B&T Application for Tuition Fee Refund (Compassionate Withdrawal)

Bible & Theology

Application for Tuition Fee Refund (Compassionate Withdrawal)
Fill in this form to apply for a Tuition Fee Refund for compassionate reasons for subjects in Bible, Ministry, and Theology courses.

Please note that all Tuition Fee Refund applications must include a completed copy of the ACT Tuition Fee Refund Application Form (download here).
ACT Student Number*
Family Name *
First Name *
Email address *
Mobile *
Are you an overseas student?*

NoYes
Have you received scholarship funding this study period?*

YesNo
Payment Method*

Fee-HELPUpfront Payment
Unit Details
Current Course*
Year*
If multiple years, please indicate this eg. 2023 & 2024
Year
Study Period*
Additional Study Period (if applicable)
Unit Code 1 and Lecturer's name*
Unit Code 2 and Lecturer's name (if applicable)
Unit Code 3 and Lecturer's name (if applicable)
Unit Code 4 and Lecturer's name (if applicable)
Unit Code 5 and Lecturer's name (if applicable)
Basis for Application
Reason for Application*

medicalwork changes beyond your controlfamily/personalCOVID related circumstances beyond your controlOther
Details of reason*
Documentation Provided*

Medical CertificateLetter of SupportPersonal statementNoneOther
Uploads
1. ACT Tutition Refund Application Form

Please note that all Tuition Fee Refund applications must include a completed copy of the ACT Tuition Fee Refund Application Form (link provided above). The application cannot be submitted without it.
ACT Tuition Fee Refund Application Form (Please rename with your Family name in title). *

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2. Other supporting documentation

This can include medical certificates, not-negotiable work-related notifications, letters of support from your pastor, counsellor, etc., which include the dates of the circumstances that affected your ability to study and their support for a Tuition Fee Refund based on compassionate grounds.

If your request is related to the impact of COVID (eg changes to workload, lockdown restrictions, family responsibilities, care for family members, or impact on your physical or mental health) please upload a personal statement outlining these impacts. You can also upload other supporting documentation as outlined above. If you have more than 2 files please combine them into one PDF.
Attach supporting documentation *

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Please only upload PDFs (use a scan to PDF app for images). Please note that there is a limit of 100MB per file. Cancelof
Additional file

Upload a File
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Attach additional 2 (2MB limit)

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If this application is not approved, the Academic Services Office will automatically process a Withdrawal from the unit/s (resulting in a Failed Withdraw - FW). Do you wish to proceed with your application?*

YesNo - if so, you will need to apply separately to withdraw
Please sign your name below

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Bible & Theology

Unit Details

Basis for Application

Uploads