B&T Assignment Extension Request

Bible & Theology

Assessment Task Extension Request
Personal Information
Family Name*
First Name*
ACT Student Number *
Email address*
Current Course*
Are you an Overseas Student?

yesno
Unit & Assessment Affected

If you wish to apply for extensions for more than one unit, please submit a separate request for each unit
Semester/Study Period*
Unit Code*
What mode are you studying in for this unit?*

OnlineOn-campus / live streamed
At what AQF level are you studying for this unit?*

56789Capstone
Lecturer's name*
If you are not sure who is marking this assignment, please check with your lecturer.
Assessment task description*
Original due date (as stated on your Moodle Unit)*

DayMonthYear
Date
Length of extension requested*

up to 1 week (autoforwarded to lecturer)2 weeks (documentation must be provided and extension will not be approved without it)3 weeks (documentation must be provided and extension will not be approved without it)Disruption to studies extension - negotiated extension of more than 3 weeks- (documentation must be provided and extension will not be approved without it). Note that this covers what was historically called a Deferred Assessment. If approved, extension date will be negotiated with lecturer.
If you are requesting a "Disruption to studies extension" - are there other assignments in this unit that you would like covered? If so, please note them below. Please also include their due dates.
Supporting Documentation

Applications for any extension beyond 1 week must include supporting documentation as an upload below (such as medical certificates, not-negotiable work-related notifications, letters of support from your pastor, counsellor, etc., which include the dates of the circumstances that affected your ability to study and a recommendation that this extra time is needed to complete your assessment).
Documentation uploaded (select all that apply). This must be included for any extension request beyond 1 week.*

Medical Certificate (doctor, counsellor etc)Letter of Support (workplace, pastor etc)Additional personal statement (must also upload other documentation)None (only applicable for 1 week requests)Other
Attach supporting documentation (multiple files accepted)

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Have you already been granted an extension on this assignment?*

NoNo - I have spoken to my lecturer but haven't had a formal extension approvedYes - whole class extensionYes - by Unit Coordinator/Lecturer
Reason for Extension Request
As standard practice, we aim to only share relevant details regarding your request with those who need to know and we want to respond with care and sensitivity at all times.

Please note that as part of our usual processes, this information will be shared with your lecturer/assignment marker (either automatically if you apply for "up to 1 week" or through subsequent emails from a member of the Academic Services Team which are cc'd to your lecturer). So, if you would like to keep your reason confidential please tick the box below.

You can also:
- Speak or email directly with the Director of Student Services before submitting this request and indicate below that you have shared your circumstances in confidence with them.
AND/OR
- Select a 2 week extension (even if you want less) and outline your request and reason below. This means that the full details of your request will not be auto-forwarded to your lecturer and a member of the Academic Services Team will respond. Your lecturers want to support you as best they can, so can we encourage you to share general information about the reasons for this extension with them. Your lecturer might also reach out to you if an extension is approved to see how they can support you best.
Reason for extension*

Medical (Physical and/or Mental Health)Personal or family relatedWork relatedStudy relatedOther
Would you like this reason to be kept confidential? *

No - reason can be shared with othersYes - please keep reason confidential
Details of reason*
If you have uploaded a personal statement you can be very brief here.
Attach more supporting documentation if needed (2MB limit)

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Declaration
Terms and Conditions*
Signature

Clear
Should be Empty:

Bible & Theology

Personal Information

Unit & Assessment Affected

Reason for Extension Request

Declaration