International Application for
Admission Form 2016
Personal Details
Family Name:
Sex:
Date of Birth:
Given Name:
Male
Female
Country of Birth:
Nationality:
Are you married/In a de facto Relationship?
Yes
No If Yes, please state date of marriage/de factor relationship Date:
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
How well do you speak English?
Yes, other - Please specify
Very Well
Well
Not Well
Not at all
Are 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 Islander
Student Contact Details
Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training,
work or other purposes before returning to your home.
If you are from a rural area use the address from your state’s or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.
Address of your usual residence
Contact No. (Include country code):
Postal Address
(if different from above)
Building/ property name
Flat/unit details
Street/ lot number (e.g. 205 or Lot 118)
Postal delivery information (e.g. PO Box 254)
Street name
Suburb, locality or town
State/territory
Country
Postcode
Building/ property name
Address or intended address
(if known) in Australia
Flat/unit details
Street name
Suburb, locality or town
Postcode
Street/ lot number (e.g. 205 or Lot 118)
Postal delivery information (e.g. PO Box 254)
State/territory
Country
Building/ property name
Flat/unit details
Street/ lot number (e.g. 205 or Lot 118)
Postal delivery information (e.g. PO Box 254)
State/territory
Country
Email:
Mobile:
Provide details of the person the College could contact if there was an emergency:
Name:
Relationship:
Street name
Suburb, locality or town
Postcode
Mobile/Telephone:
Other Details:
Are you currently in Australia?
Visa Expiry Date:
Yes, if yes, what is your passport number?
No - If no, go to next section.
What type of visa will you be holding when you commence your studies?
Student
Working
Holiday
Tourist
Other
If you will be applying/extending your student visa, at which DIBP office or embassy will you apply/extend your student visa:
............................................................................................................................................................................................................................
Health Cover:
Student visa applicants: Would you like Cambridge International College to arrange Overseas Student Health Cover?
Yes, please arrange OSHC for me.
No, I will arrange my own OSHC (provide evidence)
If yes, please select one of the following coverage types:
Single
Family
More than one dependant, please select one of the following options:
Spouse and child/children
Yes
Do you consider yourself to have a permanent and significant disability?
Hearing/Deaf
Physical
Intellectual
One dependant (spouse or child)
No
Medical Condition
Learning
Children only
If yes, please indicate: ..................................
Mental Illness
Vision
Others
Schooling, Educational Qualifications and Work Experience
What is your highest COMPLETED school level? (Tick ONE box only.)
Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent
Year 8 or equivalent
Never attended school
In which YEAR did you complete that school level? ..........................................................................................................................................
Highest qualification achieved: ...............................................................
Where was this qualification achieved?
Specify country: ..................................................................... Additional qualifications:
Australia
Overseas
...............................................................................................
Total number's of years work experience................ What is your English language level? IELTS: ............................... Or other, specify ..........................
Cambridge International College (CIC) - International Application for Admission Form 2016
Cambridge International College (Vic) Pty Ltd CRICOS No. 01718J Perth CRICOS No. 01459A RTO No. 2325
Cambridge International College (VIC) Pty Ltd and Cambridge International College (WA) Pty Ltd trading as Cambridge International College (CIC)
Page 1 of 4
International Application for
Admission Form 2016
Recognition of Prior Learning/Credit Transfer:
Are you seeking Credit Transfer?
Yes
No
Are you seeking Recognition of Prior Learning (RPL)?
Yes
No
If you ticked yes to any of the above, please submit your CT/RPL application form, along with your relevant supporting documents (certified academic
transcripts and unit outlines), with your enrolment application form
Students applying to enrol into a course at the Melbourne campus:
If you will be aged 24 or below on the course commencement date, please provide your Victorian Student Number ................................................
OR
I am new to the Victorian education system. I have never attended a Victorian school, TAFE or other training provider.
OR
I have studied at a Victorian education provider before but I do not know my Victorian Student Number.
English Courses - I wish to apply for the following course at the following campus:
Melbourne
English Courses
Intake Dates
General English 3
8 February
General English 4
14 March
1 August
5 September
English for Academic
Purposes I (EAP 1)
English for Academic
Purposes II (EAP 2)
18 April
10 October
23 May
Higher Education
14 November
(month)
General English
8 February
English for Academic
Purposes I (EAP 1)
14 March
1 August
5 September
18 April
10 October
English for Academic
Purposes II (EAP 2)
23 May
14 November
27 June
(year)
- I wish to apply for the following course at the following campus:
(CRICOS No. 01718J)
Higher Education Program
Intake Dates
I wish to commence my enrolment on:
Bachelor of Business (Accounting)
11 January
15 August
Bachelor of Business (Management)
21 March
24 October
Bachelor of Business (Marketing)
30 May
Vocational Courses
Melbourne
Intake Dates
I wish to study for ...................... weeks
............/............../.................
(day)
(CRICOS No. 01459A, RTO: No. 2325)
English Courses
27 June
I wish to commence my enrolment on:
Melbourne
Perth
(CRICOS No. 01718J (VIC) 01459A (WA), RTO: No. 2325)
- I wish to apply for the following course at the following campus:
(CRICOS No. 01459A, Melbourne Campus)
Vocational Courses
Intake Dates
Perth
(CRICOS No. 01459A, RTO: No. 2325)
Vocational Courses
Intake Dates
Certificate IV in Accounting
8 February
Certificate IV in Accounting
8 February
Diploma of Accounting
2 May
Diploma of Accounting
2 May
25 July
Certificate IV in Marketing
25 July
Certificate IV in Marketing
Diploma of Marketing
17 October
Diploma of Marketing
17 October
Certificate IV in Frontline Management
Certificate IV in Frontline Management
Diploma of Management
Diploma of Management
Certificate III in Commercial Cookery
Advanced Diploma in Translating
Certificate IV in Commercial Cookery
Diploma of Hospitality (direct entry)
Diploma of Hospitality
(2 year Combined Courses)
I wish to commence my enrolment on:
Cambridge International College (CIC) - International Application for Admission Form 2016 Page 2 of 4
Cambridge International College (Vic) Pty Ltd CRICOS No. 01718J Perth CRICOS No. 01459A RTO No. 2325
Cambridge International College (VIC) Pty Ltd and Cambridge International College (WA) Pty Ltd trading as Cambridge International College (CIC)
International Application for
Admission Form 2016
Employment
Of the following categories, which BEST describes your current employment status?
Full-time employee
Part-time employee
Self-employed - not employing others
Employer
Employed - unpaid worker in a family business
Unemployed - seeking full-time work
Unemployed - seeking part-time work
Not employed - not seeking employment
Study reason
Of the following categories, which BEST describes your main reason for undertaking this course/traineeship/apprenticeship?
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/promotion
It was a requirement of my job
I wanted extra skills for my job
To get into another course of study
For personal interest or self-development
Other reasons
Unique Student Indentifier (For VET students only)
I give permission for the VET Coordinator at Cambridge International College to make an application on my behalf to register to obtain a U.S.I.
more information about USI is available through www.usi.gov.au/
Documents attached to this application:
(Certified or verified)
Academic transcripts
Passport copy
IELTS Certificate or equivalent proof of English
Relevant work experience, if applicable
Copy of current Australian visa, if applicable
Applications:
MELBOURNE CAMPUS
Email: admissions@cambridgecollege.com.au
Fax:
+61396634922
Post: Admissions, Level 5, 422 Little Collins Street,
Melbourne, Victoria 3000
PERTH CAMPUS
Email: admissions@cambridgecollege.com.au
Fax:
+61892219993
Post: Admissions, Level 2, 297 Hay Street,
East Perth, WA 6004
CIC will contact you with the details of the enrolment process upon receipt of this application.
You may need to provide CIC with further details or documents.
How did you hear about CIC?
Cambridge International College website
Newspaper/Magazine
- Is the friend/family member a current or former CIC student?
Yes
Exhibition/Fair
Facebook/Twitter
No
Recommended by an education agent Other, please specify:
acknowledge that I have read and understood the information provided
above. I also acknowledge that I have read CIC’s student prospectus,
website, marketing material and received full information from CIC’s Educational Agent (for enrolment through an educational agent) before making the
decision to enrol in the course. The information and documents provided by
me are true, genuine and correct in all respects.
Signature:
Date:
(day)
Date Application Received:
(day)
(month)
(year)
Received By:
Decision on Application:
Accepted
Rejected
Name:
(month) (year)
Cambridge International College (CIC) - International Application for Admission Form 2016 Signature:
Applicant information entered in TEAMS by:
Cambridge International College (Vic) Pty Ltd CRICOS No. 01718J Perth CRICOS No. 01459A RTO No. 2325
Cambridge International College (VIC) Pty Ltd and Cambridge International College (WA) Pty Ltd trading as Cambridge International College (CIC)
Page 3 of 4
INTAKE DATES
Melbourne
Higher Education
Vocational Education
9 February 2016
3 May 2016
8 February 2016
25 July 2016
26 July 2016
18 October 2016
2 May 2016
17 October 2016
General English 3
General English 4
English for Academic Purposes 1/
English for Academic Purposes 2
8 February 2016
8 February 2016
8 February 2016
18 April 2016
18 April 2016
14 March 2016
5 September 2016
5 September 2016
18 April 2016
14 November 2016
14 November 2016
23 May 2016
27 June 2016
1 August 2016
5 September 2016
10 October 2016
14 November 2016
Perth
VET Business
VET Hospitality
9 February 2016
26 July 2016
8 February 2016
25 July 2016
3 May 2016
18 October 2016
2 May 2015
17 October 2016
General English 1-4
English for Academic Purposes 1-2
8 February 2016
8 February 2016
1 August 2016
18 April 2016
14 March 2016
5 September 2016
5 September 2016
18 April 2016
10 October 2016
14 November 2016
23 May 2016
14 November 2016
27 June 2016
Contact us
Melbourne (Head Office)
Perth
422 Little Collins Street, Melbourne, Victoria, Australia 3000
Tel: +61 3 9663 4933 Fax: +61 3 9663 4922
CRICOS No. 01718J
297 Hay Street, East Perth, Western Australia, Australia 6004
Tel: +61 8 9221 9990 Fax: +61 8 9221 9993
CRICOS No. 01459A
RTO No. 2325
info@cambridgecollege.com.au
www.cambridgecollege.com.au | www.educoglobal.com
CambridgeCollegeAUS
TheCICAustralia
cic_aus
TheCICAustralia
Cambridge International College (CIC) is the trading name of Cambridge International College (VIC) Pty Ltd ABN: 29076527529 and Cambridge International College (WA) Pty Ltd ABN: 12068849927 2013 ISP Version November2015. Disclaimer: All information within this brochure
is correct at time of printing.
Cambridge International College (CIC) - International Application for Admission Form 2016 Page 4 of 4
Cambridge International College (Vic) Pty Ltd CRICOS No. 01718J Perth CRICOS No. 01459A RTO No. 2325
Cambridge International College (VIC) Pty Ltd and Cambridge International College (WA) Pty Ltd trading as Cambridge International College (CIC)