TAFEWA_App

APPLICATION FORM

Go online at www.eti.wa.edu.au and complete the online application form for a faster response and live availability of student places or email application and supporting documents to: admissions.eti@dtwd.wa.gov.au

2011 1. Personal Details Name: Family name (as shown on your passport) Given names

Preferred name

Sex (Male/Female)

Date of birth (DD/MM/YY)

Local Address in Australia: Number and street Suburb/Town/Country

Post code

Telephone

(M)

Overseas Contact Details: Number and street Suburb/Town/Country

Post code

Telephone (country code/area code/number) Country of birth

Email address

Nationality (as shown on your passport)

Passport number

Do you have a husband, wife or any dependents who will be joining you in Australia?

Yes

No

Do you have a physical disability or learning difficulty that may require additional programs, equipment or support?

(Please refer to page 113 of the course guide for clarification) Yes No If YES, please specify:

2. VISA Are you applying for a visa in Australia or outside Australia?

Do you hold an Australian Visa?

Yes

No

In

Outside

Expiry Date

If YES, type of Visa:

Student

Working holiday

Tourist/Visitor

Other – specify visa subclass

If NO, what type of visa will you apply for?

Student

Working holiday

Tourist/Visitor

Other – specify visa subclass

Are you currently enrolled at another College/University in Australia?

Yes

No

Have you been at this institution longer than 6 months?

Yes

No If NO, you must provide a release letter.

Have you been offered a University package?

Yes

No

3. Health Cover You must attach Do you have current Overseas Student Health Cover? evidence of current If YES, who is your provider? health cover.

Yes

No

Membership number:

4. Course Choice

Expiry Date

If NO, do you need Family or Single membership?

Single

Family

English Course: Course name

Campus

Number of weeks

TAFE Course:

Commencement Date (refer to dates page 9)

Course number

Course name

Campus

Please list highest qualification first. If you would like a specific pathway, please list.

Semester/Intake

February

July

Year

Please fax/post application to:

223 Vincent Street, West Perth 6005 Perth Western Australia Tel: 618 9227 5538 | Fax: 618 9227 5540 Email: info@link2uni.com

www.link2uni.com

Do you wish to package this application with a University degree?

Yes

No

If Yes complete and attach the University application form. Go to www.ETI.wa.edu.au for further information, fees and university application forms. Please note that packaged applications take longer to process.

5. English level Please tick the following and provide evidence with your application

English is my first language.

English was the language of instruction during my secondary school or college studies and I gained a satisfactory pass in English.

I have undertaken an English Course. Course name: I have undertaken an IELTS test.

Band scores: Listening

6. Previous studies

English College:

Date: Reading

Overall Band Score: Writing

I have undertaken a TOEFL test.

Date:

I have undertaken a Pearson Test.

Date:

Level of English Course:

Speaking TOEFL Score: Score:

Evidence of qualifications must be attached. Documents not in English must be accompanied by certified translations.

Please indicate highest level of education achieved.

Secondary: Name of Qualification (eg. A levels) Country

School/Institution Period of study

Post Secondary: Name of Qualification (eg. Degree) Country

School/Institution Period of study

If you believe you have relevant work experience, please attach evidence with application (ie.employer reference)

7. Offers Please note that offer letters will be sent to both your agent and to the email address listed under contact details.

8. Agent Details (If Applicable)

Agent name: Agent address: Agent telephone (country code/area code/number): Agent email address (all offers will be emailed):

9. Declaration Note: if you are under 18 this declaration must also be signed by your parent or guardian.

1. I declare the information in this application and supporting documentation is true.

2. I acknowledge that the provision of incorrect information or documentation or the withholding of information or documentation relating to my application may result in cancellation of my enrolment.

3. I confirm that I have read a copy of the current ETI Course Guide and information available at www.eti.wa.edu.au and fully understand the requirements of the course.

4. I have read and understood the code of conduct, conditions of enrolment, fee payment and refund policy in the ETI Course Guide or at www.eti.wa.edu.au.

5. I agree that Education and Training International may disclose information in regard to my enrolment and tuition fee status, visa status, course progress and results to my parent(s), welfare carer and/or agent.

6. I consent that my personal information may be made available to Australian Commonwealth and State agencies including DIAC pursuant to obligations under the ESOS Act and the National Code.

7. I understand that this agreement, and the availability of Education and Training International’s complaint and appeals processes, does not remove my right to take action under Australia’s consumer protection law.

Applicant’s Signature

Date

Parent or Guardian’s Signature (if under 18 years of age)

Date

CONTACT DETAILS Education and Training International: Ground floor, 123 Adelaide Terrace, East Perth Western Australia 6004 Postal address: PO Box 6830, East Perth BC Western Australia 6892 Tel (+61 8) 9218 2100 (press 2) Email: admissions.eti@dtwd.wa.gov.au Web: www.eti.wa.edu.au