admin@bli.edu.au 0452 211 161

STUDENT
ENROLMENT FORM

Personal Details
Overseas Student
Overseas Student in Australia
Passport Number:
Passport Expiry Date:
Visa Number:
Visa Expiry Date:
First name:
Title: Mr /Mrs /Miss/Ms /Dr
Surname:
Middle name/s:
Home phone:
Work phone:
Mobile:
Email:
Country of Birth:
Nationality:
Date of birth:
Unique Student Identifier (USI), if known:
What is the address of your usual residence?
Building/ property name:
Flat/unit details:
Street or Lot Number (e.g. 205 or Lot 118):
Street name:
Suburb, locality or town:
State/Territory (If applicable):
Postcode:
Country:
What is your postal address (if different from above)?
Building/ property name:
Flat/unit details:
Street or Lot Number (e.g. 205 or Lot 118):
Street name:
Suburb, locality or town:
State/Territory:
Postcode:
Visa Details
Do you already have an Australian Visa that allows you to study here?
Yes
No
If yes, what type of visa?
Enrolment Details
Qualification/ Course:
Preferred start date:
Delivery mode: (If applicable)
General Information
1. Gender:
Male
Female
2. 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 - Go to question 5
Yes, other, please specify:
3. How well do you speak English?
Very well
Well
Not well
Not at all
4. Have you completed a test of English Language Proficiency?
IELTS
TOEIC
TOEFL
OTHER
When Score
5. Are you of Aboriginal or Torres Strait Islander origin?
No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, Aboriginal and Torres Strait Islander
6. Do you consider yourself to have a disability, impairment or long-term condition?
If yes, please indicate the area of disability, impairment or long-term condition. (Tick as many as apply)
Yes
No – go to question 7
Hearing/deaf
Intellectual
Mental illness
Vision
Physical
Learning
Acquired brain injury
Medical condition
Other:
7. 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 below
Never attended school – Go to question 11
8. In which YEAR did you complete that school level?
9. Are you still attending secondary school?
Yes
No
Previous qualifications
10. Have you SUCCESSFULLY completed any of the following qualifications?
Yes – indicate below
No – Go to Question 12
If YES, then tick ANY applicable boxes (you may indicate more than one)
Bachelor Degree or Higher Degree
Advanced Diploma or Associate Degree
Diploma (or Associate Diploma)
Certificate I
Certificate II
Certificate III (or Trade Certificate)
Certificate IV (Advanced Cert/Technician)
Certificates other than these
Please list any qualifications you have completed and the year of completion
1.
Year:
2.
Year:
3.
Year:
11. Do you wish to apply for Course Credit?
If YES, certified copies of transcripts from previous qualifications must be provided with this form.
Yes
No
12. Do you wish to apply for Recognition of Prior Learning?
If you indicate yes, you will be contacted to discuss this further
Yes
No
Overseas Student Health Cover (OSHC)
Single
Family
Dual
No. of months required to cover
Employment Of the following categories, which BEST describes your current employment status? (tick one box only)
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?
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 or promotion
I wanted extra skills for my job
To get into another course of study
For personal interest or self-development
It was a requirement of my job
Other reasons
Employment Details
Employer’s legal name:
Your position:
Business address:
Postcode:
Postal address: (if different from above)
Postcode:
Phone:
Email:
Fax:
Supervisor:
Position:
Next of kin/emergency contact
Name:
Relationship to you:
Address:
Home phone:
Work phone:
Mobile:
Email:
Application Checklist – Provide a copy of the following documents with your application (you will need to bring the originals to your orientation day for verification):
Valid visa (if you have one)
High School certificate or other relevant certificates
Passport copy/ Identification Card
Proof of English Language Proficiency
Any other relevant documents to support your application e.g. resume
Centrelink or NSW housing commission certificate (If Applicable)
Agreement In submiting this Enrolment Form you agree:
✔ That the information you have provided on this form is true, correct and complete.
✔ That you have been provided with appropriate and sufficient information to make an informed decision about your enrolment in this course.
✔ That you have read and understood RTO’s Information Privacy Policy.
✔ That you have been provided with detailed information about the fees and charges associated with your course enrolment including information on tuition fees, administration fees, materials fees, payment terms and the applicable Refund Policy.
✔ To provide RTO with up to date and accurate contact details and notify them if anything changes.
✔ To be bound by RTO’s Student Code of Conduct, and other student policies and procedures as well as National and State legislation and regulations including any variations that are made from time to time.
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