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Application for Alternative Exit Personal Details Family Name First Name Telephone (Day Time) Email Address Student Signature Date Student Number AE CRICOS Provider Number: 00115M Privacy Policy: Refer to the University Policy website at ►latrobe.edu.au/privacy or telephone 1300 LA TROBE (1300 52 87623) La Trobe University is a registered provider under the Commonwealth Register of Institution and Courses for Overseas Students Academic Services October 2015 Version 3 RECEIVED STAMP DATA ENTERED STAMP BARCODE Majors – Please list all the majors for Alternative Exit course. Please note: confirm default majors. Are you an International Student? No Yes Please note: International Students must take this form to La Trobe International Office (LTI) for approval. International staff name (please print) International staff signature Date LTI Stamp Extension Alternative Exit Course Code Alternative Exit Award Title Credit Points Required am currently enrolled in the . I have fulfilled the requirements for the , Student’s name Current course name Alternate course name & major and would like to take an alternative exit and qualify in this course. Student Declaration I College Approval Application approved Application not approved Note: Approved applications must list subjects to be added as advanced standing for the Alt Exit Course. Please attach an Internal Academic Transcript and highlight all subjects to be added as advanced standing. Due to the introduction of AHEGS, generic subjects or advanced standing can no longer be recorded. (eg: ALTEXIT120, Unspecified) Print Name Signature of Approving College Officer Extension Date course code ( ) course code ( ) @students.latrobe.edu.au

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Page 1: Application for Alternative Exit AE · Application for Alternative Exit Administration Checklist (Office use only) AE Achieved credit points checked Current course withdrawn Withdrawal

Application for Alternative Exit

Personal Details

Family Name First Name

Telephone (Day Time) Email Address

Student Signature Date

Student Number

AE

CRICOS Provider Number: 00115M

Privacy Policy: Refer to the University Policy website at ►latrobe.edu.au/privacy or telephone 1300 LA TROBE (1300 52 87623) La Trobe University is a registered provider under the Commonwealth Register of Institution and Courses for Overseas Students

Academic Services October 2015 Version 3

RECEIVED STAMP DATA ENTERED STAMP BARCODE

Majors – Please list all the majors for Alternative Exit course. Please note: confirm default majors.

Are you an International Student? No YesPlease note: International Students must take this form to La Trobe International Office (LTI) for approval.

International staff name (please print) International staff signature

Date

LTIStamp

Extension

Alternative Exit Course Code Alternative Exit Award Title Credit Points Required

am currently enrolled in the

.

I have fulfilled the requirements for the ,

Student’s name

Current course name

Alternate course name & major

and would like to take an alternative exit and qualify in this course.

Student Declaration

I

College Approval Application approved Application not approved

Note: Approved applications must list subjects to be added as advanced standing for the Alt Exit Course. Please attach an Internal Academic Transcript and highlight all subjects to be added as advanced standing. Due to the introduction of AHEGS, generic subjects or advanced standing can no longer be recorded. (eg: ALTEXIT120, Unspecified)

Print Name Signature of Approving College Officer

Extension Date

course code

( )

course code( )

@students.latrobe.edu.au

Page 2: Application for Alternative Exit AE · Application for Alternative Exit Administration Checklist (Office use only) AE Achieved credit points checked Current course withdrawn Withdrawal

Application for Alternative Exit

Administration Checklist (Office use only)

AE

Achieved credit points checked Current course withdrawn Withdrawal comment entered Application entered‘Exclude from DIISRTE Reporting’ ticked Offer updated Admitted to course Advanced Standing entered Advanced Standing placed on plan Enrolment Approved Major/s on Plan Completion Approved Alt Exit Comment Print Transcript & Check Detail

Submit

To submit this form, please refer to ► latrobe.edu.au/students/forms/contact

International students: present this form to La Trobe International (LTI) ► latrobe.edu.au/students/international/support/locations

Privacy Policy: Refer to the University Policy website at ►latrobe.edu.au/privacy or telephone 1300 LA TROBE (1300 52 87623)La Trobe University is a registered provider under the Commonwealth Register of Institution and Courses for Overseas Students

Academic Services October 2015 Version 3 CRICOS Provider Number: 00115M


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