English Language program leave of absence request form

Important Information

Complete this form to submit a leave of absence application for your English Language program. A leave of absence is a break during your study period which meets compassionate or compelling grounds.

Before submitting your application, read the important information on Leave of Absence for RMIT UP English Language program students on the RMIT University Pathways (RMIT UP) Policies and Procedures page for detailed information on eligibility, processing and approval.

Taking a leave of absence may affect your visa. Please contact the Department of Home Affairs (DHA) for information about your visa before submitting a leave of absence application.

Your Leave of Absence application is subject to approval. Contact pathways.compliance@rmit.edu.au if you have any questions or need to submit additional supporting documents.

Student Details

RMIT Student ID Number

Surname (Family Name)

Given Name (as written on your passport)

RMIT Student Email Address

Personal Email Address

Current Class

Are you under 18 years of age?

Yes, I am under 18 years of ageNoNote: If you are under 18, you require parental consent to take a leave of absence from your studies. RMIT UP will contact your parents via email to obtain approval.

Are you sponsored?

YesNo

Sponsor

Note: Your sponsor's approval is required for this request to be processed. RMIT UP will contact the RMIT scholarships team to request approval from your sponsor.

Compassionate and Compelling Circumstances

To apply for a leave of absence, you must show that you have compassionate or compelling circumstances. Below lists examples of compassionate and compelling circumstances, along with the required evidence.

1. Illness or Injury - medical certificate which states that student was/ is unable to attend class for an extended period or recommends a reduced study load or break from studies

2. Bereavement of close family members - death certificate(s) and evidence of relationship

3. Major political upheaval or natural disaster in the home country which has impacted on the student's ability to study - media report of civil war/significant political unrest or natural disaster plus evidence of student's residency in the specific affected area, and letter from counsellor/psychologist assessing that stress has/will prevent student from studying

4. Permanent or temporary disability - letter from RMIT Disability Liaison Unit recommending a reduced study load or a break in study

5. Incident or issue causing distress to student impacting on their capacity for study (ie: involvement in a serious accident, witnessing or being the victim or a serious crime) - police or counsellor / psychologists' report

6. Delaying receiving a student visa requiring student to travel offshore - correspondence from the Department of Home Affairs

7. Military Service obligations - correspondence from military organisation

8. Other - any relevant certified document attesting that situation is outside student's control and affects their ability to study

Confirm that you have read and understand the information above

I have read and understand

LOA Details

Leave of Absence Start Date

Leave of Absence End Date

What date do you plan to return to your studies?

Reason for request

Provide the reason for your request for a leave of absence. You must also provide supporting documentation. If you are unable to provide supporting documents at this time, you must contact pathways.compliance@rmit.edu.au within 3 days of submitting your application.

Upload your supporting evidence / documentation

Gap in Studies

Student visa holders can have a maximum of eight weeks break between programs. If your leave of absence results in a gap of more than 8 weeks, you may need to leave Australia. Contact the DHA for information on the potential impact a leave of absence may have on your student visa.

Will you remain in Australia during your requested leave of absence?

Yes, I will remain in AustraliaNo, I will go overseas (outside of Australia)No, I am currently overseas (outside of Australia)

What date will you leave Australia?

Academic Information

A Leave of Absence application from a student must conform to the visa regulations under which the student was admitted to the course.

Your English Language program study plan:

Students who have completed Module A only:

Can defer for up to 10 weeks before commencing Module B.

In case of deferment of more than 10 weeks, students are required to repeat Module A.

In case of longer deferment, (6 months or more), students are required to sit the placement test to confirm their level.

A student who has completed Module A and B but has not achieved:

May defer up to 5 weeks and be permitted to repeat Module B.

In case of deferment of more than 5 weeks, students are required to repeat Module A.

In case of longer deferment, (6 months or more), students are required to sit the placement test to confirm their level.

Your RMIT formal program:

Taking a Leave of Absence from your studies may also affect the start date of your RMIT formal program. You should consider how your study plan may need to change and if you need to defer the start of your RMIT formal program.

Confirm that you have read and understand the information above

I have read and understand

Student Declaration

Privacy

RMIT is bound by laws that protect your privacy. All personal information you provide on this form will be handled in accordance with the RMIT Privacy and Data Protection Policy, which can be found on the Policy Register.

You can access and amend your personal information we hold by contacting pathways.compliance@rmit.edu.au.

For more information about how we manage and protect personal information, please refer to our RMIT Privacy Statement.

Declaration

I have read and understand the information available under Leave of Absence for RMIT UP English Language program students available on the RMIT UP's Policies and Procedures page.

I am aware that taking a leave of absence may affect my study plan and student visa.

I declare that all information and documents I have provided are true, accurate, complete, and unaltered. I understand that submitting false, misleading, or counterfeit documents may result in rejection of my application.

Tick the box below to confirm that you have read and understand the above information

I have read and understand the above information.

English Language program leave of absence request form

English Language program leave of absence request form

Leave of Absence Application Form

Student Declaration

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Acknowledgement of Country