Form checked, scanned, MAZE code (WDR1) entered by: SAS-MEMBER Name: _________________________ Date: ________________ Request received:
By student in person By email
WITHDRAWAL (all ECC courses) REQUEST STUDENT TO FILL OUT “PART A” TO “PART C” OUTCOME/REPLY : will be emailed within 10 working days from date of receipt of a complete application Submit your application in person or by email:
[email protected] Withdrawal Summary – ELICOS, Diploma, and PQP Students Grade on Transcript Enrolment ELICOS Diploma PQP Recorded No No Before end of Week 1 Before end of Week 4 Before end of Week 4 W = Withdrawn Yes From Monday of Week 2 Week 5 to end of Week 10 Week 5 to end of Week 10 N = Fail Yes From Monday of Week 11 From Monday of Week 11 Please refer to ECC’s Refund Policy for financial penalties. www.ECC.wa.edu.au/policies
Part A – Personal Details Student ID:
Date of Birth:
Given Name(s):
Email Address:
Family Name:
Telephone Number:
Withdrawing from: Are you under 18?
DD / MM / YYYY
All courses at ECC and ECU (combination of: English, Diploma, PQP, ECU) English course only (please complete the Withdrawal Request – English form) yes, please provide written evidence of parent/guardian No Yes Ifapproval
Do you have a payment plan? Do you have outstanding fees? Have you discussed your intentions to withdraw with an ECC representative?
No Yes No Yes No Yes
If yes, your payment plan will be terminated and any outstanding fees must be paid If yes, any outstanding fees must be paid If yes, ask ECC representative to sign here (or attach copy of email conversation with ECC):
Part B – Reason for Withdrawing
Change to visa type/subclass that no longer requires me to study
Please provide a copy of your visa grant notice
Direct entry with ECU
Please attach a copy of your new offer from ECU
Returning to home country due to change in personal circumstances
Travelling to home country, with intention of returning to ECC in study period: ______________
Please provide a copy of your boarding pass and copy of your passport with stamp confirming your arrival into your home country, by email to:
[email protected]
Australian Permanent Resident / Citizen
Download FEE-HELP Review Procedure (if applicable)
Transferring to another education provider: do not use this form, please complete the Transfer of Provider Request Note: If you do not state a reason and provide suitable supporting evidence, your Withdrawal Request form will be deemed incomplete and will not be processed. QTDFO026 Last Updated: 15-Feb-17 H:\Procedures Manual\SAS-Student And Academic Services\Withdrawal - All ECC Courses\Withdrawal (All ECC Courses) Request Form.Docx Page 1 of 6
Part C – Student Declaration I understand that: (applies to students on an international student visa only, please tick these boxes) I must continue to attend class till shortly before my departure from Australia and continue to meet my visa obligations and conditions. I have read this link referring to visa conditions and understand how it applies to my visa: www.homeaffairs.gov.au/trav/stud/more/visa-conditions/visa-conditions-students Any future visa applications could be affected by this “Withdrawal” request (refer to Department of Home Affairs for further information). It is my responsibility to update any changes to the Department of Home Affairs (www.homeaffairs.gov.au), and check how long I can stay in Australia, from my last day of study. I understand that: (applies to students wishing to return in a later study period, please tick these boxes)
Withdrawing from my course can affect my principal/next course start date and I have discussed this with an ECC representative. A difference in course cost may apply, and I will pay the difference if there are insufficient funds in the account.
I understand that: (applies to all students, please tick these boxes)
All outstanding fees must be paid before this application can be considered. I must stay and continue to attend classes in my current course, and wait for an email giving me instructions on the outcome of this application (this does not apply to students returning to their home country). Any refund will be dependent upon the date of successfully submitting this request and its outcome. I have read and understood the conditions of Withdrawal provided in the attached Checklist. Academic Penalties may apply dependent on the date of successfully submitting this request and its outcome.
I have read, understood and agree to the conditions provided in the attached fact sheet; as well as the following policies (www.edithcowancollege.edu.au/policies): Enrolment Policy (adding and changing units; withdrawing from a unit) Refund Policy FEE-HELP Review Procedure (students on FEE-HELP only) Tuition Fees and Charges Policy I further declare that all the information I have given in this Signature: form and all supporting documents I have provided are true Date: DD / MM / YYYY and correct.
Office Use Only ECC Representative Declaration I declare that all pertinent information has been provided to the student. This form and included supporting documents have been checked carefully and certified myself before being stamped, scanned and lodged. Special comments for consideration: SAS Team member signature: Panel Decision: Approved Rejected Academic Director signature: Special comments for consideration:
Date:
DD / MM / YYYY
Date:
DD / MM / YYYY
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WITHDRAWAL REQUEST FACTSHEET 1. Who can apply for withdrawal with this form?
You must have no outstanding fees
You must have discussed your withdrawal with an Academic Advisor or ECC representative
INTERNATIONAL STUDENTS ONLY: You wish to return to your home country indefinitely
INTERNATIONAL STUDENTS ONLY: Your visa subclass has changed and you have provided a copy of your visa grant notice
If you are under 18, you need to book an appointment to see the Student Counsellor
2. What do you need to prepare?
Evidence and supporting documents (depending on the reason for withdrawal) for example: - Medical Certificate - Marriage Certificate - Letter from parents - Visa grant notice - Air ticket
3. What do you need to do?
Read and understand ECC’s Refund Policy (if you withdraw from a ECC course to enter ECU directly; if you are returning overseas to live; if you are withdrawing from your course)
Pay all outstanding fees
If you are currently on a payment plan, your plan will be cancelled and you must pay all outstanding fees before this application will be considered
4. Conditions
Parts A, B, and C of this form need to be completed and signed (where appropriate) by yourself
You must continue to attend classes until you receive an email about the outcome of your withdrawal request (unless you are returning to your home country, in which case you need to remain in class till shortly before your departure from Australia and keep meeting your visa conditions and obligations).
You must ensure you understand how withdrawing at this time will be show up on your transcript
INTERNATIONAL STUDENTS ONLY: You must keep the Department of Home Affairs informed on any changes to your studies (e.g. withdrawal)
5. How long will it take?
Assuming you have completed all sections and provided evidence, your withdrawal request will be processed within 10 working days If your request is successful, you will be advised of the refund process If your request is unsuccessful, you will be advised on the complaints and appeals process
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Further Information is available at:
Department of Home Affairs Assessment Factors and Simplified Streamlined Visa Processing Framework (SSVF) – www.homeaffairs.gov.au
ECC Complaints and Appeals Policy - http://www.edithcowancollege.edu.au/policies
ECC Enrolment Policy - http://www.edithcowancollege.edu.au/policies
ECC Refunds Policy - http://www.edithcowancollege.edu.au/policies
Student Visa Factsheet: Changing Courses - http://www.edithcowancollege.edu.au/documents-and-forms
Student Visa Factsheet: Course Variations - http://www.edithcowancollege.edu.au/documents-and-forms
Student Visa Factsheet: Genuine Temporary Entrant (GTE) - http://www.edithcowancollege.edu.au/documents-andforms
Student Visa Factsheet: Transfer Provider - http://www.edithcowancollege.edu.au/documents-and-forms
If you do not understand this form or the respective policy, you can contact an interpreter service Phone: 131 450 Web: www.tisnational.gov.au/Home/Help-using-TIS-National-services/Contact-TIS-National
Contact us:
ECC Student and Academic Services email:
[email protected]
ECC Student and Academic Services phone: +61 8 6279 1100
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