Faculty of Architecture, Design & Planning Application for DISCONTINUED - NOT TO COUNT AS FAILURE (DC) due to serious illness, injury or misadventure. This application is for students enrolled in units administered by the Faculty of Architecture Design and planning and is to be used after the advertised deadline for each session. Should your application be approved, the DC grade is without academic penalty however you are still liable for your fees. PART A: STUDENT DETAILS Name: Title: Surname: Address: Telephone: Student ID: Student mail: Degree: I REQUEST A DC GRADE FOR THE FOLLOWING UNIT(S) OF STUDY: Unit Code Unit Name Session/Year PART B: STUDENT TO READ Please provide a written statement outlining the reasons for failing to apply prior to the advertised deadline and the unforeseeable reasons that have prevented you from completing the unit. You will need to supply one or more of the following supporting documents (original or verified at SAC or certified by an authorised witness). Medical certificate(s) Statutory Declaration for non-medical matters (ideally additional material should be provided, for example – obit, order of proceedings at a funeral, travel itinerary) Your statement must include details of your registration with disability services or any special consideration applications previously lodged, this will allow the Faculty to take into account your circumstances when making a decision. Applications processing time is normally two to four weeks, however you must supply all relevant material in support of the application at the time of submission, incomplete applications will cause delays and may not be considered. 2015 DC Application v01 Page | 1 Faculty of Architecture, Design & Planning PART C: STUDENT ACKNOWLEDGEMENT I understand that my application for DC requires supporting documentation from a registered professional authority. I am aware that the registered professional may be contacted to verify my application. I acknowledge that disciplinary action may be taken if I supply false or misleading information. Signature: Date: Applications are to be submitted to: The Faculty of Architecture Design and Planning, Student Administration Centre, Wilkinson Building (G04), Level 2 Room 212, 148 City Road, University of Sydney NSW 2006 For enquires please email arch.asu@sydney.edu.au, PART D: OFFICE USE ONLY The application satisfies: the provision of original/certified or verified documents that the circumstances were reasonably unforeseeable OUTCOME Application approved Application declined NOTES Approved by: Signature: 2015 DC Application v01 Date: Page | 2