Assignment/Assessment Item Cover Sheet: Student Name

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ASSIGNMENT/ASSESSMENT ITEM COVER SHEET

Student Name:
FIRST NAME

Student Number:

FAMILY / LAST NAME


Email:

Course Code

Course Title

(Example)

(Example)

A B C D 1

Intro to University

Campus of Study:

(eg Callaghan, Ourimbah, Port Macquarie)

Assessment Item Title:

Due Date/Time:

Tutorial Group (If applicable):

Word Count (If applicable):

Lecturer/Tutor Name:
Extension Granted:

Yes

No

Granted Until:

Please attach a copy of your extension approval

NB: STUDENTS MAY EXPECT THAT THIS ASSIGNMENT WILL BE RETURNED WITHIN 3 WEEKS OF THE DUE DATE OF
SUBMISSION
Please tick box if applicable
Students within the Faculty of Business and Law, Faculty of Science and Information Technology, Faculty of Engineering and Built
Environment and the School of Nursing and Midwifery:
I verify that I have completed the online Academic Integrity Module and adhered to its principles
Students within the School of Education:
"I understand that a minimum standard of correct referencing and academic literacy is required to pass all w ritten assignment s in
the School of Education; and I have read and understood the School of Education Course Outline Policy Supplement, which includes
important information related to assessment policies and procedures.
I declare that this assessment item is my ow n work unless otherwise acknowledged and is in accordance with the Universitys
Student Academic Integrity Policy (http://www.newcastle.edu.au/about-uon/governance-and-leadership/policylibrary/document?RecordNumber=D09/1899P)
I certify that this assessment item has not been submitted previously for academic credit in this or any other course. I cert ify that I
have not given a copy or have show n a copy of this ass essment item to another student enrolled in the course.
I acknow ledge that the assessor of this assignment may, for the purpose of assessing this assignment:
Reproduce this assessment item and provide a copy to another member of the Faculty; and/or
Communicate a copy of this assessment item to a plagiarism checking service (which may then retain a copy of the item on its
database for the purpose of future plagiarism checking).
Submit the assessment item to other forms of plagiarism checking.

DATE
STAMP
HERE

Insert
this
way

I certify that any electronic version of this assessment item that I have submitted or w ill submit is identical to this paper version.
Turnitin ID:
(if applicable)

Signature:

_____________________________________________________________

Date: ___________________

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