INTERNATIONAL STUDENT ENROLMENT APPLICATION FORM (#5)

Hays 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/Unspecified

Date of Birth

Passport Number

Nationality

Town / City of Birth

Country of Birth

Passport Expiry Date

Do you currently hold an Australia Visa:

Yes

Visa Number:

Visa Expiry Date:

Visa Type:

Overseas Student Health Cover:

Single

Couple

Family

No, I will buy my own

Home Country Contact Details:-

Building/Property Name:

Street Number:

Suburb, locality or town:

Postcode:

Telephone:

Emergency Contact Details:

Flat/Unit Number:

Street Name:

State/Territory:

Country:

Mobile:

Email:

Contact Details in Australia:-

Building/Property Name:

Street Number:

Suburb, locality or town:

Postcode:

Telephone:

Emergency Contact Details:

Flat/Unit Number:

Street Name:

State/Territory:

Country:

Mobile:

Email:

Preferred Contact Method ( tick one )

Mobile

Mail

COURSE INFORMATION:- Please tick course/s you are applying for

COURSES (COURSE DURATION) (TOTAL COURSE FEES)

CHC33021 Certificate III in Individual Support (52 weeks) ($8,500)

CHC30121 Certificate III in Early Childhood Education and Care (68 weeks) ($12,000)

CHC43015 Certificate IV in Ageing Support (75 weeks) ($8,500 )

CHC53415 Diploma of Leisure & Health (105 weeks) ($15,000)

CHC50121 Diploma of Early Childhood Education and Care (72 weeks) ($16,000)

OTHER FEES Include Administration Fee $250 (non-refundable), Books & Materials FE $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 compulsory for the duration of your visa.

INDICATE WHICH INTAKE YOU ARE APPLYING TO START YOUR COURSE (insert X)

JANUARY

APRI

JULY

OCTOBER

YEAR:

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 EXPERIENCE

ENGLISH LANGUAGE PROFICIENCY

Do 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

Do you hold a Current Certificate of English Proficiency?

Yes

If ‘Yes’ please tick the appropriate:

IELTS

TOEFL

PTE

CAE

OET

Score

Test Date

Test Reference No

If you do not hold a Current Certificate of English Proficiency

Hays International College requires all new students who have not got a Current Certificate of English

Proficiency to do the Literacy, Language and Numeracy (LLN) Test. Doing this test is compulsory.

LLN Test

Yes

Have you completed a Qualification in Australia which is higher than Certificate IV within the last 2 years?

Yes

I 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.

SCHOOLING

Did you complete Year 12? (Please tick below) :

Completed Year 12

Never attended school

YEAR Completed

Where completed

Are you still attending secondary school?

Yes

PREVIOUS QUALIFICATION ACHIEVED

Have you successfully completed any of the following qualifications?

Yes

Please tick one of these below.

008 Bachelor’s Degree or Higher Degree

410 Advanced Diploma or Associate Degree

420 Diploma (or Associate Diploma)

511 Certificate IV (or Advanced Certificate/Technician)

514 Certificate III (or Trade Certificate)

521 Certificate II

524 Certificate I

990 Certificates other than the above

Highest Qualification Achieved

Institution/College/School

Date Completed

DISABILITY

Do you consider yourself to have a disability, impairment or long-term condition?

Yes

If 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

Other

EXPERIENCE/EMPLOYMENT

Have you ever been employed?

Yes (If yes please fill below)

Of the following categories, which BEST describes your current employment status? ( tick ONE box only)

01 Full-time employee

02 Part-time employee

03 Not employed-not seeking employment

Which of the following classifications BEST describes your current or recent occupation?

Agency Name：

Agent’s Name:

RECOGNITION OF PRIOR LEARNING

Are you applying for Recognition of Prior Learning (RPL)?

Yes

PRIVACY NOTICE

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. Hays International College follows this law according to

our standards and we do our best to keep our student’s information private.

DECLARATION: This must be signed and dated by the applicant

I 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 Notice

Applicant’s Full Name

Signature

Dated (DD/MM/YYYY)

APPLICATION CHECKLIST

Please 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 ONLY

Offer Letter issued by:

Form Received by :

Date / Time

Hays International College Contact Details:

693 Station Street, Box Hill 3128

Melbourne, Victoria

Phone:+61 3 9898 7222

Website: www.hic.vic.edu.au

Email: admin@hic.vic.edu.au

+613 9898 7222

Hays International College

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