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Student application

Please Note:

You are advised to read our Privacy Policy before submitting this application.
If you are not an Australian resident, you should complete the online International Enrolment Application.
For more information phone the Institute�s Call Centre on 1300 656 188 or e-mail: widebay.institute@tafe.net.
Sections 1, 2, 3, 4, 5, 11 and 12 must be completed.
You may be required to provide evidence of your eligibility prior to, or at the time of enrolment. This could include certified academic results or similar. Do not send originals.

*Indicates mandatory fields

2. Home address:
*No. and street (PO Box)

*Suburb/town/city:

*Postcode

*Telephone: (please include area code)

E-Mail address: (if applicable)

Holiday address:
No. and street (PO Box):

Suburb/town/city:

Postcode:

Telephone: (please include area code)

Holiday from: to:

4. School results:
Year 10 results - completed in
Subjects	Achievement level
English
Year 11 results - completed in
Semester 1
Subjects		Achievement level
English
Semester 2
SUBJECTS		Achievement level
English
Year 12 results - completed in
Semester 1
Subjects		Achievement level
English
Semester 2
Subjects		Achievement level
ENGLISH
Mature age entry:
Level of schooling (completed or current) Yr 9 Yr 10 Yr 11 Yr 12
When did you leave?

5. Course/program applied for at: (List in strict order of preference. Only one course per line please.)
Preference 1
Course name:	Course number:	Mode:

Preference 2
Course name:	Course number:	Mode:

Preference 3
Course name:	Course number:	Mode:

6. Studies since leaving school - show all successful attempts:
Course or subject passed	Institution	Year completed

7. Paid/Unpaid employment or other work experience, including school:
Occupation	Type	Work experience	Duration months-weeks

8. Special entry
If you do not meet the entry grade level, you may apply for special entry. Please mark the appropriate box:
SA Aboriginal or Torres Strait Islander SC Study affected through long-term illness or major accident SD Disadvantaged socially or economically SL Language difficulties affected study SM Professional experience and/or other special consideration for mature-age applicants SO Other: Please seek additional information from the College (Student Support Services are available for ATSI students at many Colleges)

9. Disability. If you have any physical/sensory/intellectual disability, please specify below:

10. Supporting reasons. Give reasons why you want to study the program you have chosen:

11. Residential status. This section must be completed:
Australian Citizen Permanent Resident of Australia New Zealand Citizen None of Above Is English your first language? -		Holder of Temporary Resident Visa (i) Type of temporary visa which you hold or expect to hold: (ii) Country of citizenship:

12. Declaration
I declare that the information on this application is correct and agree to provide any evidence required of my eligibility prior to, or at the time of enrolment. Applicant�s signature: ______________________________ (where printed copy is used) Date: I declare that the information on this application is correct and agree to provide any evidence required of my eligibility prior to, or at the time of enrolment. Signature of Parent/Guardian if applicant is under 18 years: ______________________________ (where printed copy is used) Date:
Submitting your application
Privacy Declaration - The Department of Education, Training and the Arts is collecting the information on this form to assess applications for admission to WideBay TAFE. Only authorised departmental officers have access to this information. Your personal information will not be disclosed to any other third party without your consent, unless authorised or required by law.
To send your Request click the 'Submit' button.