Student Monitoring Form Step 1 of 2 50% Dear Student You have been identified as being ‘at risk’ of not making satisfactory academic progress and /or meeting attendance requirements in your course of study which is a condition of your student visa. Our aim is to assist you to meet satisfactory progress (50% or more of unit competency in a study period - each term) through your chosen course of study. This agreement also covers monitoring, intervention, support, behaviour and misconduct issues. The Monitoring Agreement outlines the action plan for monitoring and /or intervention strategies that are necessary to give you the support you need to achieve satisfactory progress.Student DetailsStudent NameStudent ID#CourseSelectCourse Start Date DD slash MM slash YYYY Course End Date DD slash MM slash YYYY Postal Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code MobileEmail Address Previous term /s attendance %Current term attendance %Course progress report (attached) Completed NYC DNS net yet studied Agreement DetailsReason or nature of meeting:Type of Agreement: INTERVENTION SUPPORT MONITORING Agreement Start Date: DD slash MM slash YYYY Conclusion Date: DD slash MM slash YYYY Reporting Requirements: Weekly Fortnightly Monthly Other Action Plan & conditions: I acknowledge and accept the attached plan, and understand that non-compliance with these conditions may affect my future enrolment at City Institute. I understand the requirements of my student visa to maintain satisfactory course progress and attendance and I am aware that I may be reported to the Department of Immigration and Border Protection (DIBP) if I do not achieve satisfactory course progress. For an overseas student on Intervention: I am aware of my responsibility to improve my academic progress and attendance at City Institute and I agree to the intervention strategy action plan and will adhere to this agreement. Student SignatureDate DD slash MM slash YYYY UNITS YOU ARE REQUIRED TO COMPLETE - RE-ASSESSMENT/LATE ASSESSMENTUNITS YOU ARE REQUIRED TO COMPLETE - RE-ASSESSMENT/LATE ASSESSMENTUnit of CompetencyDue datePaymentsComments FEES AND CHARGESFEE NAMEFEEAMOUNT PAYABLEDUE DATEFee NameFeeAMOUNT PAYABLEDue Date DD slash MM slash YYYY Fee NameFeeAMOUNT PAYABLEDue Date DD slash MM slash YYYY Fee NameFeeAMOUNT PAYABLEDue Date DD slash MM slash YYYY Fee NameFeeAMOUNT PAYABLEDue Date DD slash MM slash YYYY