www.mcd.edu.au CRICOS Provider Vic 01037A, SA 03306B
Application for Audit Coursework Enrolments 2014
Instructions
1
Provide certified copies of official academic transcripts of all relevant tertiary courses. ‘Certified’
means a signed statement by an authorised person (including Registrars, Deans, Coursework
Coordinators and academic records staff in your home College) that they have sighted the original.
2
Provide certified copies of your birth certificate, current passport or other official documents verifying
your citizenship status in your current name. If you have changed your name from the name on your
proof of citizenship and or academic transcripts, please provide proof of change of name. Students
must enrol in the name indicated on their certified ID documentation.
3
Audit units are to be enrolled using this Audit Application form. Please do not use the re-enrolment
form. If needing to withdraw from any Audit units, you may use the Coursework Change of
Enrolment form (by filling in the ‘units to withdraw’ section). If using the Change of Enrolment form;
NO other course details or changes are to be recorded on the same form, i.e. please use a separate
form.
4
If you have enrolled in any Audit units with the same College previously, you will not need to supply
academic transcripts or citizenship documents, unless they have been updated.
5
Complete this form, except the sections marked Coursework Coordinator to complete, and submit the
form to the Coursework Coordinator / Registrar at your College.
6
If your College permits, you may complete and submit this form electronically. If so:
 type your name in the signature field on the form
 obtain from your College the email address to which you should send the form
 send the form to that email address from your email address you have used in the form.
7
Make an appointment with the Coursework Coordinator, who will discuss your course and complete
the application with you.
8
You must pay Upfront for tuition fees. Authorization for payment by credit card or payment by
cheque/money order is required with re-enrolment. FEE-HELP is not available for audit enrolments.
Please complete Method of Payment in the Tuition Fees section. Your application is not complete
until fees have been paid.
9
If a third party is paying your tuition fees, include a letter or official confirmation from the third party
accepting responsibility for payment of fees.
10 You will be sent an enrolment summary confirming your request.
Students, please fill in the box directly below and then continue to: Personal Information
Please insert your full name as per Item 2 above:
I have included the following:
(Please note: documents must be certified)
Current ID such as Passport, Citizenship, Birth Certificate
Academic Transcript/s
Payment details
Office use only
MCD ID:
College ID:
Complete, consult, sign & submit to your College
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PART A – Personal Information NB: You must advise your College in writing of any changes to contact details.
Title:
Family name (official):
Given names (official):
Preferred name:
Suffix:
Postal address:
Town:
State:
Postcode:
Country:
Residential address (if different):
Town:
State:
Postcode:
Country:
Home telephone:
Day telephone:
Mobile:
Email address (compulsory): please PRINT
Date of birth:
_ _/ _ _/ _ _ _ _
Gender:
Male
Diocese / Congregation
(optional):
How did you hear about
us?
Denomination (optional):
Occupation (optional):
Emergency contact name:
Emergency Contact
Relationship:
Female
(mark one)
Emergency Contact Details (Mobile and or Telephone details):
PART B – Course of Study (mark one)
Note for students regarding Audit units:
FEE-HELP is not available.
Audit Undergraduate
(AudUG)
Audit Postgraduate
(AudPG)
Home
College
(mark one):
Note (abbrev)
to be used in
units section
Further notes for students intending to Audit a Unit:
1. Some colleges of the MCD may require an 'Audit' student to obtain
the permission of the unit lecturer by email prior to enrolment, which
should be attached to the admission form. Students should check
with their Home College Course Coordinator / Registrar at the time
of enrolment.
2. Students are not required to undertake assessment and cannot expect to
receive feedback on any assessment they choose to complete.
3. Students have borrowing rights at their home College Library only.
4. Students may be required to take part in class activities such as class
presentations.
5. Students must repeat the unit, pay full fees and complete assessment
should they wish to credit it towards a degree.
Australian
Lutheran
College
(ALC)
Catherine
Booth
College
(SABC)
Catholic
Theological
College
(CTC)
St Athanasius
Coptic
Orthodox
Theological
College
(SACOTC)
Stirling
Theological
College
(STC)
United
Faculty of
Theology
(UFT)
Whitley
College
(WHT)
Yarra
Theological
Union
(YTU)
Sentir
Graduate
College of
Spiritual
Formation
(Sentir)
Complete, consult, sign & submit to your College
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PART C – Disability Information
Do you have any disability? (mark one)
Hearing
Yes
Learning difficulty
No
Mobility
If yes, indicate below what kind – mark any which apply:
Seeing
Permanent Medical Condition
If you have a disability, would you like to receive advice on support services, equipment or facilities?
Other:
Yes
No
PART D – Previous Education / Qualifications (List in chronological order)
Include certified copies of all official results of units/subjects taken, including grades and percentages.
Highest Secondary
State (if in Year
Transcript
Institution (full name)
Schooling attained
Australia)
completed provided?
What
language?
Degree / Diploma /
Certificate / Other
What
language?
Institution (full name)
Year
completed
Country
Transcript
provided?
PART E – Proposed Audit unit/s for 2014
Complete this section in collaboration with your Coursework Coordinator. All unit codes must clearly indicate one Level and one Discipline.
Course commencement date:
Study load (mark one):
Expected end date:
Full-time
Part-time
Study mode legend
CB
Classroom Based
IW
Intensive/Workshop
e.g
Pre Sem 1
Intensives
S1
OL
Attendance Mode (mark one):
Classroom Based (not online)
Online
or Mixed
On Line
MM
Unit code
Unit name
BS1401L
The Bible Today A
Semester 1
(S1) units
Unit code
Unit name
Mid-Year
Intensives
Unit code
Unit name
Semester 2
(S2) units
Unit code
Unit name
Other
Intensives
Unit code
Unit name
Mixed Mode
College
(Unit provider)
ALC (abbrev)
Study
mode
OL
College comment
Study
mode
College comment
Study
mode
College comment
Study
mode
College comment
Study
mode
College comment
(Office use only)
1
2
College
(Unit provider)
(Office use only)
3
4
College
(Unit provider)
(Office use only)
5
6
College
(Unit provider)
(Office use only)
7
8
College
(Unit provider)
(Office use only)
9
10
Complete, consult, sign & submit to your College
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PART F - Declarations
I declare that the above information is true and correct in every particular. I understand that if I have misrepresented
my details in any way, then MCD University of Divinity may terminate any candidacy offered to me that arises as a
result of this application.
I accept responsibility for ensuring that the tuition fees for all MCD University of Divinity units and courses in
which I enrol are paid on time.
I agree to abide by the Regulation and Determination for the course for which I am applying, as regulated by MCD
University of Divinity.
Privacy Statement
The information on this form is collected for the primary purpose of assessing your application or re-enrolment.
Other purposes of collection include the creation of a record on the student database, attending to administrative
matters, corresponding with you, and statistical analyses. If you choose not to complete all the questions on this
form, it may not be possible for MCD University of Divinity to assess your application or re-enrolment. Personal
information may be disclosed to authorised bodies and the permitted purposes for which such personal information
may be used, as authorised by the Higher Education Support Act 2003. Information relating to the studies of
seminarians and members of religious orders may also be disclosed to your seminary and/or religious superior.
You have a right to access personal information that MCD University of Divinity holds about you, subject to any
exceptions in relevant legislation. If you wish to seek access to your personal information or inquire about handling
of your personal information, please contact MCD University of Divinity at admindirector@mcd.edu.au
. Student’s signature:
Date:
_ _/ _ _/ _ _
Please submit this application to the Coursework Coordinator/Dean of your College for processing.
College office use only
Coursework Coordinator Approval (Coursework Coordinator to complete)
Please indicate - This applicant:
is permitted to Audit the unit/s listed in the Proposed Audit Units section
Additional notes if needed:
___________________________________________________________________________________
Application Checklist:
interview conducted with student
evidence of previous tertiary qualifications is enclosed
evidence of citizenship status in current name is enclosed
the student has met MCD University of Divinity English requirements
unit codes and unit names listed on the form are correct
all units are running in the time periods indicated
the student has the correct prerequisites for each unit proposed
letter or official confirmation from the third party accepting responsibility for payment of fees attached (if
applicable) and if so, address of third party is recorded in Billing Address in Edit Details in TAMS
student name, id & payment method are indicated in Tuition Fees section. Cheque /Money order is attached if
this is the payment method.
Coursework Coordinator/Academic Dean:
College Office Admin
Ensure checklist items are completed
and data is entered in TAMS by:
Date:
Date:
Complete, consult, sign & submit to your College
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PART G – Tuition Fees
Please note that tuition fees will vary from year to year.
 Audit Fees for auditing units vary between Colleges. Payment for Audit Units is to be made to the College.
 Audit enrolments are not available to overseas students studying in Australia on student visas.
FEES
If you are paying your tuition fees, attach cheque or money order or include credit card authorisation. If a third party
is paying your fees, include with this application a letter or official confirmation from the third party accepting
responsibility for payment of fees. Payment for all current semester units must be included. See below for Upfront
payment options. Please note that students with unpaid fees will not be permitted to attend classes and use libraries.
STUDENTS - Please insert your official name, MCD ID (if known) & Course name (relating to this paperwork)
Family name:
MCD ID:
Given name/s:
Course:
PAYMENT OF FEES
Please mark and complete relevant sections:
Cheque/Money Order enclosed for $
- payable to your Home College , or
A third party is paying for my tuition fees. I include with this application a letter or official confirmation from
the third party accepting responsibility for payment of my fees.
Name of third party/organisation:
Address of third party/organisation:
Credit Card Authorisation
Amount to be debited $
Indicate date to deduct from credit card:
_ _/ _ _/ _ _
Visa/MasterCard _ _ _ _ — _ _ _ _ — _ _ _ _ — _ _ _ _
Card Expiry date: _ _/ _ _
Signature:
CVC (last three digits on reverse of credit card)
_ _ _
Name on Credit Card:
Complete, consult, sign & submit to your College
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