Application for Assignment Extension

(See overleaf for Notes relevant to the completion of this Application)

Student Name:

Student Number:

Contact Details:

Ensure that CDU student contact details are up-todate.

Unit Name:

Unit Code:

Lecturers Name:

CDU Business School,

Darwin Waterfront, 21
Kitchener Rd, NT, 0801.
Phone : 08 8946 8803
Email: business@cdu.edu.au

Assessment Title

Semester:

Year:

Due Date: dd/mm/yyyy

Extension Required to: dd/mm/yyyy

Reason: (See overleaf for Notes relevant to the completion of this Application related to evidence to support your reason)
Medical Condition (Refer to the student medical certificate@ accompanying this document)
Other (Supporting documentation attached or provided separately)
Details of Other reasons:

I certify that the information contained in this application is true and correct.
Student Signature:
(Select if lodging electronically

Date:
or sign)..

*By submitting this assignment and cover sheet electronically, in whatever form you are deemed to have made the declaration set out above

Office use only

Assessor use only

Date Received:

D..../M..../Y.....
Date Sent to Lecturer:

D..../M..../Y.....

Please return this form to:

School Administration Officer,
C/- CDU Business School, Charles Darwin University, Darwin Waterfront, 21 Kitchener Rd, NT 0801.
Phone : 08 8946 8803, Email: business@cdu.edu.au

Notes for the Application for Assignment Extension

Extensions to the due date will only be made where assignments are late due to special circumstances that are supported by
documentary evidence, and may be subject to a penalty of 5% of assignment marks per day (for up to 14 days). Partially completed
assignments will be accepted with appropriate loss of marks for the incomplete portion. Late assignments will not be accepted after
14 days.
The Head of School, Law and Business, may grant an extension, special assessment or special consideration if the Head of School
is satisfied that a candidate was or will be unable, for medical or compassionate reasons or as a result of exceptional
circumstances, to submit the assignment on its specified due date.
Please note that it is now faculty policy that any request for an Assignment Extension, Special Arrangements and Special
Consideration must be approved by the Head of School or the Dean of the Faculty. Lecturers are no longer able to approve
extension requests. This is simply to maintain a consistent and fair approach to approving extensions.
Unless the Head of School considers that there is good reason why an application could not have been made in due time, any
application for an extension, special assessment or special consideration shall be submitted to the Head of School not less than
one (1) days prior to the relevant assignment (unless the reason for the extension precludes this condition).
Extensions will generally not be granted after marked solutions have been returned to the class. In the event that the reasons for
the extension preclude lodgement by this time, an alternative assessment item may be set by the lecturer.
Should students foresee potential difficulties with submission of assessment items, they should contact the lecturer or the Head of
School immediately the difficulties come to notice, to discuss suitable arrangements etc. for the submission of those assessment
times. Leaving a request for an extension, special assessment or special consideration until the last moment, based on grounds
that students could have reasonably been able to foresee, may result in the application being rejected.
A student who applies for an extension, special assessment or special consideration on the grounds of illness or medical condition
must provide a medical certificate signed by a qualified medical practitioner. The medical certificate does not require disclosure of
the specific medical condition; however it does require the medical practitioner to indicate the affect the students medical condition
will have on their ability to undertake the assessment. Students who do not provide a medical certificate with their application may
be requested to do so before the application will be considered. Generally (but not necessarily) the medical condition should relate
to unforeseen and/or a non pre-existing illness arising after the date that the assignment details are provided.
Application for special consideration can be made in cases of special needs, long term (pre-existing) injury or illness or on account
of physical disability.
If you are unsure about appropriate use of Medical Certificates, or wish to make an extension, special assessment or special
consideration based on special needs etc., please ask staff at Equity and Student Access, either by appointment or by phoning (08)
8946 6288.
A student who applies for an extension, special assessment or special consideration on other than medical grounds shall submit,
with the application, a statutory declaration stating the facts upon which the application relies and shall offer such corroborative
evidence as may be available. Compassionate grounds might include:

Death of family member or close relative

Serious illness of a family member or close relative
Involvement in an accident where this does not involve injury (If injured a medical certificate would be appropriate)
Significant and unexpected employment problems and pressures
Significant relationship problems

CDU Staff do not wish to pry into the personal affairs of students however in interests of ensuring the principles of equity and
fairness, appropriate evidence (preferably documentary) to support the application will be required. If students are concerned about
their privacy in these situations, they should seek assistance from appropriate, unrelated, responsible persons to provide
verification of their circumstances. The University provides confidential access to University Counsellors who are available to assist
students.
Appropriate documentary evidence for compassionate grounds might include:

Bereavement notice
Letter from employer, professional or practitioner
Statutory declaration
Copy of accident report

Please note that University Counsellors are generally not able to provide supporting documentation for compassionate grounds
unless the student has seen them prior to requesting an extension, special assessment or special consideration.
Attendance at sporting events, holidays and other discretionary travel, other discretionary activities and/or other foreseeable events
etc. will not constitute valid events and/or circumstances outside the students control and therefore will not constitute valid reasons
for an extension, special assessment or special consideration. However situations related to the above that are outside the
students control may be considered.

Application for Assignment Extension

Student Medical Certificate
To be completed by your Medical Practitioner (a registered medical or dental practitioner)
(See overleaf for Notes relevant to the completion of this Certificate)
Student
Number
Family Name

Given Names

MEDICAL PRACTITIONER DETAILS

Doctor's Name/Stamp:
Address:

Phone : (____)
Postcode :

I,....................................................................................................................................

a legally qualified practitioner examined

(Patient=s name BLOCK LETTERS)....................................................................................

on

DD

The patient is suffering from a medical condition, AND the illness is considered, chronic/acute

(delete non-applicable).

In my opinion the student=s medical condition will affect the following: (please tick)
In a minor way

Moderately

Severely

LECTURES

ASSIGNMENTS

PRACTICAL SESSIONS

PRIVATE STUDY

For the period

Signature of Medical Practitioner.......

DD

/ MM

/ YYYY

to

DD

/ MM

/ YYYY