ACAE Application Form1

Page 1

APPLICATION FOR ADMISSION PERSONAL DETAILS

EDUCATION DETAILS

Family name

(Please attach all supporting documentation required) Have you previously been a student of the Australian College of Applied Education?

Given names Yes

No

Secondary Studies

Address (in Australia)

Name of institution you last attended

Post Code State/Country

E-mail

Telephone (Mobile)

Telephone (Home)

Date of Birth

Tertiary and Postgraduate Studies

M ale

Female

Is English your first language, if not which other language do you speak at home? Yes

Name of institution you last attended

Name of course

No

Marital status

Place of birth

Are you an Australian Citizen, if Yes, do you have a Commonwealth Higher Education Student Support Number (CHESSN)? If so please insert this number below. Yes

Year you left school

Highest level achieved

No

Year of last enrolment

Is Qualification complete?

Certified documents attached

Yes

No

Exemption Request form (recognition of prior learning, credit transfer or advanced standing) completed:

CHESSN #

Passport number

Yes

No

Date of expiry

ENROLMENT DETAILS Name of course Medical conditions

Length of course Contact in an emergency Full time

Family name

Given names

Part time

Course commencement date:

/

/ 20

Course completion date:

/

/ 20

ACCOMMODATION DETAILS Do you wish ACAE to arrange temporary accommodation for you?

Address (in Australia) Telephone (Mobile)

Telephone (Home)

Post Code

Yes

Indicate your preference: Hostel

No

Homestay

Other:

Telephone (Work)

Do you require airport pickup? Yes

No

Cost $95.00


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