Extension request form

Your name: (required)

Your registration number (on your UCard): (required)

Your university email address (required)
(this is the email address to which your programme director will respond, so please be sure to enter it correctly, and to check it for a reply)

Name of your programme director. (required)

Email address of your programme director.

Name of the module for which you are requesting an extension: (required)

Module code (beginning "ACE"): (required)

Name of the main tutor on this module:

Assignment title (e.g. "Essay one", "Grammar exercise", "Dissertation"): (required)

Reason for extension request. Please explain as clearly and reasonably as possible the grounds for requesting an extension. The more detail you provide, the easier it will be for the programme director to make a decision about whether it is appropriate or not.

Date of original deadline: (required)

I would like to request an extension of:

Five working days (one week)
Ten working days (two weeks)

This gives a revised deadline of: (required)

If you require an extension of longer than ten working days, you are asked to complete a Special Circumstances Form. This form, and information about how to complete it, can be found on the link on the right-hand side at the top. Special Circumstances Forms take priority over extension forms, so if you require an extension of more than ten days, you do not need to submit this extension form.