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STATEMENT OF REASONS
Breach of Minimum Academic Standards
1. PERSONAL DETAILS
Date of birth:_______ /_______ /_______ (dd/mm/YYYY)
Student number:
Campus enrolled:
Title: Dr
Townsville
Mr
Cairns
Mrs Ms Miss
Brisbane
Other: ________
Singapore
Other______________________________
Family name: ______________________________________________
Given name/s: _______________________________________________ Phone number: ________________________________________
PLEASE NOTE: Notification of the outcome of your Statement of Reasons will be mailed to your preferred address within 3 weeks of the due date. Address changes can be made via eStudent or by submitting a Change of Personal Details form
(http://www.jcu.edu.au/studying/entry/forms.html).
2. ENROLMENT DETAILS
I have been advised to submit a Statement of Reasons for the course: _____________________________________________________
(e.g. Bachelor of Arts, Bachelor of Social Work etc)
Please tick which of the statements below best summarise your situation: r I intend to continue in my current course
r
I intend to withdraw (or have already withdrawn) from my current course
r
I intend to take a leave of absence from my current course
r
I intend to apply (or have already applied) to change my course to ____________________________________________________
3. STATEMENT OF REASONS
Attach a statement, preferably no longer than a page, to this form, explaining in your own words:
•
Why you believe you failed the subjects
•
How your circumstances have now changed, and
•
Why you believe you will be able to pass your subjects if allowed to re-enrol.
You must make sure that your statement is signed and dated and securely attach any supporting documentary evidence (medical/ counsellor certificates etc).
4. RETURN FORM
The completed form and Statement of Reasons must be returned by the due date shown on the letter of
Breach of Minimum Academic Standards
1. PERSONAL DETAILS
Date of birth:_______ /_______ /_______ (dd/mm/YYYY)
Student number:
Campus enrolled:
Title: Dr
Townsville
Mr
Cairns
Mrs Ms Miss
Brisbane
Other: ________
Singapore
Other______________________________
Family name: ______________________________________________
Given name/s: _______________________________________________ Phone number: ________________________________________
PLEASE NOTE: Notification of the outcome of your Statement of Reasons will be mailed to your preferred address within 3 weeks of the due date. Address changes can be made via eStudent or by submitting a Change of Personal Details form
(http://www.jcu.edu.au/studying/entry/forms.html).
2. ENROLMENT DETAILS
I have been advised to submit a Statement of Reasons for the course: _____________________________________________________
(e.g. Bachelor of Arts, Bachelor of Social Work etc)
Please tick which of the statements below best summarise your situation: r I intend to continue in my current course
r
I intend to withdraw (or have already withdrawn) from my current course
r
I intend to take a leave of absence from my current course
r
I intend to apply (or have already applied) to change my course to ____________________________________________________
3. STATEMENT OF REASONS
Attach a statement, preferably no longer than a page, to this form, explaining in your own words:
•
Why you believe you failed the subjects
•
How your circumstances have now changed, and
•
Why you believe you will be able to pass your subjects if allowed to re-enrol.
You must make sure that your statement is signed and dated and securely attach any supporting documentary evidence (medical/ counsellor certificates etc).
4. RETURN FORM
The completed form and Statement of Reasons must be returned by the due date shown on the letter of