Sometimes life puts barriers in the way and additional time is needed in order to comfortably complete your studies.
Students can apply for various types of extensions, please click here for information on the different types of extensions you can apply for.
Please note: you must be enrolled with the University of South Wales to apply for an extension. If you are not certain about this please look at the following article: How do I enrol with the University of South Wales?
EXTENUATING CIRCUMSTANCES CLAIM FORM
Please read the guidance notes to assist you in the completion of this form.
Section 1: Personal Details
STAFF USE ONLY - Ignore this next box it is for USW staff members to complete only
Section 2: Extenuating Circumstances
Use this section to provide details of your extenuating circumstances (What happened? When? How did it affect your studies?) You may continue on a separate sheet if necessary.
Give details of the reasons for your request for an extension here
Section 3: Supporting Evidence
Use this section to list items of evidence, e.g. GP letter, Death Certificate, Self-Certification etc.
List the attached letters of evidence to support your claim. Please note the University will sometimes email you to your personal email account asking for further evidence if the panel finds it insufficient.
Section 4: Late submission of Extenuating Circumstances
Only complete this section if you are making a late claim. You must provide a clear explanation for why your claim is late and this must be supported by independent evidence. You may continue on a separate sheet if necessary.
Section 5: Modules Affected
* Confirming suitability of submission date (actual date will be confirmed by E Circs panel).
Section 6: Third Party Consent
Extenuating circumstance claims are normally only successful where there is evidence that relates specifically to you. Even if your claim is based around the illness or personal circumstances of another person, you must still provide evidence to demonstrate their impact on you. Where you provide the personal information of a third party (relative/friend etc.) a completed Third Party Consent Form must be submitted with this Extenuating Circumstances Form.
You can download the Third Party Consent form here
Section 7: For International non-EU students studying on a Tier 4 VISA
Ignore this next box
Section 8: Extenuating Circumstances Checklist (please complete)
Tick as appropriate
Section 9: Confirmation
Outcome - Decision of the Extenuating Circumstances Panel
Leave this blank for the panel
If you have any questions about completing this form please do book an appointment to chat with Student Services
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