THIRD YEAR ENROLMENT FORM Bachelor of Arts in the Liberal Arts *Please return this completed form to the College Office by the date in your Offer Letter.* In order to comply with Commonwealth and reporting requirements, Campion College Australia must collect the following information from students. PERSONAL DETAILS (Please provide all of the information below to ensure that College records are up to date. Your given name should be exactly as it appears in your legal documentation, e.g. driver s licence or passport.) Title (Dr, Mr, Mrs, Miss, Ms): Given Names:. Surname: Sex (M/F): Height: (cm) Date of Birth: / / Personal email: What is your Permanent Home Address?. What is your Term Address? (If different to your permanent home address). What is your Preferred Mailing Address? Permanent Home Term Address Other (below). Please provide your parent or legal guardian s contact details. Name: Address: Emergency Contact Name: Relation: Tel No.: Email: For possible medical emergencies, please supply your Medicare number: Do you have any health condition/s which requires medication, ongoing treatment or management? No Yes Please indicate the area/s of impairment and provide supporting documents: Hearing Vision Medical Mobility Mental Health Allergy Learning Other If yes, would you like advice on support services, equipment and facilities which may assist you? Yes No Updated January 2017 Page 1 of 6
ENROLMENT DETAILS You are re-enrolling into the Bachelor of Arts in the Liberal Arts. Attendance Mode: Full-time OR Part-time Subject Selections (Please select the subjects in which you wish to enrol.) All subjects are 6 credit points. The * indicates elective not-for-credit subjects. Subjects in bold are third year for-credit subjects. Third year students must complete at least eight third year for-credit subjects, including two science subjects. Students need approval from the Dean of Studies or Associate Dean to enrol in more than 4 subjects in one semester. If you wish to enrol into a subject that is not listed below, please use the blank space provided. SUBJECTS SCI303 SEMESTER ONE The History, Philosophy and Social Study of Science TICK SUBJECTS TO BE STUDIED SCI305 Human Biology 1 NOT ON OFFER SCI307 History of the Mathematical Sciences: From Antiquity to the Present NOT ON OFFER HIS301 HIS303 LIT301 LIT303 PHI301 PHI303 THE301 THE303 *LAN101 War, Science and Religion in the Twentieth Century Humanists and Reformers: The Renaissance The Search for Meaning in Modern Literature The Catholic Imagination in Modern Literature Modern Philosophy Philosophy of Language Theology of the Post-Conciliar Era Moral and Sexual Integrity *Classical Latin I (Introductory) *LAN203 *Classical Latin III (Intermediate) (pre-requisite LAN102) *LAN301 *Language, Culture & Society in Republican Rome (Advanced) (pre-requisite LAN204) *GRE101 *Classical Greek I (Introductory) *GRE201 *Classical Greek III (Intermediate) (pre-requisite GRE102) *GRE301 *The Main Themes of Greek Literature (pre-requisite GRE202) *MAT101 *Introduction to Mathematical Thought *MAT201 *Social Issues & Mathematics *STU101 *Study Skills SUBJECTS SCI304 SCI308 SEMESTER TWO The Darwinian Revolution Formal Logic HIS302 Australian Culture, Politics and Religion since 1788 HIS304 LIT302 LIT304 PHI302 PHI304 THE302 THE304 Enlightenment Europe and the Creation of the Modern World Australian Literature Shakespeare Social and Political Philosophy Twentieth-Century Analytic Philosophy Bioethics and the Catholic Tradition Public Morality and Catholic Social Teaching TICK SUBJECTS TO BE STUDIED *LAN102 *Classical Latin II (Introductory) (pre-requisite LAN101) *LAN204 *Classical Latin IV (Intermediate) (pre-requisite LAN203) *LAN302 *Pagans & Christians: from Augustus to Augustine (Advanced) (pre-requisite LAN301) *GRE102 *Classical Greek II (Introductory) (pre-requisite GRE101) *GRE202 *Classical Greek IV (Intermediate) (pre-requisite GRE201) *GRE302 *The Genres of Greek Literature *MAT102 *Single Variable Calculus *MAT202 *Statistical Thinking Office Use Only: Load: CP Student Number: Admin Officer: Dean of Studies: Updated January 2017 Page 2 of 6
PAYMENT DETAILS (All questions regarding financial matters are to be directed to the Prospective Student Coordinator.) Fees: The tuition fee for domestic students for a standard subject in the Bachelor of Arts in the Liberal Arts is $1,995. Campion College Australia has been approved to offer the Commonwealth Government FEE-HELP scheme. FEE-HELP is a contingent loan which becomes repayable when a graduate earns a specified income level. Please consult the current FEE-HELP Information booklet or access the information on the StudyAssist website http://studyassist.gov.au for more information. Students paying upfront will be sent an invoice based upon their approved subject enrolment. If you choose to defer all or part of your tuition fee through a FEE-HELP loan, you will be required to complete a Request for FEE-HELP Assistance Form for the FEE-HELP amount, during Orientation Week. Refunds: Students should be aware that fees are not refunded, nor are loan debts remitted upon withdrawal from subjects after the Census date for the specific subject. The College s refund policy appears on the Campion College website www.campion.edu.au and in the current Student Handbook. Payment Information Student Full Legal Name: Student Number: Course: OPTION 1: Upfront payment of all tuition fees for the semester My payment details are recorded below. OPTION 2: Partial upfront payment and partial deferral of remaining tuition fees through FEE-HELP My payment details are recorded below, AND *My Request for FEE-HELP Assistance Form was completed: in a previous year this year. OPTION 3: Deferral of all tuition fees through FEE-HELP. My payment details are recorded below, AND: *My Request for FEE-HELP Assistance Form was completed: in a previous year this year. OPTION 4: I will be using Scholarship funds to pay my tuition fees. This option is only applicable if the student s Scholarship Application has been successful. The successful Scholarship Recipient will need to submit a Scholarship Use Request Form to Accounts. If you have elected to make a partial or full upfront payment of tuition fees, please indicate your preferred method of payment below: Please accept my Money Order Cheque for $AU OR Please debit my Bankcard Visa MasterCard for the amount of AU$ Card Number: Expiry Date: / / Name as it appears on the card: Signature: Office Use Only: Date: Received by: Receipt #: ACCOMMODATION Do you require on campus Residential Accommodation? Yes No If Yes - you will need to complete a Residential Accommodation Application Form, and submit it at the time of re-enrolment. Updated January 2017 Page 3 of 6
DECLARATION I declare that the information on this form is, to the best of my knowledge, correct and complete in every detail. I have read, understood and agree to the College s refund policy and the Rules and Regulations outlined in the Student Handbook. Signature of Applicant: Date: PLEASE RETURN THE COMPLETED FORM IN THE ENVELOPE PROVIDED, TO: Prospective Student Coordinator Campion College Australia PO Box 3052 Toongabbie East NSW 2146 COMPLETION OF THE FOLLOWING QUESTIONS ARE REQUIRED IF ANY INFORMATION PREVIOUSLY PROVIDED HAS CHANGED WITHIN THE LAST 12 MONTHS. ENROLMENT DETAILS Have you previously enrolled with another Higher Education Provider? (Higher Education Providers include universities and some TAFEs and CAEs) No Yes At which institution were/are you enrolled? What was/is the course? What was/is your Student Number? What was/is your CHESSN? Do you intend to apply for credit for prior study towards your course at Campion? (If Yes, you will be required to complete a Recognition of Prior Learning form, which will be sent to you.) No Yes At which institution were those prior studies undertaken? Did you complete Year 12 in Australia? No Yes Year of completion: Tertiary Entrance Score (e.g. OP / TER / ATAR / UAI ) School Name: School Suburb: School : Your postcode during that time: School : If you did not complete Year 12 in Australia, through which entry pathway were you admitted into the Bachelor of Arts in the Liberal Arts? Special Tertiary Admissions Test (STAT) Year of completion: Score: / Scholastic Aptitude Test (SAT) Year of completion: Score: / Completed Tertiary Studies Year/s: Institution: Incomplete Tertiary Studies Year/s: Institution: Other (please specify): Office Use Only: RPL Credit Points granted: (course total) = % Admin Officer: Dean of Studies: Updated January 2017 Page 4 of 6
ADDITIONAL ENROLMENT QUESTIONS In order to comply with Commonwealth and reporting requirements, Campion College Australia must collect the following information from students. They are used for statistical and policy development purposes. The information will not be used to identify individual students. What is your Citizenship/Residency Status? Australian Citizen Australian Citizen includes Australian citizens with dual citizenship; New Zealand Citizen NZ Citizen or a diplomatic or consular representative of NZ, a member of the staff of such a representative or the spouse or dependent relative of such a representative, excluding those with Australian citizenship. (Note: includes any persons who have Permanent Resident status); Permanent Resident Students with Permanent visa other than a Humanitarian visa; Humanitarian Visa Students with permanent humanitarian visa; or Temporary Resident Students with a temporary entry permit or is a diplomat or a dependent of a diplomat (except NZ) and resides in Australia during this subject of study; International Student residing in Australia during study and has a student visa: Full degree (will graduate from Campion) Part-degree (will graduate elsewhere) Study Abroad Other not one of the above categories and student is residing outside Australia during the subject of study. Were you born in Australia? Yes Go to next question No What country were you born in? OR Are you living overseas? In what year did you arrive in Australia? (yyyy) What is the language spoken at your permanent home address? (If you are a temporary resident, this is the language that is spoken in your country of origin) English Language other than English Please specify: Are you Aboriginal or Torres Strait Islander? Neither Aboriginal Torres Strait Islander Both Aboriginal and Torres Strait Islander What is the highest educational attainment of your female parent/guardian? Post graduate qualification (Diploma/Masters/PhD) Bachelor Degree Other post school qualification (VET Certificate, Associate Degree, Associate Diploma) Completed Year 12 or equivalent Did not complete Year 12 or equivalent Completed Year 10 or equivalent Did not complete Year 10 or equivalent Don t know What is the highest educational attainment of your male parent/guardian? Post graduate qualification (Diploma/Masters/PhD) Bachelor Degree Other post school qualification (VET Certificate, Associate Degree, Associate Diploma) Completed Year 12 or equivalent Did not complete Year 12 or equivalent Completed Year 10 or equivalent Did not complete Year 10 or equivalent Don t know What is your Main Study Reason? I wanted extra skills for my job Personal interest or self-development Job requirement To develop my existing business To get a better job or promotion To get a job To get into another course of study To start my own business For other reasons To try for a different career No information provided What is your Labour Force Status? Full-time employee Part-time employee Employer Self-employed (not employing others) Employed (unpaid worker in a family business) Not employed (not seeking employment) Unemployed (seeking full-time work) Unemployed (seeking part-time work) No information DECLARATION I declare that the information on this form is, to the best of my knowledge, correct and complete in every detail. I have read, understood and agree to the College s refund policy and the Rules and Regulations outlined in the Student Handbook. Signature of Applicant: Date: Updated January 2017 Page 5 of 6
PLEASE RETURN THE COMPLETED FORM IN THE ENVELOPE PROVIDED, TO: Prospective Student Coordinator Campion College Australia PO Box 3052 Toongabbie East NSW 2146 Camion College Australia 8-14 Austin Woodbury Place, Old Toongabbie NSW 2146 PO Box 3052, Toongabbie East NSW 2146 Australia T + 61 2 9896 9300 I F +61 2 9631 9200 E study@campion.edu.au I W www.campion.edu.au ABN 41 096 681 140 Updated January 2017 Page 6 of 6