Official Escalation Form
Student Name
*
First Name
Last Name
Student Email
*
example@example.com
Course student is currently studying:
*
Please Select
Accelerate (Certificate III Core Units Only)
Certificate III in Fitness
Certificate IV in Fitness
Other
Enrolment Commencement Date:
*
Please select the nature of the special considerations:
*
Personal/Family
Financial
Medical
Other
Reason (please write in detail to assist the team to investigate your appeal in a timely manner):
*
Please upload supporting documentation.
*
Browse Files
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Cancel
of
Remission request type:
*
Refund
Credit of monies towards another course
Waiving payment of extension fees
If this is for an extension to your course, please let us know how many months you would like to request:
By signing below, I agree I have read the policies and procedures provided by the Academy:
*
Submit Request
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