Assessment Extension Request Form
All extension requests must be submitted at least 2 working days prior to the assessment due date. You must contact your teacher prior to applying for an assessment extension. Extension requests are subject to approval.
Student Name
*
First Name
Last Name
Student ID
Student E-mail
*
Courses
*
Please Select
1.Graduate Certificate in EFC
2. Graduate Diploma of EFT
Subject requesting extension for
*
Reason for requesting extension .
*
Have you contacted your academic teacher regarding this request?
*
Yes
No
Name of your academic teacher
*
Do you have doctor's certificate or other supporting document?
*
Yes
No
Supporting Evidence: Attach documentary evidence to support your request , either a medical certificate or a letter from another health or allied health practitioner
Browse Files
Cancel
of
New date requesting to submit assessment
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
I confirm all information provided is correct. I understand that the extension request is subject to approval. Signature
*
Submit Application
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