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Request for Academic Consideration for Extenuating ...

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Revised August 31st 2020 Request for Academic Consideration for Extenuating Circumstances Students should complete this form to make a good faith Request for Academic Consideration in Extenuating circumstances, as defined by the Senate Policy. Student Name: ________________________________ Student #: ________________________ Queen s Email: ________________________________ Faculty/School & Program/Discipline: ________________________________________ _______ Student Phone #: ___________________ Date(s) of Request : ________________ to ________________ A: Courses Affected (Provide Course Code and Instructor Full Name) 1) __________________ Instructor:_______________ 2) ________________Instructor:_____________ __3)__________________ Instructor:_______________ 4) ________________Instructor:_____________ __5)__________________ Instructor:_______________ 6) _______________ Instructor:_______________B.

Request for Academic Consideration for Extenuating Circumstances Students should complete this form to make a good faith request for academic consideration in extenuating circumstances, as defined by the Senate Policy. ... For assistance email engineering.aac@queensu.ca.

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