Protected: Transart Extenuating Circumstances Form

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SECTION A: PERSONAL DETAILS
Name
Email
SECTION B: EXPLANATION OF CIRCUMSTANCES
Explanation
SECTION C: DATES OF CIRCUMSTANCES Dates must be accompanied by corroborating evidence.
From:
?
Enter in (dd/mm/yyyy) format
To:
?
Enter in (dd/mm/yyyy) format
SECTION D: PERFORMANCE EFFECTED (If multiple modules/residencies effected, please enter each case in separate sections)
CASE 1 http://www.transart.org/teaching-at-ti/guidelines-for-module-outcomes/
Case 1: Which of the following has been effected? ?
Please select one option.
Case 1: If failed to submit by deadline:
Due Date:
?
Enter due date of assignment in question.
Submission Date:
?
Enter submission date of assignment in question.
Case 1: If absent from any session of Residency course:
Enter names, dates and times of courses missed:
CASE 2 (If not necessary, continue to Section E) http://www.transart.org/teaching-at-ti/guidelines-for-module-outcomes/
Case 2: Which of the following has been effected?
Case 2: If failed to submit by deadline:
Due Date:
?
Enter due date of assignment in question.
Submission Date
?
Enter submission date of assignment in question.
Case 2: If over the absence limit for Residency courses:
Enter names, dates and times of courses missed:
SECTION E: SIGNATURES

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