Form – REQUEST FOR FEE ASSISTANCE (COVID-19) Request for Fee Assistance (COVID-19) Family Information Applicant Name * Child Name/s * Phone Number * Change of Circumstance Please briefly explain your change in circumstances that has resulted in you needing financial assistance eg loss of employment, reduction in hours, closure of business * Unemployment Reduced Income Business Owner Illness / OtherIllness / Other Comment Are you able to provide any of the following supporting documentation? A letter or notification from your employer * Yes No UPLOAD a letter or notification from your employer Drop a file here or click to upload Choose File Maximum upload size: 5MB An application to Centrelink * Yes No UPLOAD an application to Centrelink Drop a file here or click to upload Choose File Maximum upload size: 5MB Any payslips that demonstrate an income reduction * Yes No UPLOAD payslips that demonstrate an income reduction Drop a file here or click to upload Choose File Maximum upload size: 5MB A business registration form, ABN, or other lodgement form (eg BAS) that can demonstrate business ownership * Yes No UPLOAD A business registration form, ABN, or other lodgement form (eg BAS) that can demonstrate business ownership Drop a file here or click to upload Choose File Maximum upload size: 5MB Assistance requested Do you require remission for one term? * Yes No Do you require your automatic payments to be held until the end of term 2? * Yes No Do you require your automatic payment to be reduced? * Yes No New Amount $ * I have paid my fees in advance and request a term's refund * Yes No Account Name * Account Number * BSB * Any Additional Supporting documentation Drop a file here or click to upload Choose File Maximum upload size: 20MB Declaration I confirm that the information provided in respect of this application is true and complete. Applicant Full Name * Date If you are human, leave this field blank. This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Ecology CatholicIdentity Pedagogy
