Updated February 2020
IMPORTANT! READ THE FOLLOWING CAREFULLY:
Please read the policy on late papers and extensions in the Student Guide for Modular Programs before
submitting this form: tyndale.ca/dcp/student-resources
This form must be submitted to the Office of the Registrar no later than three weeks after the last day of class.
You must fill out one form per course that requires an extension.
Full Legal Name: _______________________________________ Student ID: ____________________________
Email: _______________________________________________ Daytime Phone: ________________________
*If your mailing address has changed, please see tyndale.ca/registrar/university/update-info.
Extension Date(s) From
Professor (if applicable):
Description of personal circumstances that necessitate extension:
Recommended by Director, Centre for Academic Excellence
Received by the Office of the Registrar
Approved by Program Director
UNDERGRADUATE BRE DCP / BRE MODULAR
EXTENSION REQUEST FORM
Office of the Registrar
3377 Bayview Avenue, Toronto, ON, M2M 3S4
Tel: 416.226.6620 ext.6711 Fax: 416.226.4210
Email: email@example.com Webpage: www.tyndale.ca/registrar
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