Postgraduate Study Support Scheme: Application for Renewal of Financial Support

To be completed by applicant

I hereby apply for a 25% rebate of the fees for a postgraduate course or Associate Student Program subject(s) for the coming academic session. I understand that I am bound by the current Academic Regulations of Charles Sturt University.

Staff member’s details

Applicant’s name:
Position:
Division/Section or Faculty/School:
CSU campus or site:
Contact telephone number:
E-mail address:
Staff number:

Session details

Name of postgraduate course or Associate Student Program subject(s):
Number of subjects (or thesis) in the coming academic session:	Choose an item. Number: Choose an item. Number:
Total course fees for the session:	$
Start date of session	Click or tap to enter a date.
End date of session:	Click or tap to enter a date.

Applicants Signature:	Date: Click or tap to enter a date.

Managers Signature:	Date: Click or tap to enter a date.

Endorsement: Senior Manager, DPC, Organisational Development

Signature:	Date: Click or tap to enter a date.

Senior Manager, DPC, Organisational Development

Postgraduate Study Support Scheme: Application for Renewal of Financial Support (PG2) December 2022

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Postgraduate Study Support Scheme: Application for Renewal of Financial Support (Applicants’ Checklist)

☐	Complete the “Application for Renewal of Financial Support Form” (PG2).

☐	Submit the application form directly to the Division of People and Culture, PDPrograms@csu.edu.au.

Privacy Statement

The personal information you provide on this form is protected by the Privacy and Personal Information Protection Act 1998 (NSW)

Provision of this information is a requirement of participation in Charles Sturt’s Postgraduate Study Support Scheme for General Staff.

Access to the information you provide is available to yourself, your supervisor, the Executive Director / Dean / primary budget centre manager, and those persons authorised to access the information in the course of their duties to Charles Sturt.

This document will be stored within the Division of People and Culture on personnel file.

Postgraduate Study Support Scheme: Application for Renewal of Financial Support (PG2) December 2022

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Staff Development – Fee Support If you wish to repay you Charles Sturt loan instalments by direct debit from you salary, please sign and complete this form.

To:	Accounts Receivable finar@csu.edu.au

Division of Financial Services

WAGGA WAGGA

<Enter text here> <Enter text here>

Name:	Charles Sturt University Salary Number:

$<Enter amount>

$<Enter text here> <Enter text here> I authorise Charles Sturt University to deduct the sum of	per fortnight from my salary, for *

fortnights commencing on Click or tap to enter a date. Until my debt of

is repaid in full.

Signature:	Date: Click or tap to enter a date.

<Enter text here>

Tertiary Institution:

*	When calculating the number of fortnights, the final dates for payment will be the last day of the relative session or trimester to which the fees relate.

NOTES

In the event of termination of employment with Charles Sturt University, the amount outstanding will be deducted from your termination pay.

In the event of termination of study, any refund should be applied to any outstanding debt with Charles Sturt University.

If you are studying at an institution other than Charles Sturt University, a cheque will be drawn in favour of that institution and sent to you. It will be your responsibility to forward the cheque and any associated paperwork to that institution for processing.

To commence this process, please return this form to Accounts Receivable in Wagga Wagga, along with a copy of your liability statement.