Name:        Course:  MKTG 370 MKTG 371

E-mail: 

Assignment:   

Original due date: 

Extension requested until (date): 

Category of reason for extension:  Illness--documentation provided Illness--documentation not provided Exceptional job situation Family emergency Court appearance Jury duty Travel for non-athletic university program Travel for university athletics Job interview Severe pressure from other classes Bad planning Other

Explanation of reason:

Previous extensions requested in this class, if any:  Assignment(s) and dates

Approximate percentage of class meetings you have attended so far during the quarter. 

If the above percentage is less than 80, reason(s) for low attendance:

Unless a specific waiver is granted in advance, all extensions, if granted, are expressly contingent on complete attendance of all class sessions between the original due date and the date when the assignment is turned in.  Waivers will be granted only under exceptional circumstances.

Do you wish to apply for a waiver of the continuous attendance requirement?  No Yes

If a waiver is requested, please state reason for this request:

I certify that the all the above information is accurate to the best of my knowledge and that I have not made any exaggerations or other misrepresentations.  I have given careful thought to all factual information represented.  I understand that making false statements on this form may result in serious disciplinary measures.

In this form, please write "Understood":