Guidance to Cambridge schools: Covid-19 outbreak

Mitigating circumstances template for contacting universities

This form was created by Cambridge Assessment International Education to help schools communicate
with universities and should be completed by a school counsellor, administrator or teacher.

University:

Student name:

Application number/ID:

Course applied for:

Current school:

Name of counsellor/teacher:

Contact details for counsellor/teacher:

Dates and duration of school closure:

Description of the impact on learning:

Guidance to Cambridge schools: Covid-19 outbreak 1

 Description on the impact on family/non-school environment (where applicable):

Any other mitigating factors:

Record of prior learning (e.g. mock assessments or class tests):

Record of previous achieved grades (e.g. Cambridge International AS & A Levels and
Cambridge IGCSE):

Guidance to Cambridge schools: Covid-19 outbreak 2