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STUDENT SELF-DECLARATION FORM

Academic Concessions can be requested when a student is facing unexpected situations or circumstances that prevent them from participating in course-related activities, which could include missing a class or completing graded work or exams.  Academic Concessions can be requested on the following grounds:  

MEDICAL CIRCUMSTANCES  

Medical circumstances that create grounds for academic concession are normally unanticipated and include, but are not limited to, the following:  

  • An acute physical or mental illness that emerges during a term 
  • A change in a chronic, physical or mental health condition    

COMPASSIONATE GROUNDS  

Compassionate grounds may arise in the immediate aftermath of an unanticipated event or later and include, but are not limited to, the following: 

  • A student, a family member, or a close friend experiences a traumatic event. 
  • A change in the need to provide care for a dependent or family member 
  • Being required to report to a government for immigration or citizenship proceedings 

Students must complete the Student Self-Declaration Form no later than 24 hours after the missed class

Academic Concessions cannot be requested for ongoing, recurring issues. All ongoing medical conditions must be reported to an Academic Advisor. Students who submit multiple Academic Concession Requests in one semester may be contacted by their Academic Advisor for further information.  

Submitted Academic Concession requests will be processed by a member of Student Services who will inform the student that the SDF has been processed.   

Please note that failure to follow procedure or provide all necessary information will result in the request being denied.   

Medical documentation is required if a student misses a final examination or an assessment worth 10% or more of the final course grade. Medical documentation must come from a local qualified medical professional that includes a clear statement to understand the nature of the student’s condition and indicates the relevant dates that the student’s condition will impact their ability to meet their academic responsibilities.

Student Self-Declaration

  • *Please refer to above information for the grounds for concession
  • Include Course and Course Code for each class
  • Please refer to your course outline for this information.
  • Failure to provide documentation when required will result in denial of the concession request.
    Accepted file types: jpg, png, pdf, Max. file size: 4 GB.
  • Please include a brief statement explaining your circumstances and why you are requesting an academic concession.
  • By submitting this self-declaration form, I confirm and acknowledge that:
  • This field is for validation purposes and should be left unchanged.

If you have any questions or concerns, please contact Student Services at ssa@columbiacollege.ca.

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