HHSO Student Extension Form

If you are interested in possibly getting a one week extension in your course, please complete the following.

By checking the boxes below I understand that.....

By checking the boxes below I understand that..... I must submit an extension form for EACH course individually I must have completed at least 80% of my course
Today's Date
Student First and Last Name
Student Email
Parent Email
Who is your coach?
For which course do you want an extension?

You should only be adding 1 course here. To request an extension for another course, you must submit another form.
What is the current expiration date?
How much progress have you completed?

Remember, you must be at least 80% completed with your course in order to request an extension.
Please answer the next questions with as much honesty and detail as possible.

The information given will help us to determine whether you receive the extension or not.
Why do you need an extension?
What do you think is keeping you from meeting your goals?
What is your plan to finish the course by the new expiration date?
Do you feel that you have enough support to complete your course on time? Please be specific.
By checking the following, you understand that:

By checking the following, you understand that: by filling this out, I am not guaranteed to receive an extension. your responses will be reviewed and you will receive a decision within two (2) business days. you are given only 1 extension per semester.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

HHSO Student Extension Form

HHSO Student Extension Form

Please answer the next questions with as much honesty and detail as possible.