extension sheet research techniques

1. BTEC Claim for extension
Section 1 – (completion by student)
To be considered for an extension, this form must be submitted as soon as possible
(if possible prior to the deadline date).
Student ID: 12287523 Name: Rhys Cohen
Course: extended diploma in creative media
Assignment(s) to which the request applies
Unit number Unit title Assignment Title Original Deadline
Unit 6 Critical approaches Pr1 research techniques
17/10/16
Reasons for applying for: an extension to coursework deadline/Failure to attend a
practical assessment. (please delete as appropriate)
Please outline below the circumstances you wish to be taken into account. You should also attach any
supporting evidence, such as a medical note from a doctor, note from parent/s or guardian etc.
Student Signature: Rhys Cohen Date 18/10/16
Assessor Signature(s): Paul Rossington Date 18/10/16
Section 2 – To be completed by HOD/Lead IV
Request approved Yes/ No
New Deadline
Has the Assessment Plan being updated Yes/ No
Signed: Date:
Top Copy = Student, Second Copy = Lead IV, Third Copy = Assessor Fourth Copy = Senior Teacher
Notified illness on the 17th