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High School Course Extension

Note: please complete this form once for each course that you would like to extend.

Please fix the errors indicated below before continuing.
1. Please enter your name and contact details.
2. Please enter details of the course that you need extension for.

Please specify the reason you were unable to complete this course:

Please explain the reason you selected:

3. Plan for completion of course.

Please outline the weekly plan for the next 3 months that will enable you to complete the course.

4. Agreement

I understand that I have to pay a non-refundable $100 for this extension, and when this form is processed successfully, I will have an additional 3 months added to the course term. I understand that if I do not complete this course in the allotted term, I will be withdrawn from this course and, once withdrawn, I will not be able to complete this course, but will have be re-enrolled and start the course again from the beginning.

Please type your full legal name to the above statement. Typed in names suffice as handwritten signatures.

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