INTERNATIONAL STUDENT ENROLMENT APPLICATION FORM (#5) (#6)

Hays International College

CRICOS Number: 02790D Provider Number: 21838

DOMESTIC 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

Nationality

Do you currently hold an Australia Visa:

Yes

If Other – Please specify

Town / City of Birth

Usual Residence: (What is the address location and postcode of the suburb, locality or town in which you usually live?)

Building/Property Name:

Street Number:

Suburb, locality or town:

Home Phone:

Work Phone:

Flat/Unit Number:

Street Name:

Postcode:

Mobile:

Email:

Postal Address: What is your postal address (if different from above)?

Building/Property Name:

Street Number:

Suburb, locality or town:

Postcode:

Flat/Unit Number:

Street Name:

State/Territory:

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

COURSES (COURSE DURATION)

CHC33015 Certificate III in Individual Support (51 weeks)

CHC43015 Certificate IV in Ageing Support (75 weeks)

CHC43415 Certificate IV in Leisure & Health (80 weeks)

CHC53415 Diploma of Leisure & Health (105 weeks)

22250VIC Certificate I in EAL (Access) (20 weeks)

22251VIC Certificate II in EAL (Access) (20 weeks)

22255VIC Certificate III in EAL (Further Study) (20 weeks)

22258VIC Certificate IV in EAL (Further Study) (20 weeks)

FEES: Include administration fee $150 (nonrefundable), Tuition Fee, Books & Materials $150-$1,000 depending on course,
Additional Costs: RPL application fee $300 per unit, Re-assessment fee $50, Fee for changing enrolment after commencement
$100 *subject to change without prior notice.

Do you wish to pay only the initial deposit before the start of the course?

Yes

Do you wish to pay an initial deposit and additional tuition fees before the start of the course?

Yes

INDICATE WHICH INTAKE YOU ARE APPLYING TO START YOUR COURSE

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

LANGUAGE AND CULTURAL DIVERSITY

Do you speak a language other than English at home?

No, English Only

Yes, other -

Please specify

How well do you speak English?

Very Well

Not Well at All

Are you of Aboriginal or Torres Strait Islander origin?

Yes, Aboriginal

Yes, Torres Strait Islander

EDUCATION

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 School

In which YEAR did you complete that school level as ticked above?

Are you still attending secondary school?

Yes

Victorian 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. 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 (VSN)

No more questions if you provided your VSN.

Have 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.

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 three training organisations with which you have participated in training in Victoria since 2011

Have you SUCCESSFULLY completed any of the following qualifications below?

Yes (please tick below)

Please tick one of these Prior Education Achievement Recognition Identifiers if any applicable for qualification level achieved. (A – Australian E– Australian equivalent I – International)

A - Bachelor’s degree or Higher Degree

E - Bachelor’s degree or Higher Degree

I - Bachelor’s degree or Higher Degree

A - Advanced Diploma or associate degree

E - Advanced Diploma or associate degree

I - Advanced Diploma or associate degree

A - Diploma (or Associate Diploma)

E - Diploma (or Associate Diploma)

I - Diploma (or Associate Diploma)

A - Certificate IV (or Advanced Certificate/Technician)

E - Certificate IV (or Advanced Certificate/Technician)

I - Certificate IV (or Advanced Certificate/Technician)

A - Certificate III (or Trade Certificate)

E - Certificate III (or Trade Certificate)

I - Certificate III (or Trade Certificate)

A - Certificate II

E - Certificate II

I - Certificate II

A - Certificate I

E - Certificate I

I - Certificate I

A - Certificates other than the above

E - Certificates other than the above

I - Certificates other than the above

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

Have you ever been employed?

Yes (If yes please fill below)

Which 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 Services

Which 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 – Other

Of the following categories, which BEST describes your main reason for undertaking this program?

To get a job

To develop my existing business

To start my own business

To try for a different career

To get a better job or promotion

It was a requirement of my job.

I wanted extra skills for my job.

To get into another program of study

For personal interest or self-development

Other reasons

RECOGNITION OF PRIOR LEARNING:

In line with Standards for Registered Training Organisation (RTO’S) 2015, I understand that Hays International College must consider 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 box/s:

Formal learning

Yes

Not Applicable

Acquired 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 Applicable

Acquired 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 Applicable

Acquired through 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)

DECLARATION: This must be signed and dated by the applicant

o 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 regarding Course Enrolment.
o Hays International College has explained Recognition of Prior Learning (RPL) so that I can make an informed decision whether 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 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
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.

Applicant’s Full Name

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 Australian Passport or Australian Driver Licence – For Photo Id

Copy of Australian Citizenship certificate or Birth Certificate or Medicare Care Card – For Residency status

Copies of Academic certificates and transcripts

Release Letter from previous education provider (where applicable)

Evidence of Employment (where applicable)

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

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Applicants MUST submit a form of Identification that has photo and written signature, or separate documents supporting your signature as written on this document for verification purposes.

+613 9898 7222

Hays International College

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