Fillable Application for Return to Study (University of Southern Queensland)

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Application for Return to Study (University of Southern Queensland)

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Country of origin: AUSTRALIA
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page 1 of 2
Application for Return to Study
For Australian and New Zealand citizens, Permanent Residents
of Australia and holders of a Permanent Humanitarian Visa.
Student Number
1. Personal Details
Name Title Family Name Previous Family Name
Given Name/s
Mailing Address No. and Street
Suburb/Town
State Postcode Country
Date of Birth (DD/MM/YYYY) Gender Citizenship Status (please select from drop down list)
M F
Daytime Telephone Number Mobile Number
Email Address Fax Number
2. Which program are you returning to study?
3. Have you ever been excluded from this program at USQ?
Yes (please complete section 3) No
A student who is currently excluded from a program may not apply for return to study to the University during the period of exclusion. At the completion of
the period of exclusion, a student is eligible to apply for return to study to that program, under conditions determined by the Faculty. A student who has been
excluded should include in their statement reasons why they now believe they should be considered for a return to study.
4. Reason for return to study (please attach your own additional pages as needed)
Previous USQ students, who have changed their citizenship status since they were last enrolled, must supply a certied copy of the change of citizenship
document (e.g. proof of permanent residency, Australian citizenship certicate).
Program name Major
Australian Citizen
page 2 of 2
USQ collects, handles, uses, discloses and stores information about you and the choices available to you for provision of products and services selected by you
throughout your learning journey. Not all of the information is personal information under the Privacy Act 2009 (Qld). To comply with legal and administrative
obligations information is disclosed to Commonwealth and State agencies. Personal information will not be disclosed to third parties other than a USQ approved
educational services agent, partner or organisation who provides sponsorship to you for your studies, without your consent unless required or permitted by a law.
Where we disclose to a third party we endeavour to ensure they are bound by the same requirements as USQ with respect to personal information. Transfer of
personal information outside Australia may occur. You have the right to access your personal information and if you wish to inquire about the handling or seek
access to your personal information you can contact the USQ Privacy Ofcer (privacy@usq.edu.au)..
5. Intended commencement semester Semester 1 Semester 2 Semester 3
6. Additional credit (Students applying for additional credit may do so by submitting Exemption/Credit Transfer Form)
Signature Date
7. Contact us
If you have any queries, please contact Student Support on 1800 007 252 or +61 7 4631 2285.
Completed applications can be scanned and emailed to studentsupportreception@usq.edu.au
Or mailed to the following address: University of Southern Queensland
Student Support
B Block
Toowoomba QLD 4350
Ofce use only
Approved
Non-contributory
Reset admin term
Exemptions/transfer credit
Change of major
Signature of Authorised Faculty Representative
Date
Comments
Please forward return to study form, non-contributory approval and exemption/credit transfer forms, to the Enrolment Team for processing.
Year
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Application for Return to Study (University of Southern Queensland)

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Completed 4 February 2021

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