Enabling Plan Request Form

"*" indicates required fields

Name*

First Last

Email address*

Enter Email Confirm Email

Mobile Number*

Student Engagement Manager

Level of Study*

Course

Please briefly describe your disability or medical/other condition and how it impacts your studies*

You will need to provide a letter from a medical or other professional that confirms the nature of your disability or condition and makes recommendations for the measures or adjustments that are appropriate.

Please briefly describe the measures or adjustments you are requesting*

Please upload your supporting documentation

Drop files here or

Max. file size: 12 MB, Max. files: 8.

Please be reminded that your enabling plan request will be placed on hold until all of your documents are received. Please email all remaining documents to info@acom.edu.au.

I have read and understood the ACOM Disability Policy

I understand that if I have not submitted the required supporting documentation my request will be held as pending until this is received

I understand that it may take up to one week to receive a decision from ACOM once all required documents have been submitted

Enabling Plan Request Form

Be Kingdom Ready with ACOM