REASONABLE ADJUSTMENT REQUEST FORM

Description Text

PERSONAL DETAILS :

Student ID Number: *

Family Name : *

Given Name: *

Mobile : *

Email Address : *

Course: *

HOW TO COMPLETE YOUR APPLICATION :

To successfully submit your application, please follow these steps:

Please fill out the application form provided and sign the declaration.
Please provide all the necessary supporting evidence.
Reasonable Adjustment may be applied for at any time during application or enrolment at ASA.
Your application will be assessed within the framework of ASA's Reasonable Adjustment Policy and Procedure.
Requests for Reasonable Adjustment will be determined by a Reasonable Adjustment Committee.
You will be advised in writing of the final decision regarding their request for Reasonable Adjustment with 20 working days from the submission date of the request.

INTERNATIONAL STUDENTS :

Important Note: Postponing, suspending, or discontinuing enrolment may impact your student visa.

ASA is obligated to notify the Department of Education and Training through PRISMS in accordance with the ES Act 2000.

To adhere to visa conditions, international students must:

Maintain a valid visa.
Complete their course by the specified expected completion date on the eCoE.
Provide the Institute with address details within seven days of arrival or any address changes.
Sustain a full-time study load.
Abide by the maximum number of hours allowed to work on the student visa.
Maintain Overseas Student Health Cover or its equivalent.

REASONABLE ADJUSTMENT DETAILS :

Please indicate the reason you require Reasonable Adjustment to accommodate your circumstances:

Please identify what specific arrangements could assist you:

Please indicate suitable times for an interview:

Day * +

Time *

Please attached any supporting evidence to support your Reasonable Adjustment request:

Evidence upload:

STUDENT CHECKLIST:

I have completed the fields to the best of my knowledge.
I have provided evidence of my circumstances.
I have provided guidance on what type of adjustment is requested.
I have uploaded any relevant evidence files.

STUDENT DECLARATION:

I declare that, to the best of my knowledge, the information provided in this form (and attachments) is accurat and comprehensive. I understand that incomplete information may lead to the return of my application. I acknowledge that it is my responsibility to furnish all required documentary evidence.

Student's signature: *

clear

Date: * +