Student Leave Application Form
This form is to be used when short term leave is required without any changes to the enrolment.
Student Details
Full Name
Given Name(s)
Surname/Family Name
Student ID
Date of Birth
/
Day
/
Month
Year
Mobile Number
-
Area Code
Phone Number
Email Address
example@example.com
Leave Details
Course of Enrolment
Please Select
BSB30120 Certificate III in Business
BSB30220 Certificate III in Entrepreneurship and New Business
BSB40320 Certificate IV in Entrepreneurship and New Business
BSB40820 Certificate IV in Marketing and Communication
10904NAT Diploma of Social Media Marketing
BSB50120 Diploma of Business
BSB50820 Diploma of Project Management
BSB50420 Diploma of Leadership and Management
BSB60420 Advanced Diploma of Leadership and Management
Select current course from the list
Reason for Leave
Bereavement Leave
Emergency Leave
Medical Leave
Other
If other, please briefly explain:
Leave Start Date
/
Day
/
Month
Year
Leave End Date
/
Day
/
Month
Year
No. of Days
Date of first class after leave
/
Day
/
Month
Year
Please attach supporting documentation
Browse Files
Drag and drop files here
Choose a file
E.g: Flight tickets, medical certificate
Cancel
of
Student Signature
Date Submitted
/
Day
/
Month
Year
Submit
Submit
Should be Empty: