Cambridge International College Educo cic enrolment-form_email
1. Cambridge International College (CIC) - International Application for Admission Form 2016 Page 1 of 4
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?
Hearing/Deaf Physical Intellectual Learning
Do you consider yourself to have a permanent and significant disability?
Family Name: Given Name: Date of Birth:
Gender: Male Female Nationality: Country of Birth:
Student Contact Details
Address of your usual residence
Contact No. (Include country code):
Address or intended address
(if known) in Australia
Postal Address
(if different from above)
Email: Mobile:
Provide details of the person the College could contact if there was an emergency:
Name: Relationship: Mobile/Telephone:
Are you currently in Australia? No - If no, go to next section. Yes, if yes, what is your passport number?
What type of visa will you be holding when you commence your studies?
If you will be applying/extending your student visa, at which DIBP office or embassy will you apply/extend your student visa:
............................................................................................................................................................................................................................
Other Details:
Health Cover:
Student visa applicants: Would you like Cambridge International College to arrange Overseas Student Health Cover for you?
No, I will arrange my own OSHC (provide evidence) Yes, please arrange OSHC for me.
Student Working Holiday Tourist Other
Schooling, Educational Qualifications and Work Experience
...............................................................
..................................
Specify country: ..................................................................... ...............................................................................................
Total number's of years work experience................ What is your English language level? IELTS: ............................... Or other, specify ..........................
If yes, please select one of the following coverage types:
Yes No If yes, please indicate:
Australia Overseas
Medical Condition Mental Illness Vision Others
More than one dependant, please select one of the following options:
Single Family One dependant (spouse or child)
Spouse and child/children Children only
Highest qualification achieved: Where was this qualification achieved?
Additional qualifications:
Personal Details
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 Yes, other - Please specify
How well do you speak English? 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
..........................................................................................................................................
Visa Expiry Date:
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.
Building/ property name Flat/unit details
State/territory Postcode
Postal delivery information (e.g. PO Box 254) Suburb, locality or town
Street/ lot number (e.g. 205 or Lot 118) Street name
Building/ property name Flat/unit details
State/territory Postcode
Postal delivery information (e.g. PO Box 254) Suburb, locality or town
Street/ lot number (e.g. 205 or Lot 118) Street name
Building/ property name Flat/unit details
State/territory Postcode
Postal delivery information (e.g. PO Box 254) Suburb, locality or town
Street/ lot number (e.g. 205 or Lot 118) Street name
Country
Country
Country
International Application for
Admission Form 2016
Are you married/In a de facto Relationship? Yes No If Yes, please state date of marriage/de factor relationship Date:
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)
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2. Cambridge International College (CIC) - International Application for Admission Form 2016 Page 2 of 4
English Courses - I wish to apply for the following course at the following campus:
English Courses Intake Dates
I wish to study for ...................... weeks
- I wish to apply for the following course at the following campus:
Higher Education Program Intake Dates
Bachelor of Business (Accounting)
Bachelor of Business (Management)
Bachelor of Business (Marketing)
Melbourne (CRICOS No. 01718J)
I wish to commence my enrolment on:
14 MarchGeneral English 3
General English 4 18 April
23 May
1 August
10 October
5 September
14 November27 June
14 March
18 April
23 May
1 August
10 October
5 September
14 November27 June
English for Academic
Purposes I (EAP 1)
English for Academic
Purposes II (EAP 2)
General English
English for Academic
Purposes I (EAP 1)
English for Academic
Purposes II (EAP 2)
I wish to commence my enrolment on: ............/............../.................
(day) (month) (year)
I wish to commence my enrolment on:
Melbourne (CRICOS No. 01718J (VIC) 01459A (WA), RTO: No. 2325) Perth (CRICOS No. 01459A, RTO: No. 2325)
English Courses Intake Dates
Perth (CRICOS No. 01459A, RTO: No. 2325)
Intake Dates
Vocational Courses - I wish to apply for the following course at the following campus:
Vocational Courses Intake Dates
Melbourne (CRICOS No. 01459A, Melbourne Campus)
Higher Education
Vocational Courses
Certificate IV in Accounting
Diploma of Accounting (direct entry)
Diploma of Accounting (w/ Cert IV Acctg credits)
Certificate IV in Marketing
Diploma of Marketing
Certificate IV in Leadership and Management
Diploma of Leadership and Management
Certificate III in Commercial Cookery
Certificate IV in Commercial Cookery
Diploma of Hospitality (direct entry)
Are you seeking Recognition of Prior Learning (RPL)?
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
Recognition of Prior Learning/Credit Transfer:
If you will be aged 24 or below on the course commencement date, please provide your Victorian Student Number ................................................
Students applying to enrol into a course at the Melbourne campus:
OR I am new to the Victorian education system. I have never attended a Victorian school, TAFE or other training provider.
I do not know my Victorian Student Number.OR I have studied at a Victorian education provider before but
Yes No
21 March
30 May 24 October
15 August
2 May
25 July
2 May
25 July
International Application for
Admission Form 2016
Are you seeking Credit Transfer? Yes No
Certificate IV in Accounting
Diploma of Accounting (direct entry)
Diploma of Accounting (w/ Cert IV Acctg credits)
Certificate IV in Marketing
Diploma of Marketing
Certificate IV in Leadership and Management
Diploma of Leadership and Management
Advanced Diploma in Translating (direct entry)
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)
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17 Oct 17 Oct
3. Cambridge International College (CIC) - International Application for Admission Form 2016 Page 3 of 4
Full-time employee
Of the following categories, which BEST describes your current employment status?
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
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
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 Educa-
tional 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:
Date Application Received:
(day) (month) (year)
Received By:
Decision on Application:
Name:
Signature:
Accepted Rejected
Documents attached to this application:
Academic transcripts
Applications:
Email: admissions@cambridgecollege.com.au
Fax: +61396634922
Post: Admissions, Level 5, 422 Little Collins Street,
Melbourne, Victoria 3000
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
- Is the friend/family member a current or former CIC student?
Recommended by an education agent Other, please specify:
Unique Student Indentifier (For VET students only)
Please provide your USI NUmber here___________________ (for further information please refer to www.usi.gov.au/students)
I give permission for the VET Coordinator at Cambridge international college to make an application on my behalf to register for a U.S.I.
Relevant work experience, if applicablePassport copy Copy of current Australian visa, if applicable
Newspaper/Magazine Exhibition/Fair Facebook/Twitter
Yes No
(Certified or verified)
IELTS Certificate or equivalent proof of English
Other reasons
(day) (month) (year)
Applicant information entered in TEAMS by:
MELBOURNE CAMPUS
Email: admissions@cambridgecollege.com.au
Fax: +61892219993
Post: Admissions, Level 2, 297 Hay Street,
East Perth, WA 6004
PERTH CAMPUS
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)
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4. INTAKE DATES
Melbourne
Perth
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
Higher Education Vocational Education
21 March 2016 15 August 2016 8 February 2016 25 July 2016
30 May 2016 24 October 2016 2 May 2016
VET Business
9 February 2016 26 July 2016
3 May 2016
VET Hospitality
8 February 2016 25 July 2016
2 May 2015
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
Cambridge International College (CIC) - International Application for Admission Form 2016 Page 4 of 4
Contact us
info@cambridgecollege.com.au
www.cambridgecollege.com.au | www.educoglobal.com
Melbourne 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
CambridgeCollegeAUS cic_aus TheCICAustraliaTheCICAustralia
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 in this brochure is correct at the time of printing (February 2016). For the most updated information,
visit www.cambridgecollege.com.au
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)
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