ENROLMENT APPLICATION FORM

Transcription

1 ENROLMENT APPLICATION FORM TITLE: MR o MISS o MRS o MS o OTHER o GENDER: MALE o FEMALE o FAMILY NAME: GIVEN NAME: DATE OF BIRTH: (dd/mm/yyyy) / / PASSPORT NUMBER: USI NUMBER: ADDRESS OF RESIDENCE IN AUSTRALIA: Number and Street: Town/City: State/Territory: Postcode: Country: Mobile: E- mail: ADDRESS OF RESIDENCE OVERSEAS: Number and Street: Town/City: State/Territory: Postcode: Country: EMERGENCY CONTACT: Name: Relationship: Phone: ARE YOU CURRENTLY IN AUSTRALIA: NO o - You will need to complete a GTE assessment YES o - What year did you arrive in Australia? - What visa type do you currently have? STUDENT VISA o GRADUATE VISA (485) o TOURIST o PR o OTHER o Visa expiry date: Visa number:

2 COURSE SELECTION Choose your course: o BSB51915 Diploma of Leadership and Management (CRICOS code D) Choose your preferred start date: 2018 Intake o January 15 th o February 26 th o January 15 o April 9 th th o February May 21 st 26 th o July 2 nd o April August 9 th 13 th o May o September 21 st 24 th o November 5 th 2019 Intake o January 14 th o February 25 th o April 8 th o May 20 th o July 1 st o August 12 th o September 23 rd o November 4 th o CHC30113 Certificate III in Early Childhood Education and Care (CRICOS code M) * o CHC50113 Diploma of Early Childhood Education and Care (CRICOS code A) * * Contact us for intake dates for our Early Childhood Education and Care courses. SERVICES Do you require ATS to arrange OSHC? o Single o Couple o Family Would you like ATS to arrange homestay for you? o Yes o No Do you require pick up from Canberra Airport to your place of accommodation? o Yes o No AVETMISS DATA 1. In which country were you born? Australia o Other Please Specify o 2. Do you have permanent residence in Australia? YES o NO o 3. Are you of Aboriginal or Torres Strait Islander origin? YES o NO o 4. Do you speak a language other than English at home? (If YES and more than one language, indicate the one that is spoken most often.) Yes, Please Specify Language o No, English Only o. Go to Question 6 5. How well do you speak English? Very Well o Well o Not Well o Not At All o

3 6. Do you consider yourself to have a disability, impairment or long- term condition? Yes o No o.. Go to Question 8 7. If YES, then please indicate the areas of disability, impairment or long- term condition. (You may indicate more than one area.) Hearing/Deaf o Physical condition affecting mobility o Intellectual o Learning o Mental illness o Acquired Brain Impairment o Vision o Medical Condition o Other o 8. What is your highest COMPLETED school level? (Tick ONE box only) Year 12 or Equivalent o Year 11 or Equivalent o Year 10 or Equivalent o Year 9 or Equivalent o Year 8 or Equivalent o Never Attended School. Go to Question In which YEAR did you complete that school level? 10. Are you still attending secondary school? YES o NO o 11. Have you attempted or completed any of the following qualifications? Tick ANY applicable boxes. Level of Qualification Attempted Completed Bachelor Degree Or Higher Degree o o Advanced Diploma Or Associate Degree o o Diploma (Or Associate Diploma) o o Certificate IV (Or Advanced Certificate Technician) o o Certificate III (Or Trade Certificate) o o Certificate II o o Certificate I o o Certificates Other Than Above o o 12. Of the following categories, which BEST describes your current employment status? (Tick ONE box only.) Full- Time Employee o Part- Time Employee o Self- Employed Not Employing Others o Employer o Employed Unpaid Worker in a Family Business o Unemployed Seeking Full- Time Work o Unemployed Seeking Part- Time o Not Employed Not Seeking Employment o 13. Your major reason for study? (Tick ONE box only.) To Get a Job o To Develop my Existing Business o To Start my Own Business o To Try for a Different Career o To Get a Better Job or Promotion o It Is a Requirement of My Job o I Want Extra Skills for My Job o To Get into another Course of Study o For Personal Interest, Self- Development or Other Reason o

4 Recognition of Prior Learning Are you seeking Recognition of Prior Learning? Yes o No o If yes, please include your RPL/CT Application form along with supporting documents with this application. All forms are available at REPRESENTATIVE Do you have an Education Agent or Immigration Lawyer? Yes o No o Name of representative agency: Contact person: Contact number: DOCUMENTS CHECKLIST The following documents must be provided for timely processing of your application. Documents in a language other than English should be submitted along with translation from a certified translator. All students [ ] Certified copy of your passport. [ ] Authenticated* transcripts of relevant academic records (Higher School Certificate or higher level qualifications) [ ] Proof of English language ability (see prospectus for requirements) [ ] Any additional documentation to support your application (e.g. your résumé** or references) Off- shore students (additional) [ ] GTE assessment form [ ] Evidence of financial resources (e.g. Copy of Bank Statement) *Authenticated documents must be: 1. Original documents (i.e. testamur and transcript of results) provided by the candidate to an authorised Acquire representative. 2. Copies of the original documents (i.e. testamur and transcript of results) provided by the candidate which have been either: Notarised by a Justice of the Peace or equivalent authority in the country of origin OR Verified as a true and correct copy of the original documents by an approved ATS representative. **All claimed work experience must be relevant to the qualification being applied for and be within 3 years from date of application. Mature- age candidates must provide Statements of Service on official company letterhead providing contact details of the employer. Past employers will be contacted to verify work experience on a case- by- case basis

5 DECLARATION In signing the Acquire Training Solutions enrolment application form, I declare that: The information provided by me in this application form is correct. I have the financial capacity to meet all of my course fees and agree to pay all fees as they become due. I have read and understand the course and fee information on the Acquire Training Solutions website and in the course information brochure. I understand that Australian law requires student visa holders to notify their Education Provider of any change of address details within 7 days. I understand that it is compulsory to be covered by Overseas Student Health Cover while I am on a student visa. I understand that I am not eligible to transfer to another registered provider without permission from Acquire Training Solutions until I have completed 6 months of my principal course of study. I understand that continuation in the course/s is dependent upon satisfactory academic progress and attendance. Failure to meet these conditions will result in my case being reported by Acquire Training Solutions to the Department of Immigration and Border Protection (DIBP). I acknowledge that information about the ESOS Framework can be found at Regulatory- information/pages/regulatoryinformation.aspx - it is important for international students to understand the ESOS Framework. The Education Services for Overseas Student Act (ESOS) and regulations set out the legal framework governing delivery of education to overseas students studying in Australia on a student visa. I understand that information collected about me may be shared between the registered provider and the Australian Government and designated authorities and, if relevant, the Tuition Protection Services (TPS). This information includes personal and contact details, course enrolment details and changes, and the circumstance of any suspected breach by the student of a student visa condition. In other instances, information collected on this form can be disclosed without your consent where authorised or required by law. I acknowledge that Acquire Training Solutions is committed to protecting an individual s right to privacy in accordance with the Privacy Act I acknowledge that Acquire Training Solutions reserves the right to alter any course, subject, admissions requirement or fee without notice. I have read and understand Acquire Training Solutions Refund Policy found at I am aware that Acquire Training Solutions accepts students with a minimum age of 18 years. If I instruct an agent to complete this application form on my behalf, I do so on the basis that the agent is acting for me and it remains my responsibility to read the terms and conditions of the enrolment. I authorise Acquire Training Solutions to verify the authenticity of my academic/professional qualifications and my work experience. I understand Acquire Training Solutions may inform other organisations or regulatory agencies if any of the information in my application is not accurate. SIGNATURE: DATE: / /

6 ACCEPTANCE AND ENROLEMNT Once we receive your application form and supporting documents, you may be asked to undertake an interview. Successful applicants will be issued a Letter of Offer, Student Enrolment Agreement, and Tax Invoice. Your signed Student Enrolment Agreement is required and payment of your course deposit is required to secure your place in your chosen course. Once these have been received, we will issue a Confirmation of Enrolment (CoE). Some applicants may be issued a Conditional Letter of Offer if some entry requirements have not yet been met. Applicants with a Conditional Letter of Offer must meet the conditions of the offer before they can finalise their enrolment and enrol in specific units of study. Admissions and enrolment policies and procedures are available at www. ats.act.edu.au APPLY NOW Send your application to: Mail: Admissions Office, Acquire Training Solutions, Level 7, York Street Sydney, NSW admissions@laneway.edu.au