SCHOOL OF ENGLISH UNIVERSITY COLLEGE CORK REQUEST FOR EXTENSION

school of english university college cork request for extension all requests for extensions must be detailed on this form, which s

SCHOOL OF ENGLISH
UNIVERSITY COLLEGE CORK
REQUEST FOR EXTENSION
All requests for extensions must be detailed on this form, which
should be submitted to
Dr Anne Etienne at [email protected].
In general, applications should be made ahead of the submission date.
Extensions without loss of marks will normally only be allowed where
there is a relevant medical certificate or written evidence of other
significant difficulties that have interrupted work.
PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS
Student Name
Student Number
Mobile telephone no.
UCC email address
Module(s) for which extension is requested
Essay due for submission on (specify date)
Lecturer
Please state your reason for requesting an extension
FOR OFFICE USE
Approved  Refused 
New date for submission __________________________________
Appropriate documentation on file 
Subject to receipt of appropriate medical certificate 
Subject to receipt of other supporting documentation 
No documentation required 
Signature of staff member _____________________ Date __________
Appropriate documentation received on
__________________________________