Student Financial Support Request

Required fields are marked with an asterisk (*).

Student details

Student ID *

Name *

Student email *

Reason for request *

Personal statement * Please outline the circumstances of your extreme financial hardship and how this impacts your ability to fund education-related expenses and continue your studies.

Income and expenditure

Are you currently employed *

How many hours a week do you work? *

Are you receiving Centrelink? *

Your average weekly income from all sources, including Centrelink *

Your average weekly expenditure (including rent, food, transport, etc) *

Work placement

Will you be undertaking a compulsory work placement or practicum this study period? *

If yes, what is the course code?

How long is the placement in hours?

Supporting documents

Current balance for all your accounts and the last 30 days' transactions * Please note that only PDF, MS Word, MS Excel, PNG and JPEG files are accepted

Quote / pricing documentation to confirm the amount for the items requiring financial support Please note only PDF, MS Word, MS Excel, PNG and JPEG files are accepted

Centrelink payment details and/or payslips Please note that only PDF, MS Word, MS Excel, PNG and JPEG files are accepted

Any other relevant information that will support this request Please note that only PDF, MS Word, MS Excel, PNG and JPEG files are accepted

Declaration

I declare that to the best of my knowledge that the information I have provided in this request and in accompanying documents is complete and correct. I authorise Griffith University to obtain information concerning my request under the Higher Education Support Act 2003. I understand that if I am unable to provide proof of claims made in this request, Griffith University has the right to withdraw any offer of financial support. I understand that giving false or misleading information is a serious offence under the Criminal Code Act 1995 (Commonwealth). I understand my request will be assessed based on the information I have provided and is subject to the availability of funds and not all applicants are necessarily awarded financial support. *

I accept this declaration.

Privacy

* Your privacy is important to us. Information you supply will be handled strictly in accordance with our Privacy Statement.

I agree to the terms and conditions outlined in the Griffith University Privacy Statement. (required)