UniHub
Student Cost-Of-Living Assistance
Staff Referral Form
This form is to be completed by academic, sessional and ongoing professional members only. If you are a casual professional staff member, please contact your supervisor to submit this form.
Staff name
(required)
First Name
Last Name
Staff Email Address
(required)
Student name
(required)
First Name
Last Name
Student number
(required)
Document the student number of the individual student you are submitting this form on behalf of
Categories of student need
(required)
Fuel costs
Food insecurity
Accommodation
Placements
General living expenses
Other
Further student support services
Would the student like someone from the Student Experience team to contact them to discuss other support services available at ACU? If so, please provide the student's phone number here:
Preferred student contact number
Additional information
Please provide any additional information that might be useful in assisting this student
Submit
