Office of the Registrar
Regional Office
11401 - 8th Street
Dawson Creek, BC
V1G 4G2
Ph: 250-782-5251
Fax: 250-782-5233
Toll Free: 1-866-463-6652
Student Information
Name Student ID Number
Date
Course Name and Number Semester Year Taken
Reasons for requesting permission to write supplemental examinations:
Signature of Student
Please print form and sign by hand
Permission to write supplemental examinations: Granted Denied $
Fee
Signature of Instructor Signature of Dean
Application to Write
Supplemental Examinations
255a/11.04.20-j
CAMPUS OF STUDIES
Chetwynd Dawson Creek Fort Nelson Fort St. John Tumbler Ridge
The supplemental examination is not an automatic right of students registering in a course, but a privilege determined
by the Dean and the Instructor of the course. The supplemental examination shall be held within two semesters of the
semester in which the original grade was received. A fee will be assessed for each approved supplemental
examination, depending on the course.