Ministers' Office Handbook
Attachment J
Study Assistance Application for Office Holder Staff
STUDY ASSISTANCE APPLICATION FOR OFFICE HOLDER STAFF
Employee details |
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Name |
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Job |
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Political office holder and portfolio |
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Employee number |
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Phone number |
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Study course details |
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Name of course/qualification |
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Name of university/education provider |
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Year I am applying for study assistance (Note: Applications need to be made in the year the course of study is being undertaken.) |
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Subjects I am enrolled in for this year’s terms/semesters:
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Enrolment status (complete if you are undertaking a university course). Select one option. |
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Commonwealth supported student |
If yes, attach Commonwealth Assistance Notice |
OR |
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Local full fee paying student |
If yes, are you (select one option): Paying upfront OR Deferring payment through FEE-HELP loan |
Previous financial study assistance applications and results |
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Have you previously received financial study assistance? |
Yes No If yes, attach supporting evidence of successful completion (only include results you have not previously reported) |
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Financial details |
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I am aware that:
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I am seeking assistance to the total amount of: |
$ |
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Specified costs: |
HECS-HELP |
$ |
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STUDENT FEES |
$ |
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COURSE FEES |
$ |
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RECOMMENDED/COMPULSORY BOOKS & MATERIALS/OTHER |
$ |
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REPAYMENT OF FEE-HELP LOAN |
$ |
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Payment/reimbursement options (select one option) |
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If approved, I request payment of study assistance |
In advance by cheque made payable to: _______________________________________________ OR By cheque to me as reimbursement for costs already incurred in the current year (receipts attached). |
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Employee signature, date
Office approval (by Political office holder OR Chief of Staff) |
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The study will contribute to and not be detrimental to the employee’s performance |
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The employee has attached evidence of enrolment, receipts and other relevant documents |
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Funds are available from the Political office holder’s budget |
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Cost centre |
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Political office holder/Chief of Staff signature, date
Please forward to macs.employment@mins.dpc.nsw.gov.au with supporting documentation.
GovConnect Human Resources |
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Receipts attached |
Yes No |
Calculation correct |
Yes No |
Prepared by |
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Comments |
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