Personal Details:

First Name *

Last Name *

D.O.B * +

Street Address *

Suburb *

State *

Postcode *

Contact Number *

Email Address *

What enrolment change are your requesting? *

Course Deferral Request

Which course do I intend to defer from? * 🛈

Defer from: * +

When do you intend to return your studies? * +

Please explain the reason for deferral: *

Course Extension Request

Which course do I intend to extend? * 🛈

Current course end date: * +

Requested NEW end date: * +

Please explain the reason for extension: *

Course Withdrawal Request

This form is to be completed if you are requesting a Withdrawal from either your course or some units of study. Please ensure you refer to the Withdrawal Policy and Procedure before completing the form.

Withdrawal Information:

Which course do I intend to withdraw from * 🛈

When was my start date? * +

Why I want to withdraw? * 🛈

Why I no longer need this course? *

Why I cannot complete this course? *

Personal reasons as: *

Please explain why you lost confidence after starting your course *

Why this course was not what I expected? *

Why the course content was not suitable for me? *

Why the student support was not adequate for me? *

Why the chosen qualification was not suitable for you? *

Which qualification/area would help you reaching your career goal? *

Why am I unable to find time to study? *

For financial reasons *

Which provider are you transferring to? *

We hope that your current financial hardship gets sorted soon. We might give you a call in a few months to see if you are happy to reconsider your decision.

Would you like to be contacted by Focus Learning Group in a near future to discuss study options? *

Yes

No

Not sure

Please explain: *

Would you like to receive information about other courses option? *

Yes

No

Not sure

Support Documentation:

To support your case further documentation should be provided and attached:

Attach Support Documentation here:

Signature *

clear

Date * +

Census Date

The census date is your deadline for various requirements, including submitting your Request for Commonwealth Assistance form, making any up-front payments of your tuition fees and formally withdrawing from any units.

Voluntary Deferral

Should you wish to defer from your course prior to census date, you must submit this form. No other formats will be accepted.

Failing to submit this form prior to 5:00pm on your census date will result in you incurring course fees as per usual.

Census Date

The census date is your deadline for various requirements, including submitting your Request for Commonwealth Assistance form, making any up-front payments of your tuition fees and formally withdrawing from any units.

Voluntary Withdrawal

Should you wish to withdraw from your course prior to census date, you must submit this form. No other formats will be accepted.

Failing to submit this form prior to 5:00pm on your census date will result in you incurring course fees as per usual.

*

I acknowledge all terms above.

Medical Certificate	Police Report
Copy of an Accident Report	Letter from your employer
Counsellor / Psychologist Evaluation	Court or Legal Documentation
Other Other