If you have had your course work or assessment affected by illness or other serious cause to such an extent that you have
consequently been substantially disadvantaged in the assessment of your learning, you can apply for Special Consideration using
this form. Your application must be supported by relevant documentation (medical certificates for minor illnesses will not be
accepted).
To complete this application, please read the information and instructions below, carefully.

REASONS FOR SPECIAL CONSIDERATION:

  • Death of an immediate family member.
  • Medical reasons (either yourself or someone in your immediate family).
  • Personal trauma or crisis (eg. victim of crime, severe disruption to domestic arrangements).
  • Serious illness or psychological condition (eg. hospital admission, serious injury/illness, severe anxiety or depression).
  • Loss or bereavement (eg. death of close family member, family/relationship breakdown).
If you are in doubt as to whether your circumstances qualify as grounds for Special Consideration or need assistance completing this application, please contact Student Services on +61 2 9698 5206. In some cases, you may be eligible for a refund of fees paid to APIC. You can apply for a refund of fees paid by completing a Refund form available online.

INSTRUCTIONS

  1. Complete this application, indicating your reasons and for how long your studies have been affected.
  2. Provide relevant supporting evidence with your application (eg. police report, death notice/certificate, letter from religious leader, Statutory Declaration, etc). If you prefer to keep your reasons confidential, you are advised to see an APIC Counsellor and discuss with them whether they are able to support your application.
  3. You must submit your completed application and supporting documentation directly to your Student Services Officer.
  4. You must submit this application no later than three working days after the due date of the specific piece of assessment for which you are seeking Special Consideration OR if you are applying for Special Consideration in more than one Unit of Study, then you must submit the application no later than three working days after the last scheduled piece of assessment for ALL Units of Study listed on the application.
  5. If it is impossible for you to submit this application within the three working day time limit, you or your representative must contact the Student Services Officer on 9698 5206, for further information and assistance.

OUTCOME OF THIS SPECIAL CONSIDERATION APPLICATION

Asia Pacific International College will assess your request for Special Consideration and notify you in writing within five working days of making a decision.

For more information about procedures and methods of application, please contact the Student Services Officer.

 
PART A: Student Details
Student Number (ID)
Family Name
Given Name
Primary Phone
Email Address
Postal Address
Date of Birth
 
PART B: COURSE DETAILS
Course Code
Course Name

PLEASE NOTE: Have you changed your address? If so, please update your details submitting the Student Update Details Form to
Student Services Department.

I REQUEST SPECIAL CONSIDERATION IN THESE UNIT(S) OF STUDY (ensure correct Unit of Study codes and titles are written in BLOCK LETTERS)

Unit Code Unit Name Type of
Assessment
Lecturer
Name
Assessment Due Date
Attach Supporting Documents


GROUNDS FOR YOUR APPLICATION (STUDENT TO COMPLETE )
  • Student is in their final semester and remaining units do not amount to 3 units (reduce study load).
  • YOU SHOULD INDICATE ANY SPECIFIC REQUEST IN THIS SECTION
Other
Please state the length of time (in days, weeks or months) your studies have been affected:
ADDITIONAL INFORMATION
Please provide information about how the event(s) have impacted on your studies and provide details of the specific request(s)
you are making:
 
Please state in the table below a proposal of how you plan to accomplish your workload on time,in each unit of study you are enrolled in.
Unit Code Type of Assessment (exam,assignment,test,other) Proposal
Course Coordinator Approval:



Comment
Unit Code Type of Assessment (exam,assignment,test,other) Proposal
Course Coordinator Approval:



Comment
Unit Code Type of Assessment (exam,assignment,test,other) Proposal
Course Coordinator Approval:



Comment
Unit Code Type of Assessment (exam,assignment,test,other) Proposal
Course Coordinator Approval:



Comment
   
Select Location
 
I declare that to the best of my knowledge the information supplied on this form is correct and complete, and I agree to abide by the regulations of Asia Pacific International College.