ACA02 Assessment Extension Request Form

Use this form to request an alteration to a due date of an assessment piece, including assignment drafts, assignment finals, and exams.

One form must be submitted for each assessment item.

Allow up to 2 business days for your application to be processed.

Student Details
Name of student requesting extension Name of student requesting extension First Last
Student school email address

This email will be used to notify the student of the outcome of the extension request
Mode of study

Mode of study Groves on-campus student Groves distance education student School-based Inquisify student

If you attend a school other than Groves, choose "School-based Inquisify student"
Year Level
Subject and Assessment Details
Subject Name

For example "Mathematics B"
Subject teacher's email address

This is the email that the extension request will be sent to for processing.
Name of the assessment item

For example, "Term 2 Exam"
Original due date Original due date / DD / MM YYYY

This is the date that was set by the teacher for the assignment.

For an exam in an exam block or 'week', list the last day of the week/block as the due date.
Extension Request Details
New due date requested New due date requested / DD / MM YYYY

This is the date you are requesting the extension until.
Reason for the extension request

Reason for the extension request Medical Condition Sporting, Cultural, or Employment Commitment Other pre-planned event, such as a school excursion Technology malfunction Fallen behind in course work Other

Indicate a reason for the extension request.
Please specify a reason
Please supply a valid medical certificate, if available.

Attach Files

Documentation should specify the length of time for which the student was unfit for other duties.
Please supply supporting documentation, if available.

Attach Files

Please supply a letter from a sporting coach, employer, supervising teacher, or other suitable person indicating the length of time for which the student is unavailable for other duties.
*Important information

According to our assessment policy, the reason specified does not fall under one of the acceptable scenarios for granting of an extension, except under extreme circumstances. You may find your request is denied as a result.

We would advise you to submit all work that you have managed to complete by the assessment due date, and discuss your options directly with your teacher.

Please note these guidelines may not apply to students who are eligible for special consideration on assessment items.
Additional comments

Add any additional comments to support your request for an extension.

ACA02 Assessment Extension Request Form

ACA02 Assessment Extension Request Form

Student Details

Subject and Assessment Details

Extension Request Details

*Important information