Seminars for Health Online Course Extension Request Form
Use this form to request an extension for any Seminars for Health online course or exam for an in-person class.
Sign in to Google to save your progress. Learn more
Are you requesting an extension for? *
Please check which class you are requesting an extension for. *
Required
Provide the reason for the extension. *
If you are applying for an extension for an online course please indicate how much of the course you have completed. *
Provide the full name you used to sign up for the course. *
Provide the email you used to sign up for the course. *
Provide the date that you are requesting this extension. *
MM
/
DD
/
YYYY
Provide how much longer you need to complete the course. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy