QQI Extension Request Form

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Unique ID
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New Submission Date
Date
Day
Month
Year
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Full Name* This field is required.
First Name
Last Name
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E-mail* This field is required.
john@johnsmith.com
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Course* This field is required.Please select the QQI course that you are currently enrolled on.
QQI Training Delivery and Evaluation
QQI Effective People Management
QQI Lean Six Sigma Green Belt
QQI Project Management
QQI Medical Secretary
QQI Training Needs Identification & Design
QQI Coaching
QQI Consultative Sales
QQI Customer Service
QQI Digital Marketing
QQI Mediation
QQI Receptionist Skills
QQI Supervisory Management
QQI Manual Handling Instructor
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Original Submission Date* This field is required.
21/03/2020
Day
Month
Year
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3 Extension Request Options* This field is required.Please select the type of extension you need: 2 Week Extension All learners are entitled to ONE 2-week extension on their original submission date. If this is your first extension you can request an automatic 2-week extension. 4 Week Extension If you need more time to complete your assignments you can request a 4-week extension. All learners are entitled to ONE 4-week extension. To receive a 4-week extension you will need to provide independent written evidence to support your request. The evidence should be on headed paper and clearly identify the source. Course Deferment If you need more than 4 additional weeks to complete your course and submit your assignments we can defer your place on the course. Once you are ready to re-commence your course we can arrange a new submission date for you. Please note - there is an administration fee of €90 for course deferment which is payable before you recommence the course. IMPORTANT NOTE All Learners are entitled to a maximum extension of 6 weeks. ie: ONE 2 week extension and ONE 4 week extension If you need more time you must defer your place on the course.
2 Week Extension Request
4 Week Extension Request
Course Deferment
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Reason for 4 Week Extension Request* This field is required.Please select from the following options
Increased Work Load
Injury, Illness or Hospitalisation
Family Illness
Bereavement
Personal Circumstances
Victim of Crime
Technical Issues (please specify)
Other (please specify)
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Evidence Required for Extension Request* This field is required.As outlined above, if you would like to extend your submission date by 4 weeks you will need to provide independent written evidence to support your request. The evidence should be on headed paper and clearly identify the source.
Drag and drop files here
Select files to upload
Cancelof
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Please provide additional detailsPlease provide additional details outlining the reason for your request.
Huge
Large
Normal
Small
Ok
Ok
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Course Deferment Fee * This field is required.As outlined in the previous step, if you need more than 4 additional weeks to complete your course and submit your assignments we can defer your place on the course. Once you are ready to re-commence your course we can arrange a new submission date for you. There is an administration fee of €90 for course deferment which is payable before you recommence the course. Can you please confirm below that you understand there is a €90 course deferment fee?
YESNO
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