INMED Student Waiver Form for Late Assignments
Coursework Extension. Please complete the following form.
INMED Student ID Number
*
Please click on "My Profile" then "Student" tab to find your student ID
Email Address
*
example@example.com
Full Name
*
First Name
Last Name
Select Your Course
Please Select
Graduate Certificate Course
Epidemiology
Communicable Disease Control
Healthcare for Marginalized Americans
Healthcare Leadership & Management
International Health Professions
International Healthcare Ethics
International Refugee Care
Self-Care for the Health Professional
Length of Extension
*
Why are you requesting an extension?
*
Supporting documents may be requested following form submission.
Additional Documentation (if necessary)
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