Department of english and comparative literary studies application for an extension to an assessed essay deadline



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UNIVERSITY OF WARWICK

DEPARTMENT OF ENGLISH AND COMPARATIVE LITERARY STUDIES
APPLICATION FOR AN EXTENSION TO AN ASSESSED ESSAY DEADLINE
Procedure: Please fill out this form and attach any supporting evidence then take it to the Director of Undergraduate Studies who will make a decision after interviewing you. The signed form should then be submitted to the English Department Reception.
NAME _____________________________________ ID:______________ YEAR:________

DEGREE COURSE: ________________________PERSONAL TUTOR: ________________

MODULE FOR WHICH ESSAY IS SUBMITTED: ___________________________________

DATE OF ESSAY DEADLINE : ________________ NUMBER OF WORDS: _____________

MODULE CONVENOR: _________________ SEMINAR TUTOR: _____________________

I wish to apply for an extension to my assessed essay deadline for the following reasons:

SIGNATURE OF STUDENT: ____________________________DATE: ______________

Please note: The information you provide on this form is not enough to obtain an extension; you must speak to the DUS in person to present your case. Requests for extensions must be made before the deadline has passed; Except in the case of disabling illness with a supporting medical certificate, retrospective extensions are not given.

ACTION BY DUS: Date of interview with student ________________________________

Extension allowed YES NO

Late submission referred for consideration by Exam Board _________

Is a medical note required? (DUS to determine)YES NO N/A

Is other supporting evidence required? (DUS to determine)YES NO N/A
Date and time of extension deadline _________________________

Signature of DUS ________________________________


ACTION BY OFFICE Extension updated onto TABULA ________________________

Date and time of submission of essay ________________________



Medical/supporting evidence submitted if required: YES NO

Updated 24-01-2012 M:\Office\UNDERGRADUATE\Forms & Templates\essay_extension_form1.doc


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