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Email
*
This
MUST
be the email we have on file for you. It should be the email you use to access your course materials.
First name
*
Last name
*
Your Class Year (The year you took all three trimesters)
*
Please Select
2017
2018
2019
2020
2021
2022
2023
2024
2025
For which graduation portfolio(s) are you requesting an extension? Select all that apply.
*
Core Certification
Major: Tantric Sex
Major: Relationship Transformation
Major: Conscious Dating
Major: Female Sexuality
Major: Jade Egg
Major: Women's Empowerment
Major: Men's Sexuality
Major: Life Transitions
Please check all reasons that apply to your request for an unpaid extension: Select all that apply.
*
Pregnancy
Mental Health
Unexpected Financial Hardship or Occupational Changes
Major Life Transitions
Medical Emergency
Family Emergency
Other
Requested Extension Date
*
What feels like a reasonable deadline to you? (There is no guarantee that this will be the deadline you receive.)
Month
/
Day
/
Year
Please describe the reason for your request:
*
Max 600 characters.
Please share what your plan is during your potential extension period to complete your materials:
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Max 600 characters.
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