Deferred or Irregularly Scheduled Mid-Semester Assessment Application

Please submit this application no later than three working days after the date of the relevant scheduled examination.

You will be required to submit a Certification of Health Professional or other appropriate supporting documentation from an approved authority with this application.

You are required to check your Notre Dame student email account on a weekly basis.  Advice on this application will be sent only to your Notre Dame email account.

It is your responsibility to ensure you are aware of the decision of this application AND the date/s and time/s of the Deferred or Irregularly Scheduled Assessment/s if approved.

Student Details

Campus *
 

Program Details

Course/s in which a Deferred or Irregularly Scheduled Assessment is requested
 
 
Code*

add another course
Course/s in which a Deferred or Irregularly Scheduled Assessment is requested
 
Study Period  
Course title Code
Assessment Type as per the course outline
Exam Date/Time
Lecturer's name
add another course
Course/s in which a Deferred or Irregularly Scheduled Assessment is requested
 
Study Period
Course title Code
Assessment Type as per the course outline
Exam date/time
Lecturer's name
add another course
Course/s in which a Deferred or Irregularly Scheduled Assessment is requested
 
Study Period  
Course title Code
Assessment Type as per the course outline
Exam date/time
Lecturer's name
add another course
Course/s in which a Deferred or Irregularly Scheduled Assessment is requested
 
Study Period
Course title Code
Assessment Type as per course outline
Exam date/time
Lecturer's name
add another course  
Course/s in which a Deferred or Irregularly Scheduled Assessment is requested
 
Study Period
Course title Code
Assessment Type as per the course outline
Exam date/time
Lecturer's name

Grounds and Declaration

  

Supporting Documentation

You must upload the following completed documents.  These documents can be downloaded as a pdf document and completed as appropriate, then uploaded as a pdf or image. Please tick if uploaded.
 

Upload a max of 8 files (max 60MB total). If you need more uploads, consider compressing all files into a zip file for uploading. Supported file types for upload .docx, .pdf, .zip, .jpeg

Declaration

 
 

  
 
 


If you experience any problems or have any questions regarding this form, please contact Student Administration:

Fremantle
Ph: (08) 9433 0781
E: student.admin@nd.edu.au

Sydney
Ph: (02) 8204 4418
E: student.admin@nd.edu.au

The information provided in this form will only be used for the administrative or educational purposes of the University, or in accordance with your specific consent. The University will not disclose your personal information to a third party unless required to or permitted by law or where you have consented to the disclosure. Information relating to how the University collects, uses or discloses your personal information and how you may complain about the University’s handling of your personal information is contained in the University’s Privacy Policy.
You have a right to access your personal information that the University holds about you and to seek its correction. If you wish to access your personal information or inquire about the handling of your personal information, please contact Student Administration at student.admin@nd.edu.au