Extension Request Form

Please complete the following form if you wish to apply for an extension for your accredited course.

Today's date *

* Indicates required field

Full name *

First

Last

Email address *

Name of course *

What is your deadline date? *

Select your extension amount *

Do you understand that your extension fee must be paid in advance of the extension period? *

Do you understand that there is no break between extension periods? *

Are you ready for us to issue your extension invoice now? *

Do you understand that you must manage your own extensions and request another extension before your portal is closed at the end of this extension? *

Submit