Extenuating Circumstances - Undergraduate Applicants

Extenuating Circumstances - Form A (Applicants)

This form should be submitted within two weeks of us receiving your UCAS form; information received after a decision has already been communicated will not be considered unless this was within two weeks of you applying via UCAS. If extenuating circumstances affect you after this time (and are likely to have an impact on your future performance) then you will have a subsequent opportunity to inform us about this if you become an offer holder.

If your referee has included this information in your UCAS reference you do not need to provide it again, however you or your referee may wish to use this form to provide additional evidence or detail.

Please use this form to advise us where significant extenuating circumstances beyond your control may have affected your recent academic performance, including in examinations or assessments such as GCSEs. Circumstances may include, but are not limited to:

- Bereavement

- Acute ill health

- Sudden and severe disruption of a personal or domestic nature.

Significant and evidenced extenuating circumstances will be taken into consideration when determining whether we can make you an offer, alongside other factors such as the availability of places on the chosen degree course, and the information contained in your UCAS application. Submitting an extenuating circumstances form does not guarantee that the University will be able to make you an offer.

Submissions without supporting evidence are unlikely to be considered.

The information you provide will be treated in confidence, and only shared with necessary members of the Undergraduate Admissions Service and relevant academic members of staff.

UCAS Personal ID

Warwick ID

Full name

Email Address

UCAS Course Code(s)

Course Name(s)

Your Extenuating Circumstances

Please explain the extenuating circumstances and how these may have impacted your recent academic performance.

Please list the qualifications or examinations which have been or may be affected

Have your exam boards been informed about the circumstances outlined above?

Please provide supporting evidence. Ideally this would include a statement from your school explaining how the circumstances impacted on your education; medical evidence or other official documentation may also be provided as appropriate.

Attach file

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Your Reference

Please give the name/s of people who you would be happy for us to contact regarding your extenuating circumstances. This could be your UCAS referee or someone who is able to verify the supporting evidence in a professional capacity. You should not use friends or relatives as referees.

Name

Relationship to you (e.g. teacher)

Contact Number

Referee Email Address

Declaration

To the best of my knowledge and belief, the information contained in this form is accurate. I understand that giving false information, or failure to supply details, may invalidate an offer of a place at Warwick.

Privacy notice

The information you supply in this form will be used to update the record we hold of your application for undergraduate study at The University of Warwick. This information will be incorporated into your student file, if you enrol with the University.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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