International Intervention Form



This form is to be prepared by the International Student Coordinator and or Program Leaders and should be submitted to the Director of
Student Services, Director of Education and the International Student Coordinator – Including Office Use Only section.
This form should be used in conjunction with the ‘Student Course Progress Check’ and the Course Progress and Duration Policy –
International.
A copy of the original ‘Course Structure’ is to be inserted at the *end of this form.
1.
PERSONAL DETAILS
Student Number Click here to enter text.
Choose an
item.
2.
Date of Birth Click here to enter a date.
Family Name Click here to enter
First Name Click here to enter text.
text.
COURSE DETAILS
HE - Course Course/Qualification
Campus Campus
Other not specified Click here to enter
VET – Course Course/Qualification
text.
Course end date Click here to enter a
Course start date Click here to enter a date.
date.
Intervention Information
Type
☐ Attendance
☐ Non Submission
Other
Click here to enter text.
☐ Unit/Subject failure
☐ Assessment Failure
☐ Social
☐ Academic Writing
Areas identified for assistance
☐ Cognitive
☐ ESL
Other
Click here to enter text.
Cognitive Skills: may include attention and concentration, planning and organisation, processing skills, conceptual skills and memory.
Reading/English as a 2nd Language: may include understanding and using the spoken language
Academic Writing: includes ability, speed, spelling, punctuation, and grammar and text organisation.
Other: may include participating in groups, making presentations, collaborating with others, completing work independently and
performing calculations.
Recommended Interventions
☐ Revision of course
duration/workload
☐ English Testing
☐ English Further Study
☐ Additional Tutoring
☐ Access & Equity
Program
☐ Provisional Enrolment
Other
Click here to enter text.
☐ Buddy System
Australian College of Natural Medicine Pty Ltd (ACNM) trading as Endeavour College of Natural Health, FIAFitnation, College of Natural Beauty, Wellnation
National CRICOS Provider #00231G
International Intervention Strategy - Form - F-099
Version: 3.0
Effective Date: 13 July 17
Page 1
Agreed Actions
1.
2.
3.
4.
5.
6.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Intervention Study Plan

Based on the agreed actions listed above the study plan below has been developed by the Academic team which will alter the course
structure.
†Summer School
2015
Semester 1 2015
Semester 2 2015
Summer
School 2016
Semester 1 2016
NOTE: This study plan does not replace the entire course structure, this study plan only alters the Semester/Trimesters indicated in the above study
plan; the remainder of the course is as per the original course structure (and in line with the time frames of CoE’s).
Timetable Viability
Examples of current Sydney timetables to ensure the selected subjects are available for enrolment as per the study plan.
Semester 1
2015
Semester 2
2015
Timetable
Monday
Tuesday
Wednesday
Thursday
Friday
Timetable
Monday
Tuesday
Wednesday
Thursday
Friday
Australian College of Natural Medicine Pty Ltd (ACNM) trading as Endeavour College of Natural Health, FIAFitnation, College of Natural Beauty, Wellnation
National CRICOS Provider #00231G
International Intervention Strategy - Form - F-099
Version: 3.0
Effective Date: 13 July 17
Page 2
Course Completion Review
Will this study plan impact or affect the end date of this course? Choose an item.
Approval Granted
The above Study Plan has been reviewed by Choose an item.
Director of Student Services
Director of Education
(Approval required when requested by the Director of
Education)
Name: Jennifer Osborne
Name: Dr Kate Broderick
Signature:
Signature:
Date: 27/08/2014
Date: 27/08/2014
Student Declaration
I …………………………………….…………… agree to undertake the Intervention Strategies as outlined above
and have been reminded of my obligations to achieve satisfactory course progress as set out in the Course
Progress and Duration Policy – International.
I understand that study plan will alter the workload for the periods outlined and understand that there may be an
increase workload in the future.
I understand the services and options offered and available to me to assist me with the completion of my course
within the original time frames of the course.
Student Signature
Date
Australian College of Natural Medicine Pty Ltd (ACNM) trading as Endeavour College of Natural Health, FIAFitnation, College of Natural Beauty, Wellnation
National CRICOS Provider #00231G
International Intervention Strategy - Form - F-099
Version: 3.0
Effective Date: 13 July 17
Page 3
OFFICE USE ONLY
**Signed when preparing this document prior proposed meeting.
**International Student Coordinator Signature _____________________________________
Name Click here to enter text.
Date Click here to enter a date.
Has a new SCPC been completed and submitted?
Is a previous SCPC being used in conjunction?
Yes ☐ / No ☐ date Click here to enter a date.
Yes ☐ / No ☐ date of previous SCPC Click here to enter a date.
Proposed Meeting Details
Date Click here to enter a date.
Time Click here to enter text.
Attendees Click here to enter text.
***Academic to sign at completion of meeting
***Academic Signature __________________________________
Position Click here to enter text.
Name Click here to enter text.
Date Click here to enter a date.
Contact For follow up
Date Completed Click here to
enter a date.
Student Accepted ☐
or ☐ refused to sign
☐ Filed
Yes ☐ / No ☐ date Click here to enter a date.
☐ Entered in Filemaker
Student Course Progress Check form has been used in conjunction with this Intervention? Yes ☐ or No ☐
*Insert a copy of the original course structure here.
Australian College of Natural Medicine Pty Ltd (ACNM) trading as Endeavour College of Natural Health, FIAFitnation, College of Natural Beauty, Wellnation
National CRICOS Provider #00231G
International Intervention Strategy - Form - F-099
Version: 3.0
Effective Date: 13 July 17
Page 4