International enrolment application

To apply for enrolment into your program, be sure to read and understand our Privacy policy before submitting this application - Wide Bay Institute of TAFE CRICOS Provider No. 02013A.

*Indicates mandatory fields

Personal Information:				Readmission Yes No
Agent's name (if applicable) :			Student number (if previously enrolled with TAFE Queensland)
* Family name:			Title (ie Mr/Mrs/Ms)
* Given name:
Preferred name:
Date of birth:			Gender:
Passport and Visa Details Please note Overseas Student Health Cover is mandatory for all International Student Visa Holders
Overseas Student Health Cover		I will obtain OSHC via the institute	I will obtain OSHC privately
Country of citizenship: (As shown on Passport)			Passport number:
Passport date of Issue?			Passport expiry:
Do you hold a current Australian Visa?		Yes No	Visa type:	Tourist Student Other
Visa number:			Date of Visa Issue:
Visa duration:			Visa expiry:
Contact Details
Email:
Home country address:			Address in Australia:
Home telephone:		(Please include country code)	Work telephone:
Australian telephone home (if applicable):			Australian telephone work (if applicable):
Currently living in:		Home country Australia	Fax:
Course Details: Please fill in the type of course and desired start dates
English Program (ELICOS)		Program Length:	weeks	Start Date:
Scholarship Offers		12 + 3 20 + 4		Start Date:
TAFE Program*		Course Name:		Start Date:
* All Certificate and Diploma programs require an IELTS level of 5 � 5.5 * Please note that your preferred program of study may not be available at time of application
Accommodation And Airport Reception:
Will you require WideBay TAFE to find you �Homestay� accommodation?				Yes($180.00/week) No
Will you require us to make your travel arrangements from the airport to WideBay TAFE?				Yes($120.00) No
Dependant Details
Dependants accompanying you to Australia? If yes, how many?			Are they in Australia? Will they accompany you?
Family name		Given name	Relationship	Date of birth (dd/mm/year)



Language
Is your first language English: Yes No
Have you passed a recognised English language test in the last 12 months?
If Yes, date taken Result:
If no, How many weeks would you like to study? What date would you like to start?
Language spoken at home:
Educational History - certified copies of all records required, if more space is required attach separate sheet details
Year	School/institution	State/country	Name of qualification	Course weeks	Result attached



Employment
Year	Period of employment	full or part time	Occupation	Employer name and address


Scholarship Details:
Are you a sponsored student? Yes No
If yes above, are you sponsored by Home Government AusAID Other
DECLARATION � For your application to be valid you must complete Part 1. If you are under 18 your parent or guardian must complete Part 2.
PART 1 DECLARATION BY APPLICANT - I certify that the information on this form and the supporting documentation are correct and complete. I authorise the institute to obtain other details relating to my academic record. I acknowledge that the provision of incorrect information and documentation relating to my application may result in the cancellation of my enrolment.
Signed: ______________________________ Date:
PART 2 DECLARATION BY PARENT OR GUARDIAN (Only if applicant is Under 18) I have read the information on this form and the details of the applicant are complete and correct. I hereby apply for the entry of my child/ward to study with TAFE Queensland in Australia and declare that I have the financial capacity to meet the tuition fees and expenses in Australia. I acknowledge that the provision of incorrect information or documentation or the withholding of documentation or information relating to my child�s/ward�s application may result in the cancellation of their enrolment.
Signed: ______________________________ Date:

Submitting Your Application:
The Department of Education, Training and the Arts is collecting this enrolment information for general student administration as well as for planning, communication, research, evaluation and marketing activities undertaken by the Department. Only authorised departmental officers have access to this information. Your personal information may be disclosed to Commonwealth and State Government Agencies. If you are an apprentice/trainee, your personal information, attendance details, progress and results will be disclosed to your employer. If you are under the age of 18 years your personal information, attendance details, progress and results may be disclosed to your parent/guardian. No further access to your enrolment information will be provided to any other organisation or persons without your consent or, unless authorised or required by law, in accordance with the Information Privacy Principles.
To send your Enrolment Application click the 'Submit' button.

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