Supporting documentation should include for medical reasons a statement from your doctor, for family reasons a statement from a doctor, councillor or independent member of the community (e.g Justice of the Peace) indicating: The date your medical condition/personal circumstances began or changed; How your condition affected your ability to study; and, When it became apparent that you could not continue with your studies. For employment-related reasons a statement from your employer indicating: Your previous work hours and location; Your current work hours and location; and, The reason for changed hours and location. Supplementary documentation may also be included. Your documents must be originals or certified copies. Applications Application forms are available from your Course Coordinator or online and must be lodged within 12 months of the unit discontinuation date. If you failed the unit but did not formally withdraw you must lodge your application within 12 months of the last day of the semester in which you were enrolled in the unit. Applications received after this period cannot be considered. Supporting documentation must be included and lodged according to the instructions on the form. Applications and independent supporting documents must be submitted to your Course Coordinator The Institute is bound by law to protect your privacy therefore any information you provide in relation to this Note: application will only be used for the purpose intended, including notification to the relevant Government Agencies. Decisions You will be advised in writing of the outcome of your application within 20 working days of the College receiving your application. If your application is unsuccessful the College will provide you with information about requesting a review of the decision. This must be done in writing within 28 days of receiving the original decision. Section D: STUDENT DECLARATION I declare that the information supplied on this form and the information given in support of my application is correct and complete. I acknowledge that the provision of incorrect or misleading information or the withholding of relevant information relating to my application may result in a delay in processing or result in a decision based on the information already provided. Student signature: Date: CHECKLIST: Before submitting your application, please check that: you have carefully read and understood the attached instructions and believe your situation meets the criteria for special consideration; you are submitting the application within the time frame stipulated; you have attached original independent supporting documentation to support your claim that your condition changed to the extent that you could not continue your studies; and, you have completed all sections of this application.
Supporting documentation should include for medical reasons a statement from your doctor, for family reasons a statement from a doctor, councillor or independent member of the community (e.g Justice of the Peace) indicating: The date your medical condition/personal circumstances began or changed; How your condition affected your ability to study; and, When it became apparent that you could not continue with your studies. For employment-related reasons a statement from your employer indicating: Your previous work hours and location; Your current work hours and location; and, The reason for changed hours and location. Supplementary documentation may also be included. Your documents must be originals or certified copies. Applications Application forms are available from your Course Coordinator or online and must be lodged within 12 months of the unit discontinuation date. If you failed the unit but did not formally withdraw you must lodge your application within 12 months of the last day of the semester in which you were enrolled in the unit. Applications received after this period cannot be considered. Supporting documentation must be included and lodged according to the instructions on the form. Applications and independent supporting documents must be submitted to your Course Coordinator Note: The Institute is bound by law to protect your privacy therefore any information you provide in relation to this application will only be used for the purpose intended, including notification to the relevant Government Agencies. Decisions You will be advised in writing of the outcome of your application within 20 working days of the College receiving your application. If your application is unsuccessful the College will provide you with information about requesting a review of the decision. This must be done in writing within 28 days of receiving the original decision. Section D: STUDENT DECLARATION I declare that the information supplied on this form and the information given in support of my application is correct and complete. I acknowledge that the provision of incorrect or misleading information or the withholding of relevant information relating to my application may result in a delay in processing or result in a decision based on the information already provided. Student signature: Date: CHECKLIST: Before submitting your application, please check that: you have carefully read and understood the attached instructions and believe your situation meets the criteria for special consideration; you are submitting the application within the time frame stipulated; you have attached original independent supporting documentation to support your claim that your condition changed to the extent that you could not continue your studies; and, you have completed all sections of this application.
HE%20Application%20for%20Withdrawal%20%26%20Refund_v3.1.docx