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Exceptional Factors Submission: Students - PHP

This document is an Exceptional Factors Submission form for students seeking additional time or alternative assessments due to circumstances outside of their control impacting their performance. The form requires students to provide personal details, details of the specific assessments affected, a supporting statement describing the circumstances and how they were impacted, any supporting evidence, and optional statements from university staff members. By signing the form, students consent to the university handling their personal information according to data protection policies and acknowledge that submitting fraudulent information is considered academic misconduct.

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May Myat Mon
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39 views3 pages

Exceptional Factors Submission: Students - PHP

This document is an Exceptional Factors Submission form for students seeking additional time or alternative assessments due to circumstances outside of their control impacting their performance. The form requires students to provide personal details, details of the specific assessments affected, a supporting statement describing the circumstances and how they were impacted, any supporting evidence, and optional statements from university staff members. By signing the form, students consent to the university handling their personal information according to data protection policies and acknowledge that submitting fraudulent information is considered academic misconduct.

Uploaded by

May Myat Mon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Exceptional Factors Submission

This form is for students seeking an extension or another assessment opportunity for their summative
assessments, as their performance has been impacted due to Exceptional Factors. Full support
guidance on the Exceptional Factors procedure and information on the University Assessment
Regulations can be found at the following link: http://www.mmu.ac.uk/academic/casqe/regulations/exfacs-
students.php

If you require further advice and guidance, please see a Student Support Officer or visit the Student Union
Advice Centre.

Step 1. Please fill in your Personal Details below. Please circle where appropriate.

Name: MMU ID:

Course Title: Contact Number:

Attendance Mode? Full Time Part Time Distance Learner Without Attendance

Do you have a Personal Learning Yes No Year:


Plan?

Step 2 - What are you applying for? Please Tick

I need an extension to a piece of work.


I cannot complete/attend the assessment. I want to defer it for re-assessment.

Step 3 - What pieces of work does this apply to?

Unit Title Unit Type of Summative Title of Work Date Due


Code* Assessment**

*The code can be found in Moodle next to your Unit titles


**Type of Summative Assessment can be Coursework, Examination, Class Test, Presentation, Practical, or
Lab Test

Panel Use Only


Submission Date (Stamp) Outcome

Signature of Chair Date


Step 4 - Please tell us of your circumstances by including a supporting statement.

It is essential that you describe on a separate piece of paper the full nature of circumstances affecting
you and include this with the form. This can be typed or written. Explain how the circumstances
affected your performance in the assessment(s) identified (e.g. time was lost, concentration was
affected, a task could not be completed, etc.)

Step 5 - Include evidence that supports your case.

It is essential that evidence is included to support your claim; e.g. if you are submitting on the
grounds of a medical condition then evidence of the condition will be necessary. If documentary
evidence cannot be obtained prior to the submission of the Exceptional Factors please
identify in the Step 4 statement the date by which this information will be submitted
(normally this should not be more than 5 working days). You should submit this evidence
separately as soon as it is obtained. Remember if you fail to include evidence or evidence is
deemed late your application will be rejected.

Step 6 - Contribution by members of staff.

If you feel that a specific member of staff can contribute to your claim then you can ask them to
write a supporting statement. This step is optional.

Message to staff - If a student has discussed this claim with you and has asked you to comment in
writing, and if you have sufficient knowledge to help evidence this claim, please write or type a signed
statement to be included with the form. A printed e-mail is also acceptable.

Step 7 - Sign the Submission Statement and submit the form to the Student Hub either in
person or electronically. Your nearest Student Hub can be found here:
http://www.mmu.ac.uk/students/hubs/

(a) Confidentiality

In accordance with the Data Protection Act 1998, we are required to gain your consent to the following:-

• To hold some elements of the information you have provided on an electronic database;
• To disclose the information that you have provided to authorised members of the University staff
as required for the reasonable purposes connected with the investigation in the case of an
Appeal or Complaint.

By signing here, you confirm that you agree with the above statements and indicate your consent for
the information provided to be used as detailed above.

(b) False Claims

You should note that the submission of a false claim or fraudulent documentation is a serious
matter and is an academic offence, which will be dealt with under the University’s Student
Disciplinary Procedures. The University reserves the right to check on the validity of the
document(s) submitted by contacting the third party directly.

I agree with the statements contained in (a) above and confirm that the information which I have
given is true and that I have read and understood the Procedures for the Submission of Exceptional
Factors.

Your Signature……………………………………………………………………………… Date………………….......................

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