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  • Mitigating Form

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    Parmis Tehrani
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    This document is an application form for students in the School of Cultures, Languages and Area Studies to submit a claim for mitigating circumstances. It requests information such as the student's name, registration number, programme of study, year, semester, modules affected and details of the mitigating circumstances. Supporting documentation must also be listed and provided. The completed form must be submitted to the SOCLAS office for consideration by the Mitigating Circumstances Committee.

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    This document is an application form for students in the School of Cultures, Languages and Area Studies to submit a claim for mitigating circumstances. It requests information such as the student's name, registration number, programme of study, year, semester, modules affected and details of the mitigating circumstances. Supporting documentation must also be listed and provided. The completed form must be submitted to the SOCLAS office for consideration by the Mitigating Circumstances Committee.

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    22 views2 pages

    Mitigating Form

    Uploaded by

    Parmis Tehrani
    This document is an application form for students in the School of Cultures, Languages and Area Studies to submit a claim for mitigating circumstances. It requests information such as the student's name, registration number, programme of study, year, semester, modules affected and details of the mitigating circumstances. Supporting documentation must also be listed and provided. The completed form must be submitted to the SOCLAS office for consideration by the Mitigating Circumstances Committee.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    SchoolofCultures,LanguagesandAreaStudies Applicationforconsiderationofmitigatingcircumstances N.B.ThisformisforuseONLYbystudentsondegreeprogrammesownedbySOCLAS.Other students must submit their claim to their home Department/School, even if they are claiminginrespectofmodulestaughtbySOCLAS.

    Before completing this form, please read the University's guidance note on mitigating circumstances:http://www.liv.ac.uk/tqsd/pol_strat_cop/mit_circ_pol_final_Nov04.doc
    Fullname:

    Registrationnumber:

    ..

    Programmeofstudy:

    ..

    Yearofstudy: Personaltutor:

    Semester:

    ..

    Modulesaffectedbymitigatingcircumstances(completeaseparatelineforeachassessment)

    Module code ModuleTitle Tickbeneathtypeof assessment(s)affected Exam Classtest C/wk Tickif assessment missed Tickif assessment affected Dateofexam orassessment

    Detailsofmitigatingcircumstances Pleaseprovideadescriptionofthemitigatingcircumstancesthatyoubelievemayhaveaffectedyour performanceintheabovemodules,includingthetimeperiodoverwhichthesecircumstances occurred.Pleasestatewhataspect(s)oftheassessmentyoufeelhavebeenaffected.Continueona separatesheetifnecessary.Bepreparedtosupplyadditionalinformationswiftly,ifaskedtodoso.

    Supportingdocumentation Pleaselisthereallthedocumentationattachedtoyourclaim.Medicalclaimsmustbesupported bymedicalevidence;otherclaimsshouldbesupportedbyappropriateevidence(forexample, policereports,insurancereports,copiesofappropriatecertificates).

    ThisformandanydocumentaryevidencemustbesubmittedtotheSOCLASoffice,room222,onthe secondflooroftheModernLanguagesBuilding.PleasemarkitfortheattentionoftheSOCLAS AssessmentDirector.Youwillbenotifiedoftheoutcomeofyourclaiminwritingafterthe appropriateMitigatingCircumstancesCommitteehasmet.


    Studentdeclaration Iconfirmthatalltheinformationcontainedinthisstatementisaccurateandcompletetothebestofmy knowledge.IconsenttotheinformationbeingusedbytheMitigatingCircumstancesCommittee,and understandthattheinformationwillbetreatedinthestrictestconfidence. Signatureofstudent:..Date:..

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