LAW 010 UTAS Form Students with Disabilities

        
        To be eligible for consideration under the applicants with disabilities admission scheme you must:
 have achieved at least a grade of C+ in each of LAW 121G, LAW 131 and LAW 141 AND completed and passed at least five non-law courses (75 points) AND have an overall Law GPA of at least 3.0;
 have completed the on-line Application for Admission – Part II by 1 December 2019;
 submit this form, together with your medical certificate(s), to the Faculty of Law by 1 December 2019.

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Personal details

First name

Last name

ID number

Email address

Date of birth

Address

Contact details throughout December 2019 and January 2020

Please enter your preferred contact

Home

Work

Mobile

Date Part II application submitted on SSO

The online Application for Admission – Part II must be completed (on SSO) prior to completing this form, and no later than 1 December 2019.

If you are applying for any other targeted admission scheme(s), please indicate which one(s)

UTAS – Māori Students UTAS – Students from Refugee Backgrounds UTAS – Pacific Students Discretionary hardship

Applicants with disabilities admission

Do you wish to claim preferential consideration as a student with a disability?

Yes No

If yes, in the space below give details of your disability, and its effect on your ability to see, hear, speak or write, or other effect(s)

In particular state whether, and to what extent, your disability has affected your grades

Please attach a medical certificate to confirm the nature, and effect, of your disability

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The medical certificate should give an opinion on how your disability may affect your university study

Work or other experience relevant to the study of law

Educational background

Attach certified copies of relevant documents

Please attach copies of all tertiary study transcripts you have

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Have you been granted any special conditions for your tests/exams at University level?

Yes No

If yes, please specify the courses for which those special conditions applied

If they applied to all courses you have taken at University level, just state ‘All’

List any other educational qualifications or additional information you wish the Committee to consider, including grades achieved where applicable

The Committee will be interested in any evidence of your ability to undertake University study in law

Please upload any additional supporting documentation.

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Declaration (to be signed by ALL students)

I consent to the information which I have provided being used for the purposes of Faculty of Law selections and, if appropriate, the establishment of the academic support schemes. I understand that the information will be confidential to members of the Selection Committee, Law School administrative staff and co-ordinators of the support schemes, and will not be used for purposes other than determining eligibility to be selected and enrol for LLB Part II, for the establishment of the support schemes and for other enrolment-related purposes.