International Student Application Form CRICOS Provider Code # 03577A
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1 Part A - Personal Details Title: Mr Miss Mrs Ms Other (specify): Surname/Family Given Name(s): Preferred Date of Birth: Are you 18 years or older? Yes First Language: Gender: Male Female Other Disability: Yes (if yes, please provide details) Street Address: (If you are currently living outside Australia, please provide overseas address. If you are already living in Australia please provide your Australian address). Number and street: Suburb/Town/City: Country: Postcode/ZIP: Phone Numbers: (include country code) Home: Mobile: Address: Part B Nationality / Citizenship Passport number: Passport expiry date (DD/MM/YY): Do you hold a current Australian visa? Yes If YES, Country of issue: Visa type: Expiry Please provide a copy of your passport and visa with this application (if you have one). Part C Highest Level of Education Achieved Tertiary Studies (Post-Secondary) Attach documentation including certified copies of academic transcripts Page 1 of 5
2 Name of qualification School/Institution Country/State Year Completed Language of instruction Secondary Studies Name of qualification School/Institution Country/State Year Completed Language of instruction Part D English Language Proficiency IELTS Score: TOEFL Score: Other: Have you completed an English Certificate of Upper Intermediate or higher from an English Language School in Australia? Yes If Yes, please supply all relevant documentation. Are you currently enrolled in an ELICOS/English language school? Yes If Yes, provide details. Part E - Credit Transfer and Recognition of Prior Learning Do you wish to apply for a Credit Transfer? Yes If YES, Credit Transfer Application Form completed and submitted with evidence attached? Yes Do you wish to apply for Recognition of Prior Learning? Yes If Yes, RPL Form Completed Part F Course Selection Certificate III in Agriculture (AHC30116) Certificate IV in Agriculture (AHC40116) Advanced Diploma of Agribusiness Management (AHC60316) A non-refundable application fee of $500 must be paid on lodgement of this application for enrolment. Part G Overseas Student Health Cover (OSHC) Do you have current OSHC? Yes If YES, name of current provider OSHC expiry date If No, do you want Skillinvest to arrange your OSHC Yes (please indicate type below), I will organise my own Single (student only) Couple Page 2 of 5
3 Family (one or both parents and one or more children Part H Employment History Summary of relevant work experience (you may also attach your resume) Start Date Finish Date Employer Position Duties/Responsibilities Part I To be completed if you are already studying or have completed a previous course in Australia Are you currently enrolled with another CRICOS Provider? Yes If YES, do you have a letter of release? Yes Do you require a Letter of Offer to be released from your current provider? Yes Why are you leaving your current course/provider? Do you owe fees to your previous provider? Yes (if Yes, provide details) Did you abide by the conditions of your student visa with your previous provider (i.e. attend class and progress in your course)? Yes (if No, provide details) When did you complete your course with your previous provider in Australia? (attach evidence eg. Certificate of Completion) Page 3 of 5
4 How did you hear about us? How did you first learn about Skillinvest/Longerenong College? (You may tick more than one box) Agent recommendation Internet Social media Recommended by a friend/relative Newspaper/magazine Other Applicant Declaration I understand that by signing this application form, I may be sent a Formal Letter/s of Offer/Written Agreement Contract from Skillinvest if all of the admission requirements are met. I authorise Skillinvest to contact me by SMS, or phone I authorise Skillinvest to verify any information I have provided on this form I give Skillinvest permission to obtain official records / confirm details from a previous educational institution attended by me listed on this form I have read and understood all of the information on this form I am aware of my obligation to pay outstanding fees and understand non-payment of fees can lead to cancellation of my course enrolment by Skillinvest I am aware I must abide by visa conditions throughout my enrolment period in Australia including maintaining attendance and course progress I understand my application fee ($500) payable with the lodgement of this form is non-refundable I understand living costs in Australia may be higher than my home country I understand Tuition and Non Tuition fees may change during my course I have been provided with Pre-enrolment information including the Skillinvest International Student Handbook & marketing information containing: entry requirements for the course including English language, academic requirements, work experience and course credit/rpl applicable; course content, duration, qualification/s on completion, modes of study and assessment methods; Skillinvest campus locations, Skillinvest general description of facilities, equipment, learning and library resources; details of any arrangements Skillinvest has with any other organisations to provide the course; course related fees; the Skillinvest Refund, Deferment, Suspension and Cancellation Policies; A description of the ESOS Framework; Costs of living in Australia, Accommodation options, and obligations of schooling for any school aged dependents I may have. I am aware I can obtain additional copies of the International Student Handbook, Policies, Procedures and Marketing Information from the Skillinvest WEBSITE: Applicant s Applicant s Signature: Page 4 of 5
5 OFFICE USE ONLY Application received by: Position: Application assessed by: Position: Letter of Offer APPROVED / NOT APPROVED (Circle) Page 5 of 5
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