CHANGE OF COURSE REQUEST FORM

CHANGE OF COURSE REQUEST FORM
Please note: Changing your course 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. Times Academy will NOT be responsible for any shortcomings in your academic progress caused by your decision to change your course. Please note that the change of course fee applies to this application (refer to www.times.edu.au/pre-enrolment/fees-payments/ for current fee list).
STUDENT DETAILS:
Name *

First Name Family Name
Student ID *
Contact Number *
Address *
Email Address *
example@example.com
Course Name *
COURSE INFORMATION:

Current Course Details
Course Offered/Enrolled in: *
Start Date

Day Month Year
Date
Requested Course Detail:
Requested Course: *
Please press Ctrl+Course_name to select more than one course
Proposed Start Date *

Day Month Year
Date
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 and conditions 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 *

Day Month Year
Date
OFFICE USE ONLY
Outcome:

Approved Not Approved
RTO Manager Update:

Yes No
Comments
Processed By
Processed Date

Day Month Year
Date
Should be Empty:

COURSE INFORMATION: