FORM: STD09.014 Change of Course/Course Location Request Form Version No. 2.1

CHANGE OF COURSE / COURSE LOCATION REQUEST FORM
Please note: Changing your course/course location may affect your academic progress. You may fall behind your schedule and might not be able to complete your course within the period allocated for it. Wells International College will NOT be responsible for any shortcomings in your academic progress caused by your decision to change your course/course location. Please note that the change of course/ course location fee is $200 per application.
Name*

First NameFamily Name
Student ID*
Contact Number*

Area CodePhone Number
Address*
Email Address*
example@example.com
Course Name*
COURSE INFORMATION
Current Course Details*
Course Offered / Enrolled in*
Start Date*

DayMonthYear
Date
Campus*
Requested Course Details
Course Offered / Enrolled in*
Course Start Date*

DayMonthYear
Date
Campus*
Reason(s)*
STUDENT DECLARATION:

I declare that all the information I have given above is correct and complete. I confirm that I have read all the terms andconditions and agree to abide by those rules and any subsequent amendments. If any information is false or has been withheld I accept that this may cause cancellation of my enrolment and/or further consequences.
Student Signature*

Clear
Date*

DayMonthYear
Date
OFFICE USE ONLY
Outcome

ApprovedNot Approved
RTO Manager Update

YesNO
Comments
Processed By
Processed Date

MonthDayYear
Date
FORM: STD09.014 Change of Course/Course Location Request Form LAST UPDATED: June 2018, Version No.2.1
Should be Empty:

OFFICE USE ONLY