FORM RRAA REQUEST TO REPEAT AN ASSESSMENT ATTEMPT (RRAA) REPORT ON EXTENUATING CIRCUMSTANCES 1 PERSONAL DETAILS Name Student ID Number Faculty Course Title and Year (eg 1,2) Course Code Mode of Attendance (eg Full-time/part-time/sandwich/distance learning) Academic Year Semester Contact telephone number 2 MODULE/S AFFECTED AND SUMMARY OF CIRCUMSTANCES Name of Assessment task Deadline date Course work Dates when these circumstances Module(s) and affected (eg name of coursework, only applied e.g. for ill health, the date when Please indicate non-attendance/non submission or Module code(s) of assignment, date of Have you you first became ill to the date when you underperformance which may have prevented you from (only listed presentation, examination had an felt you had fully recovered achieving the overall pass mark for the module by ticking modules will be examination) (as extension? appropriate box. PLEASE ONLY TICK ONE BOX considered) appropriate) Please tick as appropriate □ No □ □ □ Non-submission/non- attendance Underperformance (please only Yes tick one box)
FORM RRAA REQUEST TO REPEAT AN ASSESSMENT ATTEMPT (RRAA) REPORT ON EXTENUATING CIRCUMSTANCES 1 PERSONAL DETAILS Name Student ID Number Faculty Course Title and Year (eg 1,2) Course Code Mode of Attendance (eg Full-time/part-time/sandwich/distance learning) Academic Year Semester Contact telephone number 2 MODULE/S AFFECTED AND SUMMARY OF CIRCUMSTANCES Name of Module(s) and Module code(s) (only listed modules will be considered) Assessment task affected (eg name of assignment, presentation, examination) Deadline date of coursework, date of examination (as appropriate) Course work only Have you had an extension? Please tick as appropriate Dates when these circumstances applied e.g. for ill health, the date when you first became ill to the date when you felt you had fully recovered Please indicate non-attendance/non submission or underperformance which may have prevented you from achieving the overall pass mark for the module by ticking appropriate box. PLEASE ONLY TICK ONE BOX No □ Yes □ □ Non-submission/non- attendance □ Underperformance (please only tick one box)
SHU-TMC%20Request%20to%20repeat%20an%20assessment%20attempt%20FINAL%20-%20Not%20TMC%20logo_0.docx