Academic Concession Request & Declaration Form

**If this request is related to a disability or chronic condition that you are registered with the Centre for Accessibility for, please put “Centre for Accessibility” in the box below with no further details needed.**

The Robert H. Lee Graduate School recognizes that students may suffer temporary illness which impairs their ability to meet academic requirements, and that the illness may be of the type that medical treatment is not required, or the student is contagious and should self-isolate.

Per UBC’s Policy on Academic Concessions, a self-declaration will suffice (replacing a medical note) when students make an academic concession request for the first instance of an acute illness, given:

• the limited use of a doctor’s note confirming illness (especially when obtained after the illness has subsided and only to meet academic concession documentation requirements), and
• the burden on the health care system to produce such notes.

DECLARATION – TO BE COMPLETED BY THE STUDENT

I declare, confirm and acknowledge that:

1. A recent illness has impacted or is impacting my ability to meet academic requirements;
2. The details and report of situation as described in this form are true and accurate;
3. The submission of false information on this form will be considered a form of academic misconduct and investigated and penalized accordingly;
4. The Robert H. Lee Graduate School reserves the right to request supporting documentation and/or further discussion for subsequent and repeated concession requests, and for any absences resulting in missing more than 20% of scheduled class hours or an exam; and
5. The submission of this form does not guarantee approval of an academic concession, or approval of a specific academic concession; such determination will be made by the Robert H. Lee Graduate School.

The Robert H. Lee Graduate School recognizes that in the immediate aftermath of an unanticipated event, a student’s ability to meet academic requirements may be impacted. In such circumstances, students can make an academic concession request on compassionate grounds.

Per UBC’s Policy on Academic Concessions, examples of such unanticipated events might include: a traumatic event experienced by the student, a family member, or a close friend; an act of sexual assault or other sexual misconduct experienced by the student, a family member, or a close friend; the serious illness or death of a family member or a close friend.

When a student first seeks an academic concession on compassionate grounds, this declaration will replace a medical note, certificate or legal documentation (e.g., death certificate, police report, etc) verifying the circumstances for the academic concession request.

DECLARATION – TO BE COMPLETED BY THE STUDENT

I declare, confirm and acknowledge that:

1. A recent unanticipated event has impacted or is impacting my ability to meet academic requirements;
2. The details and report of situation as described in this form are true and accurate;
3. The submission of false information on this form will be considered a form of academic misconduct and investigated and penalized accordingly;
4. The Robert H. Lee Graduate School reserves the right to request supporting documentation and/or further discussion for subsequent and repeated concession requests, and for any absences resulting in missing more than 20% of scheduled class hours or an exam; and
5. The submission of this form does not guarantee approval of an academic concession, or approval of a specific academic concession; such determination will be made by the Robert H. Lee Graduate School.

The Robert H. Lee Graduate School recognizes that it is a student’s responsibility to arrange their scheduled non-academic activities to the best of their ability in a manner that enables full attendance and participation in their courses and programs – particularly when course and exam dates for a program’s entire duration have been provided in advance of a student’s acceptance of their RHL offer (e.g., Professional MBA program). The RHL further recognizes that students may still experience unanticipated conflicting responsibilities that give rise to a request for academic concession.

Per UBC’s Policy on Academic Concessions, such conflicting responsibilities are beyond the student’s control and normally arise after the student has registered in courses, and do not include travel or social plans that conflict with class or exam schedules unless the travel is related to another valid ground for academic concession. Examples of conflicting responsibilities might include serving in the Canadian Military or representing the University, the province or the country in a competition or performance.

While supporting documentation should normally be provided in support of requests for academic concessions on the grounds of conflicting responsibilities, this self-declaration may be sufficient where there is no practicable way to provide a letter or other official document from an organization relevant to the conflict.

DECLARATION – TO BE COMPLETED BY THE STUDENT

I declare, confirm and acknowledge that:

1. A unanticipated conflicting responsibility has impacted or is impacting my ability to meet academic requirements;
2. The details and report of situation as described in this form are true and accurate;
3. The submission of false information on this form will be considered a form of academic misconduct and investigated and penalized accordingly;
4. The Robert H. Lee Graduate School reserves the right to request supporting documentation and/or further discussion for subsequent and repeated concession requests, and for any absences resulting in missing more than 20% of scheduled class hours or an exam; and
5. The submission of this form does not guarantee approval of an academic concession, or approval of a specific academic concession; such determination will be made by the Robert H. Lee Graduate School.