date
(Course Leader)