B&T Assignment Extension Request

Counselling, Chaplaincy & Spiritual Care

Assignment Extension Request
Personal Information
Family Name*
First Name*
Morling 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
Unit Area*
CHA or COU
Unit Number*
eg 876 or 952
Lecturer's name*
Assessment Task Number:*

1234
Assessment task description*
Original due date (as stated on your Moodle Unit)*

DayMonthYear
Date
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/Dean
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 [what used to be called a DE]- 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. If you need to apply for multiple units then please submit a form for each unit.
Reason for Extension Request
We aim to keep reasons confidential as a standard policy, unless it is imperative to share the information with relevant staff. 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 the CCSC Administrator or Dean which are cc'd to your lecturer).

We want to respond with care and sensitivity at all times, so if you would like to keep your reason confidential please tick the box below.

You can also:
- Speak or email directly with the CCSC Administrator or CCSC Dean 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 your request will not be auto-forwarded to your lecturer and the CCSC Administrator or Dean will respond.
Reason for extension*

MedicalPersonal or family relatedWork relatedCOVID related circumstancesStudy related
Details of reason*
If you have upload a personal statement you can be very brief here.
Would you like this reason to be kept confidential?

No - reason can be shared with othersYes - please keep reason confidential
Supporting Documentation

Applications for 2 and 3 week extensions 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).

If your request is related to the impact of COVID (eg changes to workload, lockdown restrictions, family responsibilities, care for family members, or impact on your physical or mental health) you may upload instead a short personal statement outlining these impacts. You can also upload other supporting documentation as outlined above.
Documentation uploaded (select all that apply)*

Medical Certificate (doctor, counsellor etc)Letter of Support (workplace, pastor etc)Personal statementNone
Attach supporting documentation
Please only upload PDFs (use a scan to PDF app for images)
Attach more supporting documentation (2MB limit)
Declaration
Signature

Clear
Should be Empty:

Counselling, Chaplaincy & Spiritual Care

Personal Information

Unit & Assessment Affected

Reason for Extension Request

Declaration