Attestation for Academic Consideration

What? Use this form if you wish Academic Consideration without supporting documentation. This consideration will be provided a maximum of once per academic term based on a student’s attestation. If you are submitting Academic Consideration to more than one faculty that covers the same time period, a single Attestation is required.
A single attestation can cover:

A single day in the final examination period or,
A range of dates up to a maximum of three working days encompassing multiple evaluations and courses

Subsequent requests will require submission of the appropriate supporting documentation. Notwithstanding the above terms, a student’s attestation will only apply to a single day within the final examination period. Students seeking consideration for multiple days during the final examination period are required to submit the appropriate supporting documentation.

In-term course work or Examinations:
Religious Observation: No attestation required
Debilitating Physical or Psychological Illness or Event: Attestation for a maximum of three working days.
Family Emergency or Compelling Personal Reasons: Attestation for a maximum of three working days.

Final Examinations:
Religious Observation: No attestation required
Debilitating Physical or Psychological Illness or Event: Attestation for a single day within the final examination period.
Family Emergency or Compelling Personal Reasons: Attestation for a single day within the final examination period.

Do not fill out this form if:
You have missed coursework that is worth 20 per cent or less. Contact your course instructor directly to request consideration for missed coursework worth 20 per cent or less of your final grade.

I acknowledge:
I'm applying for Academic Consideration for missed work that includes any of the following criteria:

I'm applying for Academic Consideration for missed work that includes any of the following criteria: Coursework worth more than 20 per cent of final grade Test(s) or midterm examination(s) regardless of percentage of the weight of the examination Final examination(s)
Reason for submission:

Reason for submission: Debilitating physical or psychological illness or event Family emergency or compelling personal reasons
Student Information
Name Name First Last
Student Number
Must be 9 digits. Currently Entered: 0 digits.
Student Email
Effective Term:
Terms and Conditions

I understand that, in accordance with the university’s academic regulations, I must be honest in my use of the Academic Consideration Process, including personal attestations. I also confirm this attestation is the only one I have submitted this term. Any misrepresentation of facts that have an affect on my academic evaluation could result in academic sanctions including, but not limited to, suspension or dismissal.

Student Signature - type your name in full

Acknowledgement

Acknowledgement I understand this is a legal representation of my signature.

Disclaimer

Personal information on this form is collected under the authority of the University of Ontario Institute of Technology Act, SO 2002, c. 8, Sch. O. and will be collected, protected, used, disclosed and retained in compliance with Ontario’s Freedom of Information and Protection of Privacy Act R.S.O. 1990, c. F.31. This information will be used for education, administrative and statistical purposes and to administer registration within the university. Questions regarding the collection of your personal information may be directed to the Registrar, 2000 Simcoe Street North, Oshawa, ON L1G 0C5, 905.721.3190, email: connect@ontariotechu.ca.

If you require this information in an alternative format due to disability, please email connect@ontariotechu.ca.

Attestation for Academic Consideration

Attestation for Academic Consideration

I acknowledge:

Student Information

Terms and Conditions

Disclaimer