Exceptional Mitigating Circumstances (EMC) application form

Temporary Regulations are in place for 2020/21. This means that if you do not pass a module that was due to be assessed for the first time in 2020/21, you can attempt the assessment for that module with no penalty applied. You do not need to submit an EMC form to request this. This only applies to modules due to be assessed for the first time in 2020/21, for all other attempts the normal assessment regulations apply.

More information on the temporary regulations can be viewed here.

Please read the guidance information about EMC applications on the Academic Registry webpages before completing an application form. The Academic Registry webpages include information on the deadline for submission of an EMC application, it is important that you check this deadline date before submitting an EMC application. You can also contact Edge Hill Students’ Union Advice Centre, for independent advice and representation.

www.edgehillsu.org.uk
Email: suadvice@edgehill.ac.uk

Accessibility: Disclosing a disability is a personal decision and we understand that you may want to keep it confidential. Even if you have not already disclosed your disability, we encourage you to do so at the start of the EMC process. We can offer support and/or reasonable adjustments to help you participate fully in the EMC process and can reassure you of confidentiality throughout. Please email assessmentteam@edgehill.ac.uk if you require the application form in another format.

Name (required)

Student ID number (required)

Programme title (required)

Year of study(required)

Email address (required)

Telephone (required)

Department (required)

Please state which modules are the subject of this EMC application.
Note: it is your responsibility to ensure your application specifies the correct module codes and all relevant elements of the assessment you are applying for.

Module 1

Module number

Element (eg coursework 1/coursework 2/practice/exam)

Element Detail

Assessment dates

Dates impacted by mitigating circumstances

Is this your first attempt at the assessment?

Module 2

Module number

Element (eg coursework 1/coursework 2/practice/exam)

Element Detail

Assessment dates

Dates impacted by mitigating circumstances

Is this your first attempt at the assessment?

Module 3

Module number

Element (eg coursework 1/coursework 2/practice/exam)

Element Detail

Assessment dates

Dates impacted by mitigating circumstances

Is this your first attempt at the assessment?

Module 4

Module number

Element (eg coursework 1/coursework 2/practice/exam)

Element Detail

Assessment dates

Dates impacted by mitigating circumstances

Is this your first attempt at the assessment?

Your Tutor
As part of the EMC scheme, students are expected to discuss their circumstances with their personal tutor or another tutor from their programme. When you submit an application, we will let your tutor know that it has been received, but we will not provide the details of your circumstances or any supporting evidence. To enable us to do this, please provide the name of your personal tutor or another tutor from your programme below.
Tutor Name (required)

Please select here if your EMC claim relates to the coronavirus.
Applications for coronavirus related issues do not require a supporting statement or supporting evidence.

Coronavirus

If your application does not relate to the coronavirus in any way, your application must include the following information:

1. A factual statement (this should detail the reasons for your EMC claim and provide context on how your circumstances have impacted your assessment submissions) (required)
Please upload your statement here:

2. Independent Supporting Evidence
Please attach any supporting evidence here:

Please note: claims for exceptional mitigating circumstances are evidence based. If no evidence is provided your application may be rejected.

Student declaration: Please read and tick box (required)
By ticking this box I confirm the above information and supporting evidence is true and accurate. I understand that failure to submit supporting evidence may result in this application being rejected unless my application relates to the coronavirus.

Date (required)

Data Protection: We are committed to ensuring compliance with current data protection legislation. We confirm that all data collected is used fairly, stored safely and is not disclosed to any other person unlawfully. Edge Hill is a data controller and, in some instances, may process this data. Information about how we use your personal data can be found at www.edgehill.ac.uk/ig/dpa/