Extenuating Circumstances Form

If you are eligible for an admission interview and wish us to consider one of the four extenuating circumstances identified below when making admission decisions, please follow these steps:

write a letter explaining the impact your extenuating circumstances had on your grades, and/or your ability to work or participate in volunteer service and extracurricular activities, or the impact your circumstances will have on your interview performance and upload it below
obtain supporting documents
fill out the form below at least 48 hours before your interview

Note: The form on this page is only for students who achieved at least the minimum GPA required to be eligible for an admission interview, and who would like us to consider their extenuating circumstances when making admission decisions.

If you are seeking an exemption from the minimum GPA required to obtain an admission interview, please complete the exemption request form.

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Questions

QUESTIONS

1. First Name:

2. Last Name:

3. Student Number:

4. Laurier Email:

5. Please attach your resume:

6. Please select the assessment areas on which your extenuating circumstances had an impact, or would have an impact during the interview:

	Work Experience
	Volunteer service and extracurricular activities
	Academic record in first year
	Performance during the interview

7. Please attach a letter explaining your extenuating circumstances in detail:

Upload below files or documents to the appropriate section(s) that apply to you.

8. A learning disability which was not accommodated during your first year:

Provide documentation from Accessible Learning (or another university, if applicable.)

9. An ongoing chronic, debilitating, and serious health problem:

Provide medical documentation that you received ongoing medical treatment in your first year at university, missed considerable time from classes, and that the health problem had an impact on your ability to submit assignments and write exams. Provide verification from faculty members and/or documentation showing approval of petitions).

10. A death in your immediate family (parent/legal guardian or sibling) during your first year:

Provide documentation. (We will not consider deaths of friends or other relatives, including grandparents, unless they were your legal guardians.)

11. A serious and prolonged illness that occurred during your first year at university:

Provide documentation that you received ongoing medical treatment, missed considerable time from classes, and that your ability to submit assignments and write exams was impacted (if at Laurier, through verification by faculty and approval of petitions). Common illnesses such as mononucleosis, strep throat, and influenza will not be considered unless documentation is provided as specified in #2 and illness of at least one month is confirmed.

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