Online Application

Family name: *

Given name: *

Date of birth: *

Country of birth: *

Gender: *

MaleFemale

Country of citizenship: *

Passport number:

Address in Australia: (If known)

Postal Address: (Leave blank if same as Residential Address)

Email:

Mobile:

DIBP Office:

Type of visa: *

StudentTouristOther

ENGLISH COURSES (Teaching hours: 20hrs/week)

General English

CRICOS 070205G

Start date:

weeks

MorningEvening

IELTS Preparation

CRICOS 070206F

Start date:

weeks

MorningEvening

English for Academic Purposes

CRICOS 070208D

Start date:

weeks

MorningEvening

Do you speak a language other than English at home? *

(If more than one language, indicate the one that is spoken most often)No, English onlyYes,

If other Please specify

How well do you speak English? *

Very wellWellNot wellNot at all

Are you of Aboriginal or Torres Strait Islander origin?

(For persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes)NoYes, AboriginalYes, Torres Strait Islander

Have you taken TOEFL/IELTS/Other English Test? *

NoYes

Score:

Date test taken:

Please provide certified copy of any English proficiency examinations undertaken. IELTS 5.5 or equivalent is an entry requirement for all Vocational Courses

What is the highest level of education that you have completed? *

Bachelor degree or higher degreeAdvanced diploma or associate degreeDiploma(or associate degree)Certificate IV (or advanced certificate/technician)Certificate III (or trade certificate)Certificate IICertificate ICertificates other than the above

In which YEAR did you complete that school level? *

Proposed future studies

(Please indicate)Vocational CollegeTAFEUniversity UndergraduateUniversity Postgraduate

Name of institution:

Course commencement date:

The Australian Government requires all students on student visa to have Overseas Student Health Cover.

Do you require us to arrange OSHC for you?

YesNo

(if yes then enter months)

Do you require us to help with airport pick-up

YesNo

Do you require us to help with accommodation for you

(Please complete Accommodation profile if tick Yes)YesNo

Do you wish to apply for Recognition of prior learning(RPL)?

(Depending on your previous student and work experience, We are able to give you credit or exemptions from certain course units)Yes (Please complete RPL form)NO

Are you applying for advanced standing/credit?

YesNo

Special Conditions:

Do you consider that you have a disability, impairment or long term condition? *

( You may indicate more than one area)No disabilityMultiple disabilitiesHearing/DeafMental illnessMedical conditionPhysicalLearningVisionother

Of the following categories, which best describes your current employment status? *

Full-time employeeSelf employed-not employing othersEmployerPart-time employeeUnemployed-Seeking full-time workUnemployed-Seeking part-time workEmployed – unpaid worker in a family businessNot employed - not seeking employment

Of the following categories, which BEST describes your main reason for undertaking this Course/traineeship? *

To get a jobTo develop my existing businessTo start my own businessTo try for a different CareerTo get a better job or promotionTo get into another course of studyI wanted extra skills for my jobIt was a requirement of my jobOther reasonsFor personal interest or self-development

The College endeavors to identify, assess and provide learning support to its client for all qualification currently on its scope of registration. If you require a special consideration please tick the appropriate box below:

English language: *

YesNo

Literacy and numeracy: *

YesNo

Physical ability: *

YesNo

Intellectual ability: *

YesNo

Cultural or ethnic background: *

YesNo

Computing skills (create, save and edit Microsoft Office Documents) *

Computing Skills (create, save and edit Microsoft Office Documents)YesNo

Computing skills (access and search the internet) *

Computing Skills (access and search the internet)YesNo

Computing Skills (download, upload and save documents from websites) *

Computing Skills (download, upload and save documents from websites)YesNo

Computing Skills (participate in online discussion) *

Computing Skills (participate in online discussion)YesNo

ChequeCashCredit CardBank DepositInternational Money Transfer

How did you hear about our college?(Please tick)

Friends/relativeEmbassyNewspaper/magazineWebsiteAgent(name/stamp)

Passport Copy

IELTS OR English Proficiency Certificate

I have read this Agreement and agree to the terms and conditions. *

Click here to read Terms and ConditionsI accept

Online Application

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