UNSW Institute of Languages 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
Nationality:
Country of Birth:
Female
Passport No.:
Please attach a copy of the first page of your passport which shows your photograph.
Will you be under 18 on arrival? Yes
No
*Please note: if you are under 18 years of age on commencement of study, certain visa regulations apply.
2. Citizenship
Are you a citizen or permanent/temporary resident of Australia?
Yes
No
If you ticked a box with an asterisk (*), you will need Overseas Student Health Cover (OSHC). This can be arranged by UNSW Institute of Languages in section 8.
What type of visa will you be applying for?
Student
Student Dependant
Tourist
Working Holiday
3. Student Home/Postal Address (must be student’s address, not agents address)
Address in Home Country (compulsory):
City:
State:
Postcode:
Telephone:
Fax:
Email:
Country:
Student Address in Australia (if known)
Address in Australia:
City:
State:
Postcode:
Telephone:
Fax:
Email:
Country:
4. English Courses
Academic English
Introduction to Academic English (IAE)
Academic English
Tertiary Orientation Program (TOP)
IELTS Test Preparation Course (ITP)
Pre-Foundation Year English (PFY)
University English Entry Course (UEEC)
General English (GE)
General English (Beginner to Advanced)
GE Cambridge Exam Preparation
Professional English
English for Business Communication (int & adv)
English for Law
Term and start date? (see page 36)
How many weeks do you intend to study English?
Have you been granted a scholarship? Yes
No
Number of weeks (in 5 week blocks)
Scholarship’s Name or Sponsor’s Name:
5. English language test scores
If you have taken an IELTS or TOEFL or other test, please give details and attach a copy of the test result if available.
IELTS
Score (Overall):
IELTS Test Report Form No.:
TOEFL/IBT/PBT
Score:
IELTS Writing
Score:
Cambridge
Score:
PTE
Score:
6. Do you have future study plans in Australia?
No
Level of course:
Name of course:
Yes, UNSW Foundation Studies
Yes, UNSW
Yes, other university
Bachelors Degree (Undergraduate)
Masters Degree (Postgraduate)
PhD (Doctorate)
Faculty:
Do you have a Letter of Offer?
No
Yes, Full offer
Commencement date:
Yes, Package offer
Yes, Conditional offer
UNSW Student ID Number (if available)
7. Accommodation 2012 †
†† For single students only
Do you require us to arrange accommodation? Yes
No
If yes, please complete the following:
Do you smoke? Yes
No
Are you happy to live with a host family with children? Yes
Are you happy to live with a family with pets? Yes
No
Are there any foods you cannot eat?
Yes
No
If yes, please specify:
Do you have any allergies/health problems?
Yes
No
If yes, please specify:
Other special requests?
Yes
No
If yes, what are they?
No
Accommodation fees
$1020*** part-board (4 weeks) (see page 38)
$760*** room only (4 weeks) (see page 38)
$245* accommodation booking fee $410*** set up fee for students under 18 years of age who require UNSW Global to issue CAAW (see page 32)
*includes GST **students under 18 years of age: care arrangement fees apply ***students under 18 years of age have different accommodation prices †fees subject to change
Accommodation date
from:
to:
Do you require airport pick-up? Yes
No
If yes, please complete the following:
Airport pick-up: $150. Please provide arrival details at least two weeks (14 days) prior to scheduled departure.
Arrival date:
Arrival time:
Airline/Flight number:
8. Overseas Students Health Cover (OSHC)
You must maintain OSHC for the proposed duration of your student visa. UNSW Institute of Languages 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 OSCH, please quote your OSHC policy number:
and expiry date:
9. Agent Information
Agent Name:
Branch Name:
Contact Name:
Email Address:
10. Additional Information
How did you hear about UNSW Institute of Languages?
Name of any relatives or friends who have completed a course here:
Year:
11. Checklist
Application Form filled out completely and correctly?
Attached copies of all required documents?
Listed your course preferences and commencement date?
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 Institute of Languages agent or representative in your country or post to:
UNSW Institute of Languages, PO Box 853, Kensington NSW 1465, Australia
T: 61 2 9385 5396 F: 61 2 9662 2651 E: admissions@unswglobal.unsw.edu.au
ABN 62 086 418 582 UNSW Global Pty Limited CRICOS Provider No. 01020K
Conditions of Enrolment
UNSW Global Pty Limited is a leader in the provision of education, training
and consulting services to business, government and non-government
organisations and the community. It is a not-for-profit, wholly owned
enterprise of the University of New South Wales.
UNSW Global is recognised internationally and comprises
a number of education groups acknowledged for
their educational excellence and teaching quality. The
education groups include UNSW Foundation Studies
which is Australia’s leading provider of university
preparation programs and UNSW Institute of Languages
which was Australia’s first university language centre.
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The Conditions of Enrolment for UNSW Foundation
Studies and UNSW Institute of Languages explain
students’, parents’ and guardians’ rights and
responsibilities, as well as UNSW Global’s responsibilities.
Before you apply to study with us you must read through
the Conditions of Enrolment at:
www.unswglobal.unsw.edu.au/coen.pdf
The Conditions of Enrolment cover the following areas:
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It is very important that you read and understand these
before you enrol to study with us so that you fully
understand your responsibilities as a student at UNSW
Global. It is also important that we make clear our
responsibilities as your Australian education provider.
These Conditions of Enrolment will form part of your
enrolment contract with UNSW Global.
Other ESOS information and Policies and Procedures can
be found at:www.unswglobal.unsw.edu.au/ESOS.html
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