Alternate Examination Form - School of Continuing Studies

ALTERNATE EXAMINATION APPLICATION
(Language Courses)
CONDITIONS
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You may apply for an alternate examination if you were unable to sit the final examination of your course which started no
earlier than January 2015.
You are NOT ELIGIBLE to apply for an alternate examination if you received a failing grade in your course.
Alternate examinations are held once per semester at a proctored examination centre.
These dates cannot be altered or transferred.
The weighting of the mark achieved in the alternate examination will be identical to the original weighting of the final
examination of your course. Check your course outline for the grade weighting.
Payment must be included with your application form or it will not be considered.
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NAME AND CONTACT INFORMATION
Surname
Given Name
SCS Student Number
Mailing Address
Number, Street
Province
Postal Code
Suite
City
Daytime Telephone Number
Fax Number
Email Address
COURSE (for which you are applying for an alternate examination)
SCS Course Number
Course Title
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Course Format
 In-class
 Online/Distance*
*Please indicate your preferred examination location below (See page 2)
EXAMINATION DATE: JULY 25, 2015
Applications must be received in our office by May 22, 2015. Late applications will not be accepted.
ALTERNATE EXAMINATION FEE: $150 CDN This fee is non-refundable and non-transferable.
PAYMENT: FULL PAYMENT MUST ACCOMPANY THIS FORM
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Certified Payment (e.g. certified cheque or money order)
_________________________________________________________________________________________________________________
Credit Card Number
Expiry Date
Name on Card
_________________________________________________________________________________________________________________
Signature of Cardholder
Date
Complete form and mail to:
Student and Instructor Services, Alternate Examination
University of Toronto School of Continuing Studies
158 St. George Street
Toronto, Ontario M5S 2V8
Or fax to:
416-978-6666
Student’s Signature ____________________________________________Date:___________________________
Business & Professional Studies
Examination Centres
BRITISH COLUMBIA
ONTARIO
QUEBEC
Chilliwack
Kamloops
Kelowna
Nanaimo
Penticton
Prince Rupert
Terrace
Vancouver
Vernon
Victoria
Aurora
Barrie
Belleville
Brantford
Brockville
Chatham
Cobourg
Guelph
Hamilton
Kitchener/Waterloo
London
Mississauga
(U of T at Mississauga)
Ottawa
Peterborough
St. Catharines
Sarnia
Sault Ste. Marie
Stratford
Sudbury
Thunder Bay
Toronto (U of T)
Walkerton
Whitby
Montreal
Quebec City (Ste. Foy)
ALBERTA
Calgary
Edmonton
Grande Prairie
Lethbridge
Red Deer
SASKATCHEWAN
Regina
Saskatoon
NEW BRUNSWICK
Chatham
Fredericton
Hartland
Moncton
Saint John
NOVA SCOTIA
Halifax
Kentville
Sydney
Truro
NEWFOUNDLAND
St. John’s
PRINCE EDWARD
ISLAND
Charlottetown
MANITOBA
Brandon
Portage La Prairie
Selkirk
Wawanesa
Winnipeg
NORTHWEST
TERRITORIES
Yellowknife
If unable to write at one of the existing exam centres above, please state on the alternate exam application
the name of the person (must be on staff at an educational institute) willing to proctor your exam and their
email address - after confirming with the Examiner their willingness to invigilate your exam.
Please inform the examiner that the invigilation payment is $90 and that a prepaid envelope will be sent to
them for the return of the exam package to the University of Toronto.