COLLEGE OF ARTS, SOCIETY & EDUCATION
PROFESSIONAL EXPERIENCE
SPECIAL CONSIDERATION APPLICATION
Please review the Guidelines for Professional Experience before completing and submitting this application form.
Special Consideration Application Forms must be submitted via email to eduprofex@jcu.edu.au along with
supporting documentation at the time of submitting the placement request. Applications submitted after
placement requests close will not be considered.
Applications submitted without supporting documentation
attachment/s will not be considered.
Part 1. Personal Details
Student Number:
Subject Code:
First Name:
Last Name:
Best Contact Number:
Email Address:
Part 2. Special Consideration Application
Please detail the circumstance that requires special consideration for placement. Please note: Employment and
general parenting responsibilities do not warrant special consideration.
Have you applied for Special Consideration for a previous placement? Yes No
Part 3. Supporting Documentation Declaration
You must provide supporting documentation with your application for special consideration. Please declare
which supporting document/s you have attached.
1. Documentation from an independent third party.
E.g. Medical certificate or Letter from Counsellor
2. Statutory Declaration.
3. Other supporting evidence
Please specify:
Student Signature:
Date:
Part 4. Office Use Only
Approved Denied
Director Signature:
Date:
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