Application for Incomplete status

First Name: *

Last Name: *

My email: *

Student ID: *

I belong to the Faculty of: *

Humanities and Social Sciences

Ministry, Theology and Culture

Teacher Education

This Application for Incomplete status is for the following subject/s: *

And applies to the following calendar year: *

And study period: *

Semester 1

Semester 2

Summer School

This is my last subject/s and I'm hoping to graduate *

Yes

I have spoken to the following staff about this issue (if any):

I would like to apply for: *

The maximum timeframe allowable, and I won't enrol in the next study period

As much time as I can get that will still allow me to enrol in the next study period

I wish to apply for Incomplete status on the following grounds: *

Medical

Hardship/Trauma

Other (please detail)

Detail your circumstances here: *

Medical includes injury or illness, chronic illness, hospitalisation, diagnosed mental health condition.

These must be long term issues as, for example, a 1 week hospitalisation would not warrant an Incomplete lasting several months.

Acceptable evidence for a medical submission is normally a medical certificate, e.g. doctor, specialist, hospital.

Examples of Hardship/Trauma include;

- Sudden changes regarding income, employment or housing.

- Victim of crime (including domestic violence)

Acceptable evidence for a Hardship/Trauma submission include;

- Doctor’s note
- Centrelink statement
- Community Service statement
- Police Case Number

Evidence: *

I will upload my evidence here

My evidence is already on my student file

I have no evidence

Please upload your evidence here: *

Once you click "send", the application is sent to the Academic Registrar, who will consult with the Faculty Dean, and any staff you have spoken to about the issue, as nominated by you in this form.

The Academic Registrar will notify you of the outcome by email within 14 days of submission of this form.

I understand that the granting of Incomplete status means I will have an additional 3 to 6 months (dependent upon circumstances) of extended time to complete the assessment work for the subject/s and I will not be allowed to enrol in any new subjects until the Incomplete subjects are finalised. Incomplete subjects do not count as currently enrolled subjects for legal purposes, such as Centrelink payments. *

Yes