Extenuating Circumstances Form

Please refer to our extenuating policy published in the candidate handbook. You need to complete all parts of this form and submit any supporting evidence. Your claim will be considered purely on the information provided. We will respond to you within 30 working days with a decision. If you are after an extension, please also complete the extension form.

Name
First Last
Email*
Enrolled Course:*
Date of Enrolment:*
DD slash MM slash YYYY
Name of Allocated Assessor*
Date:*
DD slash MM slash YYYY
Has your course ended?*
- No
- Yes
Are the circumstances retrospective (more than 6 weeks old)?*
- No
- Yes
Have any concerns been highlighted by your assessor or our admin team regarding your course participation?*
- No
- Yes
If you have answered “Yes” above please state below when these concerns were expressed and what you have done to address them?
Please provide details of your extenuating circumstances:*
List below any documentary evidence that you will submit to support your application (Please note that claims for extenuation will normally fail unless supported by documentary evidence):*
File
Drop files here or

Accepted file types: doc, pdf, docx, zip, Max. file size: 50 MB.
Signature*
Please provide a digital signature
Name
This field is for validation purposes and should be left unchanged.

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