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Ref no:
Female
Date of birth: D D / M M / Y Y
Country of citizenship:
Fax:
Fax:
Do you have a medical condition or disability? If yes, details: Do you have a current Australian visa? If yes, details:
Yes
No
Yes
No
Tel:
Fax:
Do you have a recent IELTS test score? If yes, details: Test date: / / Score:
Yes
No
ENGLISH COURSE ENROLMENT Please indicate the English program you are applying for: Intensive English EAP (English for Academic Purposes) Preparation for High School Cambridge Exam Courses: FCE (First Certificate in English) CAE (Certificate in Advanced English) BEC Preliminary (Business English Certificate Preliminary) BEC Vantage (Business English Certificate Vantage) Your English will be assessed when you arrive and you will be placed in a class at the most suitable level. All courses are 20 hours per week. How many weeks of English do you wish to study? Start date: / / Finish date: / /
How did you hear about the TAFE English Language Centre, Hunter Institute?
Friend or relative Newspaper (Which one?) Magazine (Which one?) Internet (Which address?) Australian education centre overseas Overseas education exhibition (Which one?) Education agent (Put agent stamp here)
SUMMARY OF COSTS IN AUSTRALIAN DOLLARS Tuition fees: High School Preparation program (HSP) More than 20 weeks Intensive English/EAP/EFS English plus TAFE package/Cambridge programs Application fee Guardianship plus homestay arrangement fee (students under 18)* Homestay arrangement fee (students over 18)* Airport pickup* Homestay Homestay with guardianship * Fee includes 10% GST. Prices can be changed without notice. Fees apply from 1/1/2012 AU$360 per week AU$340 per week AU$300 per week AU$300 per week AU$150 AU$250 AU$110 AU$85 AU$210-250 per week AU$250 per week ACCOMMODATION, GUARDIANSHIP AND AIRPORT PICKUP TAFE NSW can arrange these services if you require them. A minimum of four weeks written notice is required. Please indicate whether you wish us to arrange the following: Guardianship Accommodation Airport pickup HOW TO APPLY Please email your completed application form and a copy of your passport to: hunter.elc@tafe.nsw.edu.au Enquiries: t: (61 2) 4323 7382 e: hunter.elc@tafe.nsw.edu.au You can also mail you application to: Director of Studies TAFE NSW English Language Centre (ELICOS) Locked Bag 45 HRMC NSW 2310 AUSTRALIA Yes Yes Yes No No No
DECLARATION
This section must be completed by the student. Where the student is under 18, it must also be completed by one parent. I agree that information about my attendance and progress can be given to: My parents / guardian The education agent whose name appears on this form I declare that: The information on this form and the supporting documentation are complete and correct. I have read and understood and accept the above terms and conditions. I acknowledge that the provision of incorrect information or documentation or the withholding of information or documentation relating to this application may result in the cancellation of enrolment and loss of money paid. Where student is under 18: I accept that the welfare and supervision of my child outside school hours is the responsibility of myself and the guardian I nominate. Students signature: Parents signature: Date: Date: / / / / YES YES NO NO NOTE: The information provided on this application form is being obtained for the purpose of educational administration and marketing. It will be used by the NSW Department of Education and Training for purposes related to course provision and marketing within the English Language Centre. Information may also be made available to Commonwealth and State agencies in accordance with obligations under the Educational Services for Overseas Students (ESOS) Act 2000 and the National Code of Practice for Registration Authorities and Providers of Education and training to Overseas Students. The ESOS Act 2000 requires advice to be provided to relevant agencies about detail of and certain changes to a students enrolment, and any breach of visa conditions relating to unsatisfactory attendance or academic performance. All information will be stored securely. You may correct any personal information at any time by contacting the NSW English Language Centre,TAFE NSW Hunter Institute.
This agreement does not remove any right to take action under Australias consumer protection laws. The registered providers dispute resolution procedures do not circumscribe the students right to pursue other legal remedies.