Referring a student to expert support Staff: Please use this form to refer a student for expert one-to-one advice from an Academic Skills Advisor, English Language Advisor or Librarian. Required fields are marked with an asterisk (*). Before you start You must discuss the referral with the student, including the areas requiring assistance and the benefits to the student in receiving the support. * I have discussed this referral with the student. Would the student like an in-person appointment? * (Available at Bendigo and Melbourne (Bundoora) campuses only) Yes No Upon receipt of this referral, we will contact the student and invite them to book an appointment with us. Referrer's details Name * Email address * (Please ensure this is your La Trobe staff email address, e.g. j.smith@latrobe.edu.au) Role * -- Please Select --Academic Advisor/Support AdvisorCounselling staffAccessAbilityLecturer/Tutor/Seminar Leader/SupervisorLTI staffOther How do you work with the student? (Please specify) Referred Student Student's name * Student's campus * -- Please Select --Albury-WodongaBendigoMelbourne (Bundoora)Melbourne (City)MilduraSheppartonSydneyOnline Student ID number * Student's La Trobe email address * (Please ensure this is the student's La Trobe email address, e.g. 12345678@students.latrobe.edu.au) Are they an international student? * Yes No Referral details Course name or subject code * Relevant school * -- Please Select --La Trobe Rural Health SchoolSchool of Allied Health, Human Services and SportSchool of Agriculture, Biomedicine and EnvironmentLa Trobe Business SchoolLa Trobe Law SchoolSchool of EducationSchool of Humanities and Social SciencesSchool of Computing, Engineering and Mathematical SciencesSchool of Nursing and MidwiferySchool of Psychology and Public Health What is the main issue for which the student requires Library Learning support? * -- Please Select --Reading/WritingMaths/StatsReferencingSearching for InformationManaging LearningEnglish as an Additional LanguageSpeaking/PresentingSystematic SearchingOnline LearningAcademic IntegrityOther Other learning development opportunities the student might benefit from (Please specify) What area do they need assistance with? -- Please Select --Vocabulary/GrammarReadingWritingListeningSpeakingAcademic EnglishOther Other area needing assistance (Please specify) Please provide any further information that might be relevant. * Is a private room required for this consultation? Yes No Please briefly state the reason(s). Would you like to discuss this referral with an advisor? Yes No Confidentiality La Trobe University respects the privacy of your personal information. We collect personal information about you to help us provide the most relevant learning support. We will use only use the supplied information for this purpose. If your personal information is not provided to us, then we may not be able to contact you to set up an appointment, or may not assign your case to the most relevant expert advisor. You may have the right to access the personal information we hold about you, subject to any exemptions in relevant laws, by contacting us. Refer to the La Trobe University privacy policy for more details.
