Student Services Centre

Deferral Application

This form must be completed and submitted to the Student Services Centre (SSC) any time an ADM mid-
term or final exam is missed for one of the justified reasons stated below.

Deferred midterm exams will take place on Sunday, July 15, 2018. Students must be available on this
day to write their exam(s).
All final exam deferrals from the Spring/Summer 2018 term will take place on Friday, October 26,
2018. Students must be available on this day to write their exam(s).

A. Student Information
First Name and Surname Student Number Program of Study

B. Details of the exam that you missed

Date of the Mid-

Course code and section Professor Date of the Final Exam Term
Term Exam

ADM
ADM
ADM

C. I write my exams with SASS – Academic Accommodations: Yes No

D. Justification of Request (please choose one):
Illness (please submit original University of Ottawa Health Services medical certificate or original Telfer
Student Services Centre medical certificate form – see Appendix 1):
Death of family member (please specify relationship and submit death certificate):

Conflict (two exams at the same time or three 3-hour exams on the same day). Please specify:
Course code Date Time
Course code Date Time

Other (please submit official documentation to justify this absence):

IMPORTANT: Please submit documentation justifying your request (medical or death certificate, etc.) within
five working days of the exam date.
I confirm that I have read and understand the instructions and requirements of this form and that all the information
and documentation provided in support of this deferral application are accurate and true. Further, I authorize the Telfer
School of Management to contact those who have provided documentation submitted with this application, including but
not limited to medical documentation, for purposes of verifying authenticity.

Student Signature: Date:

Students are expected to be available for the duration of a course including the examination period. Dates and deadlines are made available
to students in the Telfer School of Management University Undergraduate Calendar well in advance of registration. Occasionally, students
encounter circumstances beyond their control where they may not be able to write a mid-term or final examination (e.g. serious illness) and
may apply for a deferral.

The Telfer School of Management’s Student Services Centre (SSC) approves justifications submitted by students for missed mid-term and
final examinations of undergraduate students for ADM courses. An approved justification for a missed mid-term examination may lead to a
deferred examination, or having the weight of the missed examination added to the weight of another deliverable in the course. The chosen
policy regarding a missed examination is outlined in the course syllabus. An approved justification for a missed final examination always
leads to a deferred final examination. Professors are responsible for the approval of absences during quizzes and the late submission of
written assignments, including take-home examinations.

In order to apply for a deferral or for a transfer of the weight of the mid-term to the weight of another deliverable in an ADM course, original
supporting documentation must be submitted to the SSC no later than FIVE working days after the scheduled mid-term or final examination
date. Upon review of your examination schedule, please note that the SSC only accepts to defer an examination for the following reasons:

1. Examination conflicts:
• Two examinations on the same day and at the same time;
• Three 3-hour examinations scheduled on the same day (from 8:30 AM to 10:00 PM);

Take-home examinations are not considered within the examinations conflicts listed above;

2. Medical reasons that must be justified (see academic regulations) or;

3. Death of a member of immediate family, justified by a death certificate.

Travel, employment and misreading the examination schedule are not acceptable reasons for deferring an examination.

For medical certificates:

• You must be seen by a physician while you are ill. If you go to a health clinic other than the University of Ottawa Heath Services
(UOHS), you must ensure that your physician completes the Telfer SSC Medical Certificate. This medical documentation must have
the official physician’s stamp with address and contact information. Medical documentation must be submitted to the SSC at
Desmarais Building, room 1100, no later than five (5) working days after the date of the missed examination.

• The documentation must be dated as seen by your physician no later than one working day after the mid-term or final examination,
final assignment, or take-home (or prior) provided the medical certificate covers the date(s) of the examination(s).

• Submission of supporting documentation does not itself necessarily constitute grounds for the granting of a deferral or weight
transfer. The rationale must clearly demonstrate serious illness or extraordinary circumstances beyond the student’s control that
would warrant exemption from the regular examination schedule or assignment due date.

Students with a history of deferred examinations may be asked to supply additional documentation to support any request for a deferred
examination.

Students authorized to defer an ADM examination for an acceptable reason will be allowed to write this examination on a date selected by
the SSC. Dates are chosen well in advance and provided on this form.

IMPORTANT: According to University regulations, students must complete course requirements within a maximum of 12 months after the
end of the term or will receive a grade of EIN. For more information, please consult Academic Regulation 10.6.

Other important information:

• Your graduation will be delayed if you defer an examination in the final session leading up to your Spring or Fall graduation. Deferral of
winter examinations may delay your academic performance evaluation. For further information, please consult the Registrar’s Office.

• Deferred examinations may affect registration due to prerequisite and year level restrictions.

• It should be noted that Academic Regulation 9.0 does not apply for deferred mid-term examinations that are requested.
 Student Services Centre

APPENDIX 1

If a student does not go to University of Ottawa Health Services, this is the official medical certificate accepted by Telfer School of
Management – Student Services Centre for requesting any academic accommodations due to medical conditions. This medical is required
as supporting documentation for academic accommodations such as deferral or petition requests.

The following sections are to be completed by the Physician:

Patient Name: (please print) Date of Birth:

Physician’s Name: (please print) Physician’s Official Stamp with Address and Contact
Information:

Date and time of visit:

Section A: By completing section A (1) or A (2), I am confirming that I have examined this patient while she/he was sick/injured,
and based upon my medical opinion, I can confirm that the medical condition of the patient is sufficiently severe to prevent
her/him from attending school or completing academic work.

A (1) One-time: A (2) Chronic:

If this is one-time medical condition, complete the information If this condition is a chronic or ongoing medical condition
below. complete the information below:

Date of onset of illness: __________________________ Date of onset of current episode: ___________________

Anticipated date of recovery: ______________________ Anticipated recovery from

current episode: ________________________________

I anticipate this patient will be medically fit for academic study

as of: ____________________________________

Section B: I cannot confirm illness or insufficient degree of incapacity

Based upon my medical opinion, I am unable to confirm illness sufficiently severe to prevent the student from completing
academic responsibilities.

Section C: Additional relevant information

Signature of Physician: Date Signed: