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AegrotatGradeRequestForm
Registrar&EnrolmentServices
IMPORTANTINFORMATION
Noappealwillbeconsideredwithoutdocumentaryevidenceofextenuatingcircumstances.
Anaegrotatgrademaybegrantedforastudentincertaincircumstanceswherethestudentisunableto
completethecourseworkbecauseofapermanentdisabilityoranincapacityofacatastrophicnaturethat
extendsbeyondthelastdayofthefirstmonthofthenextsemester.Ifthestudentisabletocompletethe
courseworkbythelastworkingdayofthefirstmonthofthenextsemester,adeferredstandingrequest
mustbesubmitted.
DEADLINE:Thedayafterthelastdayoffinalexams.
FromPolicyE2007:AegrotatGrade
Aegrotatgrade(AEG):agradegivenonmedicalorcompassionategroundsbytheRegistrar.Anaegrotat
gradeisnotcalculatedintotheCGPA,fullcoursecreditisassigned,notedasAEGonastudent’stranscript,
andpresentedasaminimumpassforgraduationpurposes.Departmentalpermissionisrequiredtousean
aegrotatgradeforprerequisiteorprogramprogressionpurposes.
Itisthestudent’sresponsibilitytoreadandunderstandPolicyE2007:AegrotatGrade,availableonthe
LangaraCollegewebsiteat:http://langara.ca/aboutlangara/policies/collegepolicies/studentservices.html.
OFFICEUSEONLY
DECISION:
COMMENTS:
INITIAL: DATE:
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AegrotatGradeRequestForm
Registrar&EnrolmentServices
PARTA:TOBECOMPLETEDBYTHESTUDENT
PARTB:TOBECOMPLETEDBYANAPPROPRIATEPROFESSIONAL(IFAPPLICABLE)
FULLLEGALNAME:
LANGARAID: TERM:
PHONE: EMAIL:
Iwishtobeconsideredforanaegrotatgradeforthefollowingreason(s)(attachmaximum2pagedocumentexplainingcircumstances):
Iwishtobeconsideredforanaegrotatgradeforthefollowingcourse(s):
COURSESUBJECTANDNUMBER:
EXAMDATE:
(IfmissedFinalExam)
COURSEWORKSTILLREQUIRED:





RELEASEOFINFORMATION:LangaraCollegecollectsyourpersonalinformationundertheauthorityoftheCollegeandInstituteAct
[RSBC1996,Chapter52,Section41.1]forthepurposeofprocessingyouraegrotatgraderequest,andincompliancewiththe
provisionsoftheFreedomofInformationandProtectionofPrivacyAct[RSBC1996,
Chapter165,Section33.1].Forquestions
aboutthecollection,useanddisclosureofyourpersonalinformation,contacttheRegistrarofEnrolmentServicesat604.323.5225.
STUDENT’SSIGNATURE:DATE:
AnappropriateprofessionalisanAboriginalElder,anindividualwhoisregisteredwiththeCollegeofPhysiciansandSurgeonsof
BC,aDentistregisteredwiththeCollegeofDentalSurgeonsofBC,aregisteredpsychologistoftheCollegeofPsychologistsofBC,
aNursePractitionerregisteredwiththeCollegeofRegistered
NursesofBC,aRegisteredClinicalSocialWorkerregisteredwiththe
BCCollegeofSocialWorkers;oranequivalentregisteredprofessionaloutoftheProvince.
Thisstudentisunabletocompletecourserequirementsonthedate(s)from______________________to___________________
duetoanextenuatingcircumstance,andinmyopinionshouldbeconsideredforanaegrotatgrade:YesNo
REASONSFORAEGROTAT(CONFIDENTIAL):
PROFESSIONAL’SSIGNATURE: DATE:
PROFESSIONAL’STITLE: 
STAMPORPRINTPROFESSIONAL’SNAMEANDADDRESS:
Mark“Confidential” andsubmitcompletedform to:
Appeals,RegistrarandEnrolmentServices,
LangaraCollege,100West49
th
Ave.,Vancouver,BC,V5Y2Z6
Fax:604.323.5590
Email:appeals@langara.ca
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