Form Title

Form Description

Student Leave of Absence Request Form

Leave of Absence

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Student Leave of Absence Request Form

This form is for a coursework student wishing to apply for Leave of Absence in accordance with AIHE’s Enrolment and Withdrawal Procedure. Before completing and submitting this form, please consult the guidelines for Leave of Absence at the end of this document.

If you are an International Student on a student visa you are only permitted to take Leave of Absence on compassionate or compelling grounds, which are supported by documentary evidence. Applicants must complete all sections of this Form and attach any required evidence.  

1. STUDENT DETAILS
  • Mr
  • Mrs
  • Miss
  • Ms
  • Dr
  • Other:

2. LEAVE OF ABSENCE DETAILS


  • Yes (please go to Question C)
  • No (please go to Question B)

B. What is the period of existing leave?  (DD/MM/YYYY)

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C. Leave of Absence requested from: (Year & study period)
  • Study Period 1
  • Study Period 2
  • Study Period 3
D. I intend to recommence studies in: (Year & study period)
  • Study Period 1
  • Study Period 2
  • Study Period 3
E. Reason for request
  • Family Commitments
  • Financial
  • Serious Illness
  • Overseas Study
  • Travel
  • Work Commitments
  • Personal
  • Bereavement
  • Parental Leave
  • Other (please specify)

3. DECLARATION

I have read the Applying for Leave of Absence Guidelines below. I have sought appropriate academic counselling. I understand that I will be withdrawn from all subjects in the study period whilst taking Leave of Absence and withdrawn from all subjects in the subsequent study period. I have provided the required supporting documentation. I understand the consequences of my request for Leave of Absence and accept responsibility to re-enrol by the stipulated re-enrolment deadline. 

  • I have read and understand the details of the Schedule of Fees, Fees and Refunds Policy, and Course Enrolment and Withdrawal Policy and Procedure at https://aihe.sa.edu.au/pages/policy-andprocedure-directory.
  • At the end of the leave of absence period I am required to enrol in the course.
  • I am subject to the policies, fee rates and other arrangements in place at the time I first enrol in my course, i.e. after the leave of absence period.
  • I may forfeit my place in the course if I fail to enrol by the due date following an approved period of leave of absence.
  • The course fees and any available fee credits will be held without penalty for 12 months only.
  • If I subsequently withdraw after the leave of absence period, the fees refunded will be calculated from the date of receipt of my request for leave of absence in relation to the original commencement date. This includes any non-refundable fees and charges.
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Privacy Statement: At AIHE, the privacy of students, staff and other people who AIHE deals with is taken very seriously.  Much of the information which AIHE collects in connection with its normal functions and activities is "personal information", and this information is handled in accordance with relevant privacy standards. For details of how AIHE will use, disclose and protect your personal information please refer to AIHE Privacy Policy and Procedure at http://aihe.sa.edu.au/pages/policy-and-procedure/policy-and-procedure-directory.