Request Course Extension

Students with extenuating circumstances, who have maintained satisfactory academic progress, may be eligible for a 4 week paid course extension. Satisfactory academic progress is defined as regularly participating in a course by submitting an assignment according to the posted schedule or every 2-3 weeks on average for independent study courses. Eligibility and approval for an extension is based upon: program of study, the specific course format, the satisfactory completion of a minimum of three UNITS of which two must have been previously graded prior to the official completion date, and the submission of this completed form in its entirety. Extensions cannot be used to extend financial aid and/or deferment eligibility and requests cannot be processed until the $165 ($150.00 for courses started prior to July 1, 2016) per course fee has been received.

Complete this form and click submit.

* Required Information

Your Contact Information

First Name:*

Last Name:*





Zip/Postal Code:*

Primary Phone Number:*
Format: 555-111-9876

Alternate Phone Number:
Format: 555-111-9876

Time Available:

Email Address:*


Extension Course 1:*

Extension Course 2:

Extension Course 3:

Extension Course 4:

Reason for Extension:*


Payment Information
Extension fee requests are $165 ($150.00 for courses started prior to July 1, 2016) per course. Payment information must be submitted in order for your request to be considered.

This is a secure site, please make your payment at this time via credit card or electronic check.

Payment amount to be charged (e.g. 260.00):*