Application for Enrolment Form

International Students

Basic Information
Education
Employment

Basic Information

First Name

Last Name

Date of birth

Town & city of birth

Gender

City

State/Region/Province

Postal / Zip Code

Country

Telephone

USI

Course

Date / Time

Where did you hear about this course?

Newspaper

Internet

Yellow Pages

Word of Mouth

Radio

Google

Emergency Contact

Full Name

Relationship

Contact number

In the event of an emergency do you give Pacific College Sydney Pty Ltd permission to organise emergency transport and treatment and agree to pay all costs related to the emergency

Language & Cultural Diversity

Country

Do you speak a language other than English at home?

How well do you speak English?

Very Well

Well

Not Well

Not At All

Are you of Aboriginal or Torres Strait Islander origin?

Yes, Aboriginal

Yes, Torres Strait Islander

Disability

Do you consider yourself to have a disability, impairment or long-term condition?

Yes

Schooling

In which YEAR did you complete that School level?

Are you still attending secondary school?

Yes

Previous Qualifications Achieved

Have you successfully completed any of the following qualifications?

Yes

If YES, then tick ANY applicable boxes

Bachelor Degree or Higher Degree

Diploma (or Associate Diploma)

Certificate IV (or Advanced Certificate/Technician)

Certificate III (or Trade Certificate)

Certificate II

Certificate I

Other education (including certificates or overseas qualifications not listed above)

What is your highest COMPLETED school level?

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

Section Break

Some description about this section

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 or promotion

It was a requirement of my job

I wanted extra skills for my job

For personal interest or self-development

Other reasons

Terms & Conditions

I, hereby declare that I have thoroughly read and comprehended the information outlined by PCS in this form. I acknowledge that the assessment of this application is contingent upon the completion of all relevant sections within this form and the attachment of all required documents. I solemnly declare that the information provided in this application form is accurate, truthful, and complete. I am aware that any falsification, misleading information, or non-disclosure of pertinent details may lead to the cancellation of the student's enrollment. I commit to promptly informing PCS of any changes to the information provided on this form within 7 days of such changes occurring. I understand that PCS does not guarantee availability in my preferred study, and the success of this application is not assured. I consent to receiving all written communication, including agreements, notices, invoices, and other documents, via email to the addresses specified this form. I acknowledge that if this application is facilitated through a PCS registered education agent, PCS will remunerate the agent with a commission after the student commences their study.

Student Name

Upload Signature:

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First Name

Last Name

Date of birth

Town & city of birth

Gender

Male Female Other

Address

City

State/Region/Province

Postal / Zip Code

Country

Telephone

USI

Course

Date – From

Date – To

Where did you hear about this course?

Newspaper Internet Yellow Pages Word of Mouth Radio Google

Full Name

Relationship

Contact number

In the event of an emergency do you give Pacific College Sydney Pty Ltd permission to organise emergency transport and treatment and agree to pay all costs related to the emergency

Language & Cultural Diversity

In which country were you born?

Do you speak a language other than English at home?

How well do you speak English?

Very Well Well Not Well Not At All

Are you of Aboriginal or Torres Strait Islander origin?

No Yes, Aboriginal Yes, Torres Strait Islander

Disability

Do you consider yourself to have a disability, impairment or long-term condition?

Yes No

Schooling

What is your highest COMPLETED school level?

In which YEAR did you complete that School level?

Are you still attending secondary school?

Yes No

Previous Qualifications Achieved

Have you successfully completed any of the following qualifications?

Yes No

If YES, then tick ANY applicable boxes

Bachelor Degree or Higher Degree Diploma (or Associate Diploma) Certificate IV (or Advanced Certificate/Technician) Certificate III (or Trade Certificate) Certificate II Certificate I Other education (including certificates or overseas qualifications not listed above)

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/ 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 or promotion It was a requirement of my job I wanted extra skills for my job To get into another course or study For personal interest or self-development Other reasons

Terms & Conditions

I, hereby declare that I have thoroughly read and comprehended the information outlined by PCS in this form.

I acknowledge that the assessment of this application is contingent upon the completion of all relevant sections within this form and the attachment of all required documents.

I solemnly declare that the information provided in this application form is accurate, truthful, and complete.

I am aware that any falsification, misleading information, or non-disclosure of pertinent details may lead to the cancellation of the student's enrollment.

I commit to promptly informing PCS of any changes to the information provided on this form within 7 days of such changes occurring. I understand that PCS does not guarantee availability in my preferred study, and the success of this application is not assured. I consent to receiving all written communication, including agreements, notices, invoices, and other documents, via email to the addresses specified this form. I acknowledge that if this application is facilitated through a PCS registered education agent, PCS will remunerate the agent with a commission after the student commences their study.

Check mark after reading the Terms & Conditions

Student Name:

Signature:

Application for Enrolment Form

International Students

Basic Information

Emergency Contact

Language & Cultural Diversity

Disability

Schooling

Previous Qualifications Achieved

Employment

Section Break

Study Reason

Terms & Conditions

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