Form

First Name*

Last Name*

Mobile Phone Number*

Date of Birth

Year/Month/Day

Email*

Student ID Number:*

I am...

Street Address

City

State/Region

Country

Postal Code

The request to refund/re-credit my current enrolment applies to the following Course/s:

Study Location*

Course start date:*

Year/Month/Day

Course Name Old*

10749NAT - Certificate II in Marine Habitat Conservation and Restoration

AHC31421 & 11247NAT - Dual Qualification - Cert. III in Conservation and Ecosystem Management & Cert. III in Marine Habitat Conservation and Restoration

MSS50118 - Diploma of Sustainable Operations

AHC51120 - Diploma of Conservation and Ecosystem Management

SIT50416 - Diploma of Hospitality Management

Triple SIT30821 Certificate III in Commercial Cookery, SIT40521 Certificate IV in Kitchen Management & SIT40621

SIT50422 & SIT50322 - Dual Qualification Diploma of Hospitality Management Diploma of Event Management

Last Day in Class

Year/Month/Day

Students wishing to Seek a re-credit of the VETSL debt or refund of fees paid in advance for the current unit of study are required to explain in their own words how they meet the Special or Compelling circumstances.

Documentation and supporting evidence is required as per the Deferment, Suspension, Withdrawal, cancellation of enrolment and leave of absence policy to support your request.

Please note the following key points:

1. Students are responsible for the current unit of study in which they were enrolled in at the time of withdrawal unless special or compelling circumstances exist.

2. The approval of a re-credit/refund is at the discretion of the CEO appointed responsible delegate, and based on the circumstances and evidence provided.

3. Appeal of the decision can be made by following the Envirotech grievance procedure through an external party. This will be at the own cost of the student.

4. The details of your request must comprise the following information:

a. The level of impact of the special circumstances.

b. What the special circumstances were.

c. When they occurred.

d. How long they lasted.

e. For applications relating to a remission/refund of VETSL debt (VSL students), that the circumstances made their full impact on the student on, or after, the census date

Comments*

Student Declaration:

I am aware that:

1. I will need to submit a new enrolment application to study at Envirotech for the above course if I wish to resume studies at a later date.

2. My VET Student Loan debt, and/or any upfront fees paid MAY NOT be re-credited/refunded if the delegated responsible officer deems my application insufficient.

3. I have attached true and accurate certified copies of additional supporting evidence.

Please check this box if you agree to the above Student Declaration*