Extenuating Circumstances Form

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The key takeaways are that the Extenuating Circumstances Form is used to provide context for an applicant's academic record and additional information for assessing their interview performance if they have experienced personal or educational disadvantage.

The purpose of the Extenuating Circumstances Form is to ensure Admissions Tutors have the necessary information to accurately assess applicants who have experienced particular personal or educational disadvantage.

The Extenuating Circumstances Form should normally be completed by the applicant's school/college, but in rare cases where the school/college is unaware, a doctor or social worker may validate the form on the applicant's behalf.

Extenuating Circumstances Form

Background The Extenuating Circumstances Form is designed to ensure that all Cambridge Colleges have the information they require in order accurately to assess applicants who have experienced particular personal or educational disadvantage. It helps Admissions Tutors by providing first context against which they can !udge the academic record of an applicant and secondly information useful in assessing an applicant"s performance at interview. The form should only be used where an applicant"s education has been seriously disrupted or disadvantaged through health or personal problems disability or difficulties with schooling. #hile Cambridge Colleges loo$ for potential as well as achievement in their applicants they have to be sure that students who receive offers are well suited to the specific course for which they have applied. %ndergraduates need to be highly motivated and have sufficient bac$ground $nowledge to cope with the challenging nature of Cambridge courses. Applicants are strongly advised to read the %niversity of Cambridge Undergraduate Prospectus or website &www.cam.ac.u$'study'undergraduate'( carefully before applying and to ensure that they understand the structure of the course they hope to study. Procedure A separate form must be completed by the school'college for each applicant whose serious extenuating circumstances are to be considered. )lease include any information on the form that you thin$ is relevant. It is hoped that completing this form will not involve staff in schools'colleges completing significant additional wor$ and that it will be of great benefit to applicants and Colleges. Important notes *chools'colleges considering whether to endorse an applicant"s form are as$ed to note the following points+ ,. The sort of circumstances it would be appropriate for you to inform us of via this form include+ *erious acute or chronic illness especially since the age of ,- leading to significant educational disruption *ignificant caring responsibilities or recent bereavement or serious illness within close family *erious disruption to educational provision at school'college There may be other circumstances where serious disruption has occurred. The school'college is welcome to contact a College Admissions .ffice to discuss an applicant"s particular circumstances

/. This form should normally be submitted by the applicant"s school'college but in those rare cases where the applicant"s school'college is unaware of the circumstances a doctor or social wor$er may validate the form on the applicant"s behalf.

Extenuating Circumstances Form


This form should be completed by a teacher'tutor at the applicant"s school'college. It should be sent to the Admissions .ffice of the applicant"s chosen College or in the case of open applicants only to the Cambridge Admissions .ffice. Applicants name: 00000000000000000000000000000000000000 Date of irt!: 000000000000000 Applicants "CA# Personal ID: 00000000000000000000000000000000000000000000000000000000 #u $ect applied for: 000000000000000000000000000000000000000000000000000000000000000000 Cam ridge College applied to: 000000000000000000000000000000000000000000000000000000000 1leave 23A45 if ma$ing an open application6 %ame of teac!er completing t!is form &itle: Dr ' (r ' (rs ' (iss ' (s ' )t!er+ 00000000 %ame: 0000000000000000000000000000000000 #c!ool'college name: 000000000000000000000000000000000000000000000000000000000000000 Contact telep!one num er: 0000000000000000000000000000000000000000000000000000000000 Contact email: 0000000000000000000000000000000000000000000000000000000000000000000000 *as t!e applicant left sc!ool'college+ Is t!e applicant a-are t!at !e's!e is !aving t!is form completed on !is'!er e!alf+ ,es ' %o ,es ' %o

)lease describe below the relevant personal circumstances of the applicant or the relevant circumstances of the applicant"s school'college outlining how these have disrupted his'her studies+

*igned+00000000000000000000000000000000000000000000 (Teacher/tutor signature)

7ate+ 0000000000000000

If the information on this form is to be ta$en into account when Colleges are deciding which applicants to call for interview it must arrive by ,8 .ctober. Forms received thereafter will be considered as part of post9interview decision9ma$ing and should be sent at the earliest opportunity. The final deadline for the submission of forms is :; 4ovember. &!e form s!ould e sent to t!e Admissions )ffice of t!e applicants c!osen College or in the case of open applicants only to the Cambridge Admissions .ffice Fit<william =ouse :/ Trumpington *treet Cambridge C2/ ,>? &[email protected]$(. Please note t!at an electronic signature and return y email is preferred. (In the event that an applicants circumstances change following the submission of this form, please inform the chosen College or Cambridge dmissions !ffice if ma"ing an open application#)

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