Appeal of an Academic Decision Form Principles of Emergency Care (PEC)

Appeal of an Academic Decision Form

Principles of Emergency Care (PEC)

PERSONAL DETAILS

Full name*

Student ID*

Contact number*

Email address*

Please ensure you enter the correct email address as this will be the primary form of communication.

PROGRAM DETAILS

Course name*

Principles of Emergency Care for Registered Nurses (PEC RN)

Principles of Emergency Care for Enrolled/Division 2 Nursing (PEC EN)

Course intake*

Select or enter value

LATE SUBMISSION APPROVAL

APPROVAL FOR LATE SUBMISSION OF AN APPEAL (If applicable) Only to be completed by the student where an appeal is lodged outside of the twenty (20)working day timeframe following initial assessment or appeal decision.

Are you applying for a late submission (outside of the 20 working day timeframe?)*

Yes

Reason for late submission*

An academic appeal may not proceed if the appeal is lodged outside of the twenty (20)-working day timeframe unless under extenuating circumstances, where approval is granted for a late submission by the National Director of Education. Please indicate the reasons for your request to lodge your appeal outside the twenty (20)-working day timeframe.

LEVEL ONE (1) APPEAL

Please tick the Level 1 appeal ground(s)*

You may choose more than one.

The existence of new relevant material of a significant nature

There was a misapplication of the procedure resulting in some real disadvantage to the student or eligible person that was the subject of the decision

The decision was manifestly wrong or excessive

There was a bias or a conflict of interest on the part of the original decision-maker(s)

Please outline your reason(s) for the Level 1 appeal*

To establish your case, please provide documentary evidence to support the ground/s of appeal selected. Please outline your reasons, there is a 4000 character limit. If you require more space for your appeal, please upload a word document and indicate this in the text box below. Please note that your appeal may be rejected if you do not provide sufficient evidence to support your case.

File Upload*

Please attach all relevant material and evidence to support your appeal. Please note, your appeal may be declined if there is insufficient evidence to support your claims.

Drag and drop files here or

File Uploaded*

Please tick which file type you have attached to support your appeal. You may choose more than one.

Student Declaration and Signature - Late submission*

I declare that the information provided in this application is accurate and that I have read and understand the information about the appeals process presented in this form. Please type your full name as the accepted e-signature.

Student Declaration and Signature*

Send me a copy of my responses

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