ࡱ> ]a\_ bjbjjj 46,b,bj ttttt8$tfXd4$"d't999'tt<UUU9^ttU9UUUdRUR0U#l#U#tU99U99999''U9999999#999999999 B :: Request for Additional Examination Arrangements: Specific Learning Disabilities Academic Departments should ensure that all such requests are received by the Registry at least Six weeks before a students first examination (except in the case of accident or sudden illness, where the application must be made as soon as possible after the event). Name:CID:Department/Division:Undergraduate/Postgraduate: Condition:  When is the first/next examination:  What is the nature of the examination(s): (tick all that apply)  FORMCHECKBOX  essay type paper  FORMCHECKBOX  mcq  FORMCHECKBOX short answer paper  FORMCHECKBOX  other (please specify):  What is being requested: (tick all that apply) It is not standard practice to have both extra time and rest breaks, unless in exceptional circumstances.  FORMCHECKBOX extra time __ minutes per hour  FORMCHECKBOX use of a pc/laptop  FORMCHECKBOX rest breaks  FORMCHECKBOX  other (please specify):  Is there evidence of a discrepancy between the students performance in coursework/seminars/written examinations?  FORMCHECKBOX Yes  FORMCHECKBOX No  FORMCHECKBOX Not known If the student has not already been to the Disability Advisory Service, please encourage them to make an appointment as soon as possible as this will enable us to process the request sooner. As long as the students needs do not change only one application will need to be submitted, and this can remain in place for the duration of their course. Report attached/enclosed  FORMCHECKBOX  Name:Position in Department/Division:Signature:Date: Please return completed form to the Records Team ( HYPERLINK "mailto:assessment.records@imperial.ac.uk" assessment.records@imperial.ac.uk) Further information about Additional Examination Arrangements is available here /student-records-and-data/for-current-students/undergraduate-and-taught-postgraduate/exams-assessments-and-regulations/additional-exam-arrangements-in-respect-of-disability/      APPENDIX C OP[   % & ' 9 : H I J O P ^ _ ` t u ݵweS#jhh=WCJUaJ#jThh=WCJUaJ#jhh=WCJUaJ#jlhh=WCJUaJjhh=WCJUaJhh=WCJaJhh)CJaJhh5>*CJ^JaJhK5>*CJ^JaJhhCJ^JaJ h5^J h5^J h{5^JP[ a b c h i ]kd$$Ifl0 #   t0644 lapytd$Ifgdgd$a$gdA{wi j  xjjd$Ifgdkd$$Ifl0 #   t0644 lapyt xjjd$Ifgdkd4$$Ifl0 #   t0644 lapyt xvhhd$Ifgdkd$$Ifl0 #   t0644 lapyt d$Ifgdnkdh$$Ifl#$ t0644 lap yt   t d$Ifgdnkd$$Ifl#$ t0644 lap yt ; <   d$Ifgdnkd<$$Ifl#$ t0644 lap yt : ; < = K L M q r A L z { ȹȧȹȕȹȃȹqfȹTȹ#jhh=WCJUaJhhCJaJ#jhh=WCJUaJ#jhh=WCJUaJ#j2hh=WCJUaJ#jhh=WCJUaJjhh=WCJUaJhh=WCJaJhsfwh=W5CJaJhsfwh5CJ^JaJ#hh5CJOJQJ^JaJ    z d$Ifgdnkd$$Ifl#$ t0644 lap yt UVop~)+~l~aUMBMh^h^CJaJh^CJaJjh^CJUaJhh{CJaJ#j hh)zCJUaJjhh)zCJUaJhh)zCJaJhhr5CJaJhr5CJaJh5CJaJhh5CJaJ#jhh=WCJUaJjhh=WCJUaJ#jhh=WCJUaJhh=WCJaJ Vd$Ifgdnkdp $$Ifl#$ t0644 lap ytxjjd$Ifgdkdh $$Ifl0/ #  t0644 lapytxjjd$Ifgdkd $$Ifl0/ #  t0644 lapytxjjd$Ifgdkd $$Ifl0/ #  t0644 lapytPhijlmoprxvvvqqgvgvg dgdgdkd6 $$Ifl0/ #  t0644 lapyt +,MNOPjtgijkmnpqstvwyŽŲТxd\XhhA{wh5&hA{whA{w5CJaJmHnHtH uhA{wCJaJmHnHtH u,j hhCJUaJmHnHtH uh#jh#UhCJaJh^h^CJaJh^CJaJhhXxdCJaJhh{CJaJhh)zCJaJh]h^0JCJaJjh^CJUaJrsuvgd dgd21h:pXxd. A!"#$S% $$If!vh#v #v :V l t065 5 pyt$$If!vh#v #v :V l t065 5 pyt$$If!vh#v #v :V l t065 5 pyt$$If!vh#v #v :V l t065 5 pyt$$If!vh#v$:V l t065$p yt$$If!vh#v$:V l t065$p yttDeCheck1tDeCheck2tDeCheck3tDeCheck4$$If!vh#v$:V l t065$p yttDeCheck5tDeCheck6tDeCheck7tDeCheck8$$If!vh#v$:V l t065$p yttDeCheck9vDeCheck10vDeCheck11$$If!vh#v$:V l t065$p ytvDeCheck12$$If!vh#v #v:V l t065 5pyt$$If!vh#v #v:V l t065 5pyt$$If!vh#v #v:V l t065 5pyt$$If!vh#v #v:V l t065 5pyt;.Dd#   Aa?Imperial monoPicture 1Imperial mono"b--.LIROn=JC - n-.LIROn=JCPNG  IHDRREsRGBgAMA a cHRMz&u0`:pQ< pHYs.#.#x?v,YIDATx^흱-7ſiyDDK hixc >~_ {> ?_)lk\ |&1~>j\/C {A45A rvS5_v~*<պuA>E#Pi:@?}׏DO{,Au %pFیrOH7OdG>cU D ԖjA|W92Bmbl҂*Ӗ=(ͼA :#};& OJ1а*Hf$yblgO*}}d2H="€Fcc) kՑi u@ z^2D R*N'l|}*H!k.2P>e9)* e2HfR'diYe쌔!j%g:)$ u) o2;Haүk/;(e,9~=߮)َU2lpĞU {pݖ򊦠o6?,= H?AWzCg|׌ *,Q&{VϘWA e:QJE1S2 TD!pR1A +ySb2HTjp}8HP~D}:g%[F 0?3ϬzZ6ʛ9v5H@Xhd,v YVw[>9ÓW߮ +٨Q{VӪK{#G{x3n7HٯcehUs=_E+ȷm|:eo?B2z࿊V)CTθ6HU|̕ҞG@J= P)Uc HsV筰 ^VbW FΫo:y[eqHB= ?lzg?;;}L#a Rzu^-M?3xN=;F>*6\pNo˛8 '̖>#ۍy.L_-E1zD:Rj6 G?=>1G}𑞟RM_pfmm |ճgg&-i Ŋh[ PQ'Ne. Gu h(ک"̙c`Ѫ.m *6/}#oY{=a,![{[<)E/AG}1u+<æc//Pf$zc퀟US4K *g0o 3Lɘ09PTjo3 +p4Xf/گQn6 01ZSqF}by{}:{,+R3lZ9C #|}?faF' |S_Y{>]zD8VFDA[ GOkK9=:.Gl_!}CY.+S Ϊ@; @bQj@ a_2 GMeX/gb5ͨJmW7U|di ?gg{?2[| B LNys[uvȚDŞݔmGtɥTma)l_Sj,8x3J3ADh̺2R^`O+{W R8.{2ٮܓ3l[ zc(ZfuX0)yhY @lyyfole`Grܲa_l@]@ܓV0Vo/(qHzfemm~'g9}jgoDYJ;ߣla{3*zxHo; LLg՜uYFzhFpo4uXzsRpX5n[ryF@f'=0NL3ڷ:.g%T2`Y Ēϙ,ioyt *YtzPA}݃Uޥ v䋠{Zd0Z2@NyfAvp{+0}PXb?̀:0 })էd<~d6zcʀ bӲitߚ(@=w%HڢiG(˘-0e_[kmcCFK; glƂ٨fXJae}4]_}ԡEQ8_fV_fLmS:U3qOv|fdJY_Y˴ آw5Ʊ>5Xղf}F̳ˈ`5k@jd1: Hcm&H,I2k7ɱ7,Sڞi{EvNZFe\ϱ RLfF?1&ZlH1 zh!2mOгzg~K׀eyl3S F~r8J}[Heή)gguQGYbˆ2.RgkkVkG]Of%#2KZG6d&ޢxc_[`u]xA*lYfeG6*o k &f= #h)a$Zv v+g(3ʲژ`lbdd,):&CEϊ1HE+,1;go}h ]Ȋ) kp+hna˰>#Q>XMgWvԇv'7HE;@*syi'vߋ{agTl(d@9dh~^q;c|FQ \8>v`A*!J}JUmiO̤EY 5# wCGgl:cC96_F:H)97zeFwٽ1).fAtR5*G0.3K,u`ͱ6 >z9QG@X3T{2RCyW)%CۣgE)3:gʲ~(pFK{ R7? q(tW>٠~JNzuP  l]W)e):8#P,xfTQ5\3AJÄ﹀T^w)v/~5`!Z\sz ЎϬdغR?sviT¬kRv~87 z׌3~10(N םA}[欠ܗw)&f@ݨ>ʲ:?Ѻӽ)d3N7H}z^ vPgm6srrʌ֬kG/ bP(Qi 5W*{h] s)6g(ZP`& I#lUCebsXJe3^\b׌ldbz:&RZelϺeH]e<=+f3kˊw+Dau׏]k 3)Z<#edsXaffbؗl3R] ,g,g}R1 ČIY:Ȩ*RftdwgHـpvdol:v p~u`3L*Q.KIITGp#QQ]X[ @Bԟv-kGhw$-*qRJ5 #}bZzKmW(0ũd"gT2u`a'ڗlٗ% P'hYُ,{3H+ ee'qd[Sfs}deU5Jz nZ 66v62hGph˳#3>v5#:ðˣŧڥ,} ЁpF^m WD)AGO Rl݊l{ƃ&s 57Iƛx3H-ReQd&87ܟt( v6a[oR`-| Z 3zҞÛ:zmG{U `%]gǎ4Nh:@3˨[xޑQR_Ed쳺>6`@96 lZ  lD^,0Zߣx6op"Gr*@g\4xgA+P ,*ڲ3; LGʶud>m"R0 -v;٬=Σcbl@ Ev (Hmm?3]gcl]r*30p=V&3 zg-[ A2Iז#f6HA?iFlhV?z FH,fa ɆA dAX2\^𹃸kNu"wHs8?ؐ`D[0δǙo0Y5Pa*@ ڐe[f̰Zc<23L+S^ْ2HfI4 J,~_+ `#Sj<{5*@{3۶ cgVSlѬƔHGث  6;W3&\C>ٱ<+Vچ絲",xgd{۱jsFY)YeBMegzǴ^D +XrTݬB]ىmGC9uc_f3R d`^J=~KR4ɂzPH:d8D8(2fg8ӈgپ"ʹylt lۏz&6X J{0imz6j3QAdg Go,c{ 35 fA^u-VNƮer=-=lW8j?Ϭgy7ԾSʖ3FmQAj2mh{ꌱV[~ۿw-E~?:~?Leٵaat3ZgrDk #)OEu,G3oXؠ\^(W۟qm=A}3)DŽ2=po̪[ȱO[#®jc[^g)_?Khn9s *mli1~>j,*@c3G =!)gCRπΫ/'`~m=蟢2I 4d oʑ_)uwWNVk3|i~ H5\!U%;Q7HF:q/;+=8\ۆ5` ":#egf X0H R#4p3k ꌔ5` XWh e2HYt#3Rvfhր5` \A e ":#egf X0H R#4p3k ꌔ5` XWh%@믿~Gӟ_Peq2H;߿ߗo}j@oY;h_|q?u?Fk'>,?&l츿= <Ep5p@wVG0Ci'? aKD23Th{aI6pd'dz[/gWiQ 1̎^++7ZٵhޖPlm>jOq͌~(}QV8}j:_kc@ @ *5t<m{/dD2a BVoF}QU{ٚ0}2bZ1z˶j:Hk8C˃Ym ̑4@9` Yr{ KoeA;ScK]enrSu묝;h`i:#PS^6! 5J8"3vatJ̮ET`La0uSkk`T˂F=J,e l@YNiy&DeA*#;XFu>v௠7.h XWh`I@&%:tB `E9 QXJB֥ xnF s${*ȳ00>r d}[3Wk`9R5aW :̦Y{ @)g7}9Ꞛjo1 D(Y*,MVӸNw`FKfJƈz13gEb7vV6Q튂 V6##@HT6w8Җb;Ɓ5` \@J j\tvfN lJV: ‚'G6:(_PmȦi%ۊ=:7孺^s`Ne@J jVD*6@U"ZS4VÑ"#}dU"miRHP՛Q}j]NF4 H)z4N lCKs{vTl.EV0d"@i ##vGцsP[#w ,!e`zU2CYYx"Llك8Eo%k\>ր5%@J ԣF[*-J)- -RL9V.5+(YLpG[L[ko,e6f\d,5` j` RJtY l -R2B#/ ^H)wQC >ϣ/D;z~.@j X#=H!;YTkF#6 qVmOoi]yo 2aÙfƅ:ZրۃسFSʼiZ d _oWk)d2cL,LpG̘=H)eth6bRiþ,{TA͞<&>JچwVo)Z4p{RY2jbb[fضԂ*{dV=~Az/mSkɒmAʁPխv^M)eV [A(uy2H)G)ͰF@Q4T.)W nn5 RTA6e!I 37ȲQfօO62cglw`# L0(eR 5{fKTWYYVvOv?1c I50AFUfFj֩,(>4 5\lCk54` RW2P\ڛm`6R1Vo5ֆ5c <2ټ +7ǂbvr4p{'#xdɄìrRoҩoe]u,ڥdz}f \ۃL2O/dᣗ}a9w)&-qLƣuޒ,+S} 5tD}f ۃ Z3Zv?`:%[Xr/dMպc03ڎ}}Ok8AJY>q4 l@ Jɚd-0UڔJ/' Rր5AJA֏` U;ux H)K٠)~~U[G)p؂Vos6A R[򑲄T;.)@fepnB}Rx/ fk՛AjMAbXlJv| BH}R  s45` ,RW6eYqa]A ND9:'=³=qY{ ՛A!:]Zyu ,RR/D:_6ضL>7r1,J۰#ѱeJ2=(&<6( A,)o {^bu6A5b e@J0B؀ QQYHPUb6"T=,D-QVeVf k@ R`pt?eu{MѠd"?* @G hf 1 QbK3 ڞ5}; .gXhbf#ek3b5G$.=qiI$]4h"0Um3k2%nj3R#u౽r w+@,wJ@5A mS2['rOߢSK9ש,]}tHێͲ^;סּXF`j$KvtQO\+n@ ,H]*o= Qޜxl_k9X LeQ QJ`ck#}1T@l*Svծw} RqKk`)ue$!;sU0V)KW3S̙̰K#ZõxވX:^6x"FC9#;l}U G}P6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ OJPJQJ_HmH nH sH tH J`J Normal dCJ_HaJmH sH tH DA`D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List tt ) Table Grid7:V0 dB B =W0Placeholder Text B*phZZ =W0 Balloon Text dCJOJQJaJmHsHtHN/!N =W0Balloon Text CharCJOJQJ^JaJ6U`16 )z0 Hyperlink >*B*ph>@B> 0Header B#d.Q. 0 Header Char> b> 0Footer B#d.q. 0 Footer CharFV F {0FollowedHyperlink >*B*phOrPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< 6  + i  r &9IO_t<Lqzo+MG$G$G$G$G$G$G$G$G$G$G$G$XL# @0(  B S  ? Check1Check2Check3Check4Check5Check6Check7Check8Check9Check10Check11Check12:Pu=r{p 'J`MKNjtjlmoprsuvALjlmoprsuv3Z['9JO`t:<MqLLzUoNOPjtijlmoprsuv )z. g Q [SIK1 4/jY7oZHU_Xxd^msfwA{w{#J?R"X^f5!)r=Wjl@tttt@UnknownG.[x Times New Roman5Symbol3. .[x Arial7.*{$ Calibri5. .[`)TahomaA$BCambria Math"qh''TA)A)!20ffKqHP  $P"X2!xxڷ K James, Sally HRoney, Euan F D Oh+'0x  ( 4 @ LX`hpJames, Sally HNormalRoney, Euan F D3Microsoft Office Word@F#@ M@9@A) ՜.+,D՜.+,< hp  911պ Collegef  Title 8@ _PID_HLINKSA))mailto:assessment.records@imperial.ac.uk  !"#$%&'()*+,-./0123456789;<=>?@ABCDEFGHIJKMNOPQRSUVWXYZ[^_`cqefghijklmnoprRoot Entry FbData  ;1Table:#WordDocument 46SummaryInformation(LDocumentSummaryInformation8TMsoDataStore`dQQMUH1GA4A==2 `=Item  PropertiesOJ3HWESSZ==2 `dItem  d.Properties CompObjr DocumentLibraryFormDocumentLibraryFormDocumentLibraryForm This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision. metaAttributes"/>  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q