Assessment Due Date Extension Request Form

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We’ll acknowledge receipt within three working days.

We may contact you to discuss the application and will inform you of the decision in writing, within 10 working days of acknowledging receipt of this application or as otherwise agreed with you.

Your Full Name (Learner)

Your Email Address (Learner)

Your Service Provider (Employer)

Your Location

Please state the name of the course

Current Assessment Due Date

New Requested Due Date

Please select the new due date you are requesting.

Please state your reasoning behind your extension request