Application for Long-Term Extension

Students submitting this application should ensure they have read and understood CPLED’s policies. This form should be used to request extensions for multiple assignments or completion deadlines in a program due to temporary but significant extenuating circumstances. Applications due to permanent medical conditions or disabilities should be addressed by way of an Application for Accommodation.

Name*
First Last
CPLED Student ID/Account Number*
To locate your CPLED Student ID/Account Number, please follow these steps: 1. Log into the CPLED Student Portal. 2. Navigate to your tuition fee invoice, where you will find your CPLED Student ID/Account Number listed.
Email*
Phone*
I request to be granted long-term extensions for the following assignments:*
I request long-term extensions for the following reasons:*
Additional Information (attach a separate sheet if required)
Supporting documentation is not required to initiate this application; however, CPLED may request further information and documentation in support of the application after it is submitted.
Max. file size: 200 MB.
I confirm that I have read and understood the requirements of this form and any relevant CPLED policies. I affirm that all the information and documentation provided in support of this application are accurate and true. I understand that CPLED may request further information and documentation from me in support of my application. For the purposes of verifying authenticity, I authorize CPLED to contact anyone who provided documentation submitted in support of this application, including but not limited to medical documentation.*
First & Last Name