INTERNATIONAL STUDENT ENROLMENT APPLICATION FORMΔHays International College CRICOS Number: 02790D Provider Number: 21838 INTERNATIONAL STUDENT ENROLMENT APPLICATION FORM (Please complete this form in BLOCK LETTERS and attach supporting documents; Please DO NOT attach original documents)SURNAME (LEGAL FAMILY NAME) GIVEN NAMES (LEGAL GIVEN NAME) MIDDLE NAME From 1 January 2015, Hays International College can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your program if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI, you can apply for it directly at http://www.usi.gov.au/create-your-USI/ on computer or mobile device.ENTER YOUR UNIQUE STUDENT IDENTIFIER (IF YOU ALREADY HAVE ONE):- Gender Male Female Indeterminate/Intersex/UnspecifiedDate of Birth Passport Number Nationality Town / City of Birth Country of Birth Passport Expiry Date Do you currently hold an Australia Visa: Yes No Visa Number: Visa Expiry Date: Visa Type: Overseas Student Health Cover: Single Couple Family No, I will buy my ownHome Country Contact Details:- Building/Property Name: Flat/Unit Number: Street Number: Street Name: Suburb, locality or town: State/Territory: Postcode: Country: Telephone Mobile Fax Email Contact Details in Australia:- Building/Property Name: Flat/Unit Number: Street Number: Street Name: Suburb, locality or town: State/Territory: Postcode: Country: Telephone: Mobile: Fax: Email: Preferred Contact Method ( tick one ) Email Mobile MailCOURSE INFORMATION:- Please tick course/s you are applying forCOURSES (COURSE DURATION) (TOTAL COURSE FEES) CHC33015 Certificate III in Individual Support (51 weeks) ($15,700) CHC30121 Certificate III in Early Childhood Education and Care (68 weeks) ($18,250) CHC43015 Certificate IV in Ageing Support (75 weeks) ($22,700 ) CHC53415 Diploma of Leisure & Health (105 weeks) ($31,100) CHC50121 Diploma of Early Childhood Education and Care (72 weeks) ($20,250)FEES: Include administration fee $250 (non refundable), Tuition Fee, Books & Materials $150-$1,000 depending on course, Additional Costs: OSHC $650 * (14 months), RPL application fee $300 per unit, Re-assessment fee $50, Fee for changing enrolment after commencement $100 *subject to change without prior notice Note: OSHC is required for the duration of your visa please refer to http://www.privatehealth.gov.au/healthinsurance/overseas/oshc.htmDo you wish to pay only the initial deposit before the start of the course? Yes NoDo you wish to pay an initial deposit and additional tuition fees before the start of the course? Yes NoINDICATE WHICH INTAKE YOU ARE APPLYING TO START YOUR COURSE (insert X) JANUARY APRI JULY OCTOBERYEAR: Entry requirements: Please refer to Hays International College STUD001 Assessing student’s qualifications, Experience and English proficiency Pre - Enrolment Policy and Procedure for all entry requirements; including but not limited to Fees and Charges;Refund; Deferment, Suspension or Cancellation; policies located at https://hic.vic.edu.au/documents/forms-policies-international/ Please read the Education Services for Overseas Students(ESOS) framework https://internationaleducation.gov.au/Regulatory-Information/Pages/National-Code-2018-Factsheets-.aspx The above document outlines the legislative framework, including the security for overseas students and consumer protection if the need should arise; What you need to know about being an international student in Australia; Your responsibilities as an international student in Australia; Using an education agent; Written agreements or contracts between the student and provider;Transferring between education providers; Support for international students; Tuition protection; Making complaints and getting help; More about Australia.EDUCATION AND EXPERIENCEENGLISH LANGUAGE PROFICIENCYDo you speak a language other than English at home? (If more than one language, indicate the one that is spoken most often) No, English Only Yes, other -Please specify How well do you speak English? Very Wel Well Not Well Not at AllDo you hold a Current Certificate of English Proficiency? Yes NoIf ‘Yes’ please tick the appropriate: IELTS TOEFL PTE CAE OETScore Test Date Test Reference No If you do not hold a Current Certificate of English ProficiencyHave you completed a Qualification in Australia which is higher than Certificate IV within the last 2 years? Yes NoI understand that If I am assessed to have not met the required level of English Proficiency for the courses I am seeking to enrol in, I will be required to enrol in an English Language Intensive Course for Overseas Students (ELICOS) which is the equivalent of IELTS 5.5 before I can commence my vocational course/s.I confirm the understanding of this English Proficiency requirement. YesAre you of Aboriginal or Torres Strait Islander origin? (for persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes No Yes, Aboriginal Yes, Torres Strait IslanderSCHOOLING What is your highest COMPLETED school level (Please tick below) Completed Year 12 Completed Year 11 Completed Year 10 Completed Year 9 or equivalent Completed Year 8 or Lower Never attended schoolYEAR Completed Where completed Are you still attending secondary school? Yes NoPREVIOUS QUALIFICATION ACHIEVED Have you successfully completed any of the following qualifications? Yes NoPlease tick one of these Prior Education Achievement Recognition Identifiers if it applies to the qualification level achieved.008 Bachelor Degree or Higher Degree Australian Australian equivalent International410 Advanced Diploma or Associate Degree Australian Australian equivalent International420 Diploma (or Associate Diploma) Australian Australian equivalent International511 Certificate IV (or Advanced Certificate/Technician) Australian Australian equivalent International514 Certificate III (or Trade Certificate) Australian Australian equivalent International521 Certificate II Australian Australian equivalent International524 Certificate I Australian Australian equivalent International990 Certificates other than the above Australian Australian equivalent InternationalHighest Qualification Achieved Institution/College/School Date Completed DISABILITYDo you consider yourself to have a disability, impairment or long-term condition? Yes NoIf Yes, please indicate the areas of disability, impairment or long-term condition: Hearing/deaf Physical Intellectual Learning Mental illness Acquired brain impairment Vision Medical condition OtherEXPERIENCE/EMPLOYMENT Have you ever been employed? Yes (If yes please fill below) NoOf the following categories, which BEST describes your current employment status? ( tick ONE box only) 01 Full-time employee 02 Part-time employee 03 Self-employed- not employing others 04 Self-employed-employing others 05 Employed- unpaid worker in a family business 06 Unemployed-seeking full-time work 07 Unemployed-seeking part-time work 08 Not employed-not seeking employmentWhich of the following classifications BEST describes the Industry of your current or previous Employer? A - Agriculture, Forestry and Fishing B – Mining C - Manufacturing D - Electricity, Gas, Water and Waste Services E - Construction F- Wholesale Trade G - Retail Trade H - Accommodation and Feed Services I - Transport, Postal and Warehousing J - Information Media and telecommunications K - Financial and Insurance Services L -Rental, Hiring and Real Estate Services M -Professional, Scientific and Technical Services N - Administrative and Support Services O - Public Administration and Safety P -Education and Training Q - Health Care and Social Assistance R - Arts and Recreation Services S - Other ServicesWhich of the following classifications BEST describes your current or recent occupation? 1.Managers 2.Professionals 3.Technicians and Trade workers 4.Community and personal service workers 5.Clerical and administrative workers 6.Sales workers 7.Machinery Operators and drivers 8.Labourers 9.OtherSTUDY REASONOf the following categories, which BEST describes your main reason for undertaking this program/traineeship/apprenticeship? (tick ONE box only) 01 To get a job 02 To develop my existing business 03 To start my own business 04 To try for a different career 05 To get a better job or promotion 06 It was a requirement of my job 07 I wanted extra skills for my job 08 To get into another program of study 12 For personal interest or self-development 13 To get skills for community/voluntary work 11 Other reasonsVICTORIAN STUDENT NUMBER To be completed by all students aged up to 24 years Since 2009 in schools and since 2011, for vocational education and training (VET) organisations and Adult Community Education providers, a Victorian Student Number (VSN) has been allocated upon enrolment to each individual student aged up to 24 years. Students should report their VSN on all subsequent enrolments at a Victorian school or training organisation. In particular, all students who are currently enrolled in either a VET provider or a Victorian school (including those already participating in a VET in schools program) should obtain their VSN from their current education or training organisation and report their VSN on this enrolment form. Students who are enrolling for the first time since the VSN was introduced will get a new VSN.Enter your Victorian Student Number No more questions if you provided your VSNHave you attended any Victorian school since 2009, or done any training with a vocational education and training (VET) registered training organisation or an Adult and Community Education provider in Victoria since 2011? No - I have not attended a Victorian school since 2009 or a TAFE or other VET training provider since the beginning of 2011. No more questions if you answer No above. Yes - I have attended a Victorian school since 2009:Most recent Victorian school attended : Yes – I have participated in training at a TAFE or other training organisation since the beginning of 2011.List the most recent training organisations with which you have participated in training in Victoria since 2011 (List up to 3 training organisations) - 1 List the most recent training organisations with which you have participated in training in Victoria since 2011 (List up to 3 training organisations) - 2 List the most recent training organisations with which you have participated in training in Victoria since 2011 (List up to 3 training organisations) - 3 RECOGNITION OF PRIOR LEARNING In line with Standards for Registered Training Organisation (RTO’S) 2015, I understand that Hays International College must take into account any of my prior learning in determining the amount of training they will provide to me with regards to my existing skills, knowledge and experience. Please tick the appropriate boxes:Formal learning Yes Not applicableAcquired through a structured program of instruction and is linked to the attainment of an AQF Qualification or Statement of Attainment (for example, a Certificate or Diploma)Non-formal learning Yes Not applicableAcquired through a structured program of instruction, but does not lead to the attainment of an AQF qualification or statement of attainment (for example, in-house professional development programs conducted by a business)Informal learning Yes Not applicableAcquired through the experience of work-related, social, family, hobby or leisure activities (for example the acquisition of interpersonal skills developed through several years as a sales representative)PRIVACY NOTICEWhy we collect your personal information As a registered training organisation (RTO), Hays International College collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us. Failure to provide your personal information may mean that it is not possible to enrol you as a student. How we use your personal information We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO. How we disclose your personal information We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting,managing, analysing and communicating research and statistics about the Australian VET sector. We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority. How the NCVER and other bodies handle your personal information The NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market. The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, State and Territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable: administration of VET, including program administration, regulation, monitoring and evaluation facilitation of statistics and research relating to education, including surveys and data linkage understanding how the VET market operates, for policy, workforce planning and consumer information. The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf. The NCVER does not intend to disclose your personal information to any overseas recipients. For more information about how the NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at http://www.ncver.edu.au/privacy. If you would like to seek access to or correct your information, in the first instance, please contact Hays International College (HIC) at admin@hic.vic.edu.au. DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how the DESE will handle your personal information, please refer to the DESE VET Privacy Notice at https://www.dese.gov.au/national-vet-data/vet-privacy-notice. If the privacy notice on the Department’s website cannot be accessed electronically HIC will provide a downloaded or hard copy of that notice upon request. Hays International College is required to provide the Victorian Department of Education and Training with student and training activity data. This includes personal information collected in the Hays International College enrolment form and unique identifiers such as the Victorian Student Number (VSN) and the Commonwealth’s Unique Student Identifier (USI). Hays International College provides data to the Department in accordance with the Victorian VET Student Statistical Collection Guidelines, available at http://www.education.vic.gov.au/training/providers/rto/Pages/datacollection.aspx. Surveys You may receive a student survey which may be run by a government department or an NCVER employee, agent,third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted. Contact information At any time, you may contact Hays International College to: request access to your personal information correct your personal information make a complaint about how your personal information has been handled ask a question about this Privacy Notice 693 Station Street, Box Hill 3128 Melbourne, Victoria Phone:+61 3 9898 7222 Website: www.hic.vic.edu.au Email: admin@hic.vic.edu.auDECLARATION: This must be signed and dated by the applicantI declare that the information supplied by me on this form is the best of my understanding and belief, to be complete and correct. o I have read, understood and agree to all terms and conditions in regards to Course Enrolment. o Hays International College has explained Recognition of Prior Learning (RPL) so that I can make an informed decision whether or not to proceed with the RPL process. ➢ If RPL is granted this will alter the course duration of my enrolment/s which will be recorded against my e CoE’s. ➢ I will make payment for RPL - Non-Formal or Informal Learning at the time I submit evidence for assessment. I am agreeing that the payment of this RPL - Non-Formal or Informal will be made by me irrespective of whether RPL is granted or not granted. o I have read, understood and agree to the terms and conditions Education Services for Overseas Students (ESOS) framework located at https://internationaleducation.gov.au/Regulatory-Information/Pages/National-Code-2018-Factsheets-.aspx o I have read, understood and agree to all entry requirements; including but not limited to Fees and Charges; Refund; Deferment, Suspension or Cancellation; policies located at https://hic.vic.edu.au/documents/forms-policies-international/ o I acknowledge that Hays International College reserves the right to vary or reverse any decision regarding admission based on incorrect or incomplete information that I may have provided. o I hereby authorise Hays International College or its Educational Agents to confirm any information contained in this form; obtain details of my enrolment, academic records, examination results from other educational institutions & other relevant authorities. o I acknowledge I have read and understood the Privacy NoticeApplicant’s Full Name Signature Dated (DD/MM/YYYY) APPLICATION CHECKLISTPlease ensure that you have attached/submitted the following documents in order to avoid delays in processing:- Completed, signed AND dated Application Form Copy of Passport Copy of Visa notification letter (where applicable) Copies of Academic certificates and transcripts English language proficiency test results Release Letter from previous education provider (where applicable) Evidence of Employment (where applicable)FOR OFFICE USE ONLYForm Received by : Date / Time Offer Letter issued by: Date / Time Submit Form