FINANCIAL HARDSHIP APPLICATION

Student's Full Name(Required)

First Middle Last

Best contact number:(Required)

Please enter the best contact number we can reach you on in business hours in case we need to discuss your financial hardship application.

Student Email Address(Required)

What course are you enrolled in?(Required)

ACM20121 Cert II in Animal Care

ACM30121 Cert III in Animal Care Services

ACM40418 Certificate IV in Veterinary Nursing

ACPVN or CPVN

Foundation Certificate in Veterinary Assisting

Who is the fee payer for your course fees?(Required)

This will be verified with your direct deposit arrangements. If someone else is responsible for paying your fees, they will need to demonstrate financial hardship.

Fee Payer Name(Required)

First Last

Workplace Business Name(Required)

Please indicate which financial hardship support option you are applying for.

Please Note: It is rare of a waiver of future fees to be granted, exceptional financial hardship must established through the evidence supplied.

I wish to apply for a:(Required)

I wish to pay(Required)

per(Required)

Starting from(Required)

Resuming normal instalments from(Required)

Please select when you want normal instalments to resume from. This can be modified at any time if your circumstances change, or you need to swap to a permanent reduction of instalment amounts. A new application will need to be performed.

Direct Debit Form(Required)

Student Assist will provide you with a new direct debit form to be returned for this to be actioned.

I/We confirm that I/we understand that we will need to complete a new direct debit request form each time our instalments change and they will not be altered until this form is received.

Issuance of Qualification or Statement of Attainment(Required)

I/We confirm that I/we understand that any qualification or statement of attainments will not be issued until the full course fees owning are paid.

Ensure that your figures are calculated as per the period (weekly, fortnightly, or monthly) that matches your pay period.

Household Income(Required)

The form will add up your income as per your previously submitted figures for yourself and partner (if selected).

The form will automatically add in your rental/mortgage expenses based on your previously submitted information.

Make sure you calculate these based on the weekly/fortnightly/monthly period that matches your income period.

Partner's share of Rent/Mortgage(Required)

Cost of Utilities (Household)(Required)

Enter in the total cost per period (your pay period above) of your electricity, water, gas, phone and internet.

Grocery Costs (Household)(Required)

Enter in the total cost per period (your pay period above) of your grocery bill.

Transport Costs (Household)(Required)

Enter in the total cost per period (your pay period above) of your transportation costs (Eg running your car, public transport etc).

Loan & Credit Card repayments (Household)(Required)

Enter in the total cost per period (your pay period above) of any loan or credit card repayments (not including mortgage).

Other Personal Expenses(Required)

Enter in the total cost per period (your pay period above) of your other personal expenses, and that of your family, not accounted for above that are not discretionary spending.

Personal expenses may include membership fees under contract (e.g. gym), essential clothing, pet care expenses, medications - things that cannot be cancelled or delayed in purchasing.

Discretionary spending include entertainment, meals out, cinemas, takeaway, non-essential clothing, alcohol, cigarettes etc. Do not include these costs here as they are not factored into financial hardship as they are not essential living costs.

School or Childcare Fees

Enter in the total cost per period (your pay period above) of any school or childcare fees you pay for your dependants

Child Maintenance

Enter in the total cost per period (your pay period above) of any child maintenance fees you pay not already accounted for in the above amounts.

TOTAL EXPENSES

The system will auto calculate this amount.

TOTAL AVAILABLE SURPLUS FUNDS

The system will auto calculate this amount.

Bank Account Evidence(Required)

Please upload current copies of your statements or transaction records for both your everyday transaction account/s and any savings accounts (for you and your partner if applicable) to provide evidence of your financial position and verification of expenses. If you are self-employed, you must also upload business transaction accounts if you have not already.

Drop files here or

Accepted file types: pdf, jpg, Max. file size: 2 MB, Max. files: 6.

Other Evidence of Financial Hardship

Please upload any other evidence of financial hardship that you wish to use to support your application such as mortgage default notices, eviction notices, multiple overdue utility bills, medical bills etc

Drop files here or

Accepted file types: pdf, jpg, Max. file size: 2 MB, Max. files: 6.

Please enter in the new proposed instalment amount you wish to pay due to being unable to afford your current instalment plan.

Amount to pay(Required)

Your amount must be the equivalent of a minimum of $50/fortnight or your request will be denied.

Per(Required)

Starting from Date(Required)

Direct Debit Form(Required)

Student Assist will provide you with a new direct debit form to be returned for this to be actioned.

I/We confirm that I/we understand that we will need to complete a new direct debit request form for this new rate to take effect.

Issuance of Qualification or Statement of Attainment(Required)

I/We confirm that I/we understand that any qualification or statement of attainments will not be issued until the full course fees owning are paid.

Please read and tick ALL of the following statements

Financial Hardship(Required)

I/We confirm that we are in true financial hardship.

Exhausted Other Options(Required)

I/we have exhausted all options for financial aid and make a declaration that my/our financial position has been adequately portrayed within this application.

Upcoming payments(Required)

I/We understand that until such a time that a financial request is negotiated and/or agreed upon, that my instalments will remain the same as current, and standard procedures will apply for instalment payments.

Signature(Required)

Complete this form to request an alteration to your course fees due to financial hardship.

Please read the information and instructions below carefully before you submit.

APPLICATION FOR FINANCIAL HARDSHIP