CBTS Class Extension Request
Name
*
First Name
Last Name
Email
*
example@example.com
Class (class code & title)
*
Date of class enrollment
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Have you already turned in all your assignments, but you're just waiting for grading?
*
Yes
No
Is this for a live class or a modular class?
*
Yes
No
Is this your first extension request for this class?
*
Yes
No
Briefly explain why you were unable to complete the class by the deadline.
*
Please verify that you are human
*
Submit
Should be Empty: