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

Counselling, Chaplaincy & Spiritual Care

Application for Tuition Fee Refund (Compassionate Withdrawal)
Fill in this form to apply for a Tuition Fee Refund for compassionate reasons for subjects in Counselling, Chaplaincy & Spiritual Care courses.
Student Number *
Family Name *
First Name *
Email address *
Date of Birth *

Month Day Year
Date
Mobile *
Are you an overseas student? *

No Yes
Have you received scholarship funding this study period?

Yes No
Payment Method *

Fee-HELP Upfront Payment
Unit Details
Current Course *
Year *
Study Period *
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 *

medical work changes beyond your control family/personal COVID related circumstances beyond your control
Details of reason *
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.
Documentation Provided *

Medical Certificate Letter of Support Personal statement None
Attach supporting documentation
Please only upload PDFs (use a scan to PDF app for images)
Attach additional 1 (2MB limit)
Attach additional 2 (2MB limit)
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 process with this application? If you do not which to proceed, you will need to apply separately to withdraw from this unit without applying for a TFR *

Yes
Signature

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Counselling, Chaplaincy & Spiritual Care

Unit Details

Basis for Application