Ripley Valley State Secondary College eNewsletter

RVSSC AARA (illness and misadventure) Request Form

Access Arrangements and Reasonable Adjustments (AARA) are provided to assist students who have a disability, impairment, medical condition, or other circumstance, that may be a barrier to their ability to demonstrate their learning, knowledge or skill in assessment.

This form is to be completed by the student and parent/carer and is automatically submitted upon completion to the relevant HoD for approval. This form is for Year 11-12 students and can only be used to request an extension on the following grounds:

illness
misadventure (unforeseen circumstances that are outside of the student's control, e.g. accident, death of a family member)

A teacher cannot accept late Assessment without Deputy Principal approval.

If this application is for one of the following, please submit an AARA Request form.

Long-term and chronic conditions
Mental health conditions, such as anxiety and depression
Short-term conditions and temporary injuries

Student Name *

Student Email address *

Parent Email Address *

Access Class *

Year Level *

Application Details

Subject/s requiring extension/s *

Teacher of Subject *

Due date of Assessment/s *

Date AARA Request Submitted *

Eligibility Criteria

AARA Category *

Illness and/or Misadventure

IMPORTANT NOTE

When submitting an AARA or Illness and Misadventure Request, it is important that this QCAA AARA (illness and misadventure) form is completed by a medical professional and attached to the RVSSC AARA Request form.

If this information is not provided or completed correctly then an AARA may not be approved due to lack of supporting information.

Documentation Required *

QCAA AARA (illness and misadventure) form: Must be completed by a relevant practitioner who is a GP, medical specialist, or psychologist. Please have the medical professional complete the QCAA Confidential Medical Report Form and attach to this AARA reque

Other Documentation: Written evidence from a relevant independent professional or third party, such as a police report or official notice.

Reason for Extension (evidence to be attached) *

Student and/or Parent/Carer Statement: How does your disability, impairment and/or medical condition affect your ability to read, respond to or participate in assessment? *

Please attach Evidence

Please refer to page 8 of the Senior School Assessment Policy for details of available AARA. https://ripleyvalleyssc.eq.edu.au/our-college/policies

Student Signature *

Undo

Clear

Write your signature above the line

Parent / Carer Signature *

Undo

Clear

Write your signature above the line