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Deadline Extension Request Form

This form is intended only for use by students already registered with the Access Center that have been approved for consideration of this accommodation.  If the circumstances related to this request are not directly related to your diagnosed condition then you should contact your instructor and not fill out this request.   

After submitting this request you will receive an email within 1-2 business days from your Accessibility Coordinator indicating whether your extension request can be granted.  Please continue to work on this assignment while this request is being reviewed.  Submitting this request does not guarantee approval.

* = Required Field

Name:*
 
Student I.D.#:*
 
MSU Denver Email:*
 
Cell phone #:*
 
Accessibility Coordinator:*
 
Name of Course you are requesting deadline extension:*
 
Professor's Name:*
 
Name and type of assignment (i.e. Assignment 4-research paper):*
 
When did professor inform the class of this assignment?*
Assignment due date:*
 
Requested deadline extension due date:*
 
Please explain in detail the extenuating circumstances related to your diagnosed condition that are directly impacting your ability to submit this assignment on the original due date:*

 

 

 


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