UNSW Foundation Studies Application Form 1. Personal Details (as in passport) Family Name: Given Name: Other Names (i.e. your English name, if any): Birthday (DD/MM/YEAR): Male Country of Birth: Female Nationality: Passport No.: Please attach a copy of the first page of your passport which shows your photograph. No Will you be under 18 on arrival? Yes *Please note: if you are under 18 years of age on commencement of study, certain visa regulations apply. 2. Citizenship Are you a citizen of Australia Yes* No New Zealand Yes No Are you a temporary resident of Australia Yes* No New Zealand Yes No Are you a permanent resident of Australia Yes* No New Zealand Yes No * If you ticked Yes to any of the above questions, you will need the following: t"UUBDIFWJEFODFPG"VTUSBMJBO$JUJ[FOTIJQ1FSNBOFOU3FTJEFODZTUBUVT t"UUBDIUIF"VTUSBMJBO4UVEFOU4UBUFNFOUBWBJMBCMFBUXXXVGTVOTXFEVBVEPDVNFOUT"VTUSBMJBO@4UVEFOU@4UBUFNFOUQEG Are you currently holding a valid Student Visa to study in Australia? If yes, please choose one of the following Yes High School No ELICOS Foundation Packaged Foundation and University Student Visa Expiry Date (DD/MM/YEAR): 3. Home/Postal Address (must be student’s address, not agents address) Address in Home Country (compulsory): City: State: Postcode: Telephone: Fax: Email: Country: Address in Australia (if known) Address in Home Country (compulsory): City: State: Postcode: Telephone: Fax: Email: Country: 4. Preferred Commencement of UNSW Foundation Studies Program (list two programs in order of preference) Preference ONE – Program: Preference TWO – Program: Start date (DD/MM/YEAR): Start date (DD/MM/YEAR): Program Start Dates English Plus with Standard Standard Plus Transition Standard English Plus with Standard Plus 3 January 2012 18 January 2012 15 February 2012 3 April 2012 16 April 2012 2 July 2012 18 July 2012 29 Aug 2012 3 October 2012 15 October 2012 7 January 2013 16 January 2013 5. Preferred Stream Physical Science Life Science Commerce/Business Design/Fine Arts, Media and Building Arts, Social Sciences and International Studies Please ensure your preferred stream is appropriate for your intended degree. 6. Intended Bachelor Degree List programs in order of preference from the university programs. University Program Majors Code 1. 2. www.ufs.unsw.edu.au | 37 7. Previous Study 1. Name of Secondary School: Country: Level of Study: Year Completed: 2. Name of Post-Secondary/Teritary Institution: Country: Level of Study: Year Completed: Note: Please attach original certified copies of your academic transcripts. 8. Overseas Student Health Cover (OSHC) You must maintain OSHC for the proposed duration of your student visa. UNSW Foundation Studies can arrange visa-length cover with OSHC Worldcare, its preferred provider of OSHC. Yes, please arrange: Single rate OSHC for myself OR Family rate OSHC for myself and my dependant/s The length of OSHC will be calculated and advised, depending on your proposed enrolment period. No, I will make my own arrangements for the duration of my student visa If you have a current OSHC, please quote your OSHC policy number: and expiry date: 9. English Language If you have taken an IELTS or TOEFL test, please give details and attach a copy of the test result if available. I have the following test result: IELTS Score: I will be sitting for a test: Date: Test report form no.: TOEFL Score: TWE/Writing Score: Date: Test Name: Date: Test Centre: Are you currently studying or do you intend studying an English Language Course before your Foundation Program? Yes Have you previously studied in Australia? Yes No No If you answered Yes to either question, please give details of these other programs below. Start Date: Finish Date: Duration (English, high school etc.): Type of Program: 10. Other Information How did you hear about UNSW Foundation Studies? Agency Name: Branch Name: Contact Name: Email Address: 11. Checklist Application Form filled out completely and correctly? Signed and attached the Australian Student Statement available at www.ufs.unsw.edu.au/apply-now.html if applicable. Provided your course preferences and commencement date? Nominated your intended Bachelor Degree? Attached certified copies of all required documents? Please note that each page must be certified in accordance with our guidelines available at www.ufs.unsw.edu.au/apply-now.html Signed the declaration on this form? If under 18 years of age, your parent/legal guardian must also sign. Declaration I certify that the information on the form is correct and complete in every detail, and I understand that inaccuracies or omissions may result in non-acceptance or cancellation of enrolment at any time. I have read and understood the Conditions of Enrolment and acknowledge that the personal information provided is covered under the Privacy Policy. Signature of Student Date: (Unsigned applications cannot be processed. Education Representatives cannot sign on behalf of the student.) If applicant is under 18 years of age the signature of a Parent or Legal Guardian is required. Signature of Parent or Legal Guardian Date: Correspondence Lodge the completed form with a UNSW Foundation Studies representative in your country, or post to: UNSW Foundation Studies, UNSW Sydney NSW 2052 Australia T: +61 2 9385 5396 F: +61 2 9662 2651 E: admissions@unswglobal.unsw.edu.au ABN 62 086 418 582 UNSW CRICOS Provider No. 00098G 38 | www.ufs.unsw.edu.au