UNIVERSITY OF WARWICK
DEPARTMENT OF ENGLISH AND COMPARATIVE LITERARY STUDIES
APPLICATION FOR AN EXTENSION TO AN ASSESSED ESSAY DEADLINE
Procedure: Please fill out this form and attach any supporting evidence then take it to the Director of Undergraduate Studies who will make a decision after interviewing you. The signed form should then be submitted to the English Department Reception.
NAME _____________________________________ ID:______________ YEAR:________
DEGREE COURSE: ________________________PERSONAL TUTOR: ________________
MODULE FOR WHICH ESSAY IS SUBMITTED: ___________________________________
DATE OF ESSAY DEADLINE : ________________ NUMBER OF WORDS: _____________
MODULE CONVENOR: _________________ SEMINAR TUTOR: _____________________
I wish to apply for an extension to my assessed essay deadline for the following reasons:
SIGNATURE OF STUDENT: ____________________________DATE: ______________
Please note: The information you provide on this form is not enough to obtain an extension; you must speak to the DUS in person to present your case. Requests for extensions must be made before the deadline has passed; Except in the case of disabling illness with a supporting medical certificate, retrospective extensions are not given.
ACTION BY DUS: Date of interview with student ________________________________
Extension allowed YES NO
Late submission referred for consideration by Exam Board _________
Is a medical note required? (DUS to determine)YES NO N/A
Is other supporting evidence required? (DUS to determine)YES NO N/A
Date and time of extension deadline _________________________
Signature of DUS ________________________________
ACTION BY OFFICE Extension updated onto TABULA ________________________
Date and time of submission of essay ________________________
Medical/supporting evidence submitted if required: YES NO
Updated 24-01-2012 M:\Office\UNDERGRADUATE\Forms & Templates\essay_extension_form1.doc
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