Special Exam Provision (SEP) Request Form

You should only use this form to submit a request to sit a special exam. You should submit your completed SEP request form and evidence by email to . Please do not submit a paper copy.

We will correspond with you using your LSE email address.

Before applying for SEP, you are encouraged advice about your options from the Student Services Centre Advice team:

http://www.lse.ac.uk/intranet/students/supportServices/studentServicesCentre/WhosWho.aspx

You should still follow the normal deferral procedure (or submit Exceptional Circumstances if the exam has passed), even if you are applying for SEP. This will not preclude you from being considered for SEP.

Please visit the following link for full guidance on deferring assessments and submitting Exceptional Circumstances:

http://www.lse.ac.uk/intranet/students/registrationTimetablesAssessment/examinationsAndResults/exceptionalCircumstances/illnessExceptionalCircumstances.aspx

Before completing this form, please read the SEP criteria and guidance carefully:

http://www.lse.ac.uk/intranet/students/registrationTimetablesAssessment/examinationsAndResults/exceptionalCircumstances/Illnessandspecialprovision.aspx

You must submit your completed form and supporting evidence no later than five working days after the exam(s) concerned were due to take place. If your request is for more than one exam, this means the date of the last one involved.

If possible, you should submit all evidence supporting your request at the same time that you submit your SEP form (scanned copies are acceptable). Requests cannot be considered without appropriate evidence. If you are unable to submit evidence with your form, please contact for advice.

Please complete all sections of this form: if your form is incomplete, it may be rejected.

Section 1: Your details (please print in block capitals)

Family name / First name (s)
Student ID number (e.g. 201512345) / Programme of study (e.g. Bsc in Economics
Date of submitting form

Section 2: Exam(s) for you wish to request SEP

Course code (e.g. AC100) / Course title / Date of missed exam / Unit value (i.e. 0.5 or 1)

Section 3: Grounds for request

3.1 Please indicate briefly why you are/were unable to attempt or complete this exam. You will be able to give further detail in section 5.

IMPORTANT: The following three criteria are the only grounds on which SEP requests can be considered, and the event must be proximate to the exam(s) in question. You must be able to provide documentary evid ence to prove what happened and when.

Accident / Serious injuries incurred in an accident– Please complete row A below
Date of accident / Nature of injuries and recovery
A
Severe illness / Sudden contraction (or complication) of a very severe or contagious disease, illness or condition – Please complete row B below
Date illness contracted/complicated / Nature of illness and recovery
B
Bereavement / Death of a very close relative i.e. parent, child, spouse or sibling. If you are applying following the death of another relation, you must be able to provide evidence of why and how this has affected you. Please complete row C below
Date of death / Relation to you, plus any key information such as funeral dates
C

3.2 Please indicate why you are requesting SEP. Please tick the relevant box

Requests for SEP can only be considered if a student falls into one of the two categories below. If neither of these apply to you, you will not be eligible – you should read the web pages on Illness and Exceptional Circumstances for information about what to do next. If you are unsure of any aspect, you should seek further advice from the Student Services Centre.

I am due to graduate this year, but am unable to due to missing the above exam(s)
I will be unable to progress to the next year of study if I do not sit the above exam(s)

Section 4: Evidence

Please tick and describe detail which evidence is provided. Evidence must be in English; certified translation services may be available from the Language Centre.

Medical Certificate
Death Certificate
Police Report
Other

Section 5 – Additional information

Please use this section to provide further information, including

·  The reason why your circumstances meant that you were/are unable to attempt or complete the exams in question

·  In the case of illness, whether this is a new condition, or the sudden and severe complication of an existing one

·  A list of any exams that you have already taken, and whether they were affected by the same circumstances (if they were, please be aware that you must submit Exceptional Circumstances if you want the Exam Board to take this into account)

(you may expand this box if necessary)

Please email your completed form to .

Last updated 27/04/2017

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