Extension Request Form

Extension Request Form

Extensions are usually available for medical reasons with an accompanying medical certificate, or in circumstances warranting compassionate consideration. Please be advised that ministry commitments are not considered an adequate reason for late submission of assessment items. Students should plan their ministry timetable with assessment due dates in mind.
Name*

First NameLast Name
Email*
example@example.com
ACT Student Number*
Select one of the following:*

On Campus YWCOff Campus YWC
Unit Code/Unit Name*
Lecturer*
Assessment Name*
Original Due Date*

DayMonthYear
Date
Duration of extension sought*

DayMonthYear
Date
Select a choice: *

Medical (please upload relevant documentation below)CompassionateOther (please give reason below)
Attach a file:

Cancelof
Briefly outline the reason for your extension request:*
DECLARATION

I understand that completing this form does not result in immediate approval and that I must await confirmation of approval from the Registrar.
I Agree
Signature*

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Youthworks College is an affiliate of the Australian College of Theology | CRICOS Code 02650E

CONTACT US
16 Carillon Avenue NEWTOWN NSW 2042
Ph | (02) 8093 3400 E | college@youthworks.net
W | https://youthworkscollege.edu.au/
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