Application for Enrolment
VCAL Senior Program
CRICOS Course Code: 078163C
International Student FW01
Please fill this form in capital letters. We only accept
hand written applications.
1. Personal Details
Male
Female
Date of Birth:
4. Education Details
What is the highest level of secondary studies you have
completed or attempted?
Year 10 or equivalent
/
/
Format: DD/MM/YYYY
Family Name:
Year 11 or equivalent
Other:
Name of school:
Given Name(s):
State and country of school:
Country of Birth:
In which year did you complete that school level?
Citizenship:
5. Language
2. Home Country Contact Details
Does the student speak a language other than English at home?
Phone Number:
Yes
No
If yes, which is the main language spoken other than English?
Mobile Phone Number:
Email Address:
If yes, please indicate other languages spoken.
Address:
6. English Proficiency
Please tick one of the following:
Town/City/Suburb:
IELTS
TOEFL
Other:
State/Country:
Score:
Postcode:
If the IELTS total score is over 4.0 or equivalent, but less than 5.0 or equivalent, you will
be required to undertake a course in English preparation. A conditional offer will be
made in such case.
Year obtained:
7. Students under 18 years of Age
3. Passport Details
Accommodation arranged by Australia Homestay Network?
Passport Number:
Yes
No
Carer arranged by International Student Alliance?
Country of Passport:
Yes
No
If no, who will be responsible for accommodation and welfare?
Date of Expiry:
Page 1 of 6
/
/
Format: DD/MM/YYYY
Parent
Direct Relative
9. Parent/Carer 2
8. Parent/Carer 1
This section is for the parent/carer with whom the applicant
lives.
This section is for the parent/carer with whom the applicant
lives.
If applicable, copies of any relevant family law must be provided
If applicable, copies of any relevant family law must be provided
Male
Female
Male
Title:
Family Name:
E.g. Mr/Mrs/Ms/Miss
Female
Family Name:
Given Name(s):
Given Name(s):
Country of Birth:
Country of Birth:
Phone Number (including country code):
Phone Number:
Mobile Phone Number (including country code):
Mobile Phone Number:
Email Address:
Email Address:
Address in Home Country:
Address in Home Country:
Town/City/Suburb:
Town/City/Suburb:
State/Country:
State/Country:
Postcode:
Postcode:
Does the parent/carer speak a language other than English at
home?
Yes
No
Title:
E.g. Mr/Mrs/Ms/Miss
Does the parent/carer speak a language other than English
at home?
Yes
No
If yes, which is the main language spoken other than English?
If yes, which is the main language spoken other than English?
If yes, please indicate other languages.
If yes, please indicate other languages.
Page 2 of 6
10. Guardian in Australia
This section is for the guardian in Australia who will be in care
of the applicant.
11. Emergency Contact in Australia
Contact Name:
Please tick each section as it applys.
1. Parent Guardian Visa
A nominated parent must stay in Australia and
live with student until turning 18. The Australian
Department of Immigration and Citizenship
will approve these arrangements. For more
information about terms and conditions, and visa
application, please visit www.immi.gov.au.
2. Relative approved by the Australian
Immigration
A nominated relative will provide the
accommodation and welfare services for the
student. The nominated relative must have
these arrangements approved by The Australian
Department of Immigration and Citizenship.
For more information about the terms and
conditions, and the application, please visit www.
immi.gov.au. The applicant must provide full
name, address, contact details etc. of approved
relative to Western Senior Secondary College.
Relationship to the applicant:
Phone Number:
Mobile Phone Number:
Email Address:
Address:
Town/City/Suburb:
3. Welfare and Accommodation arranged by
WSSC
WSSC has engaged the services of International
Student Alliance (ISA) Guardian & Welfare
Service and Australian Homestay Network (AHN)
to provide guardians and homestay for visiting
students.
If you select this option, you are required to apply
direct to ISA and AHN via their websites and
follow their online application process.
12. Emergency Contact Overseas
I confirm I have applied to ISA Guardian and
Welfare Service at www.studentguardians.com
Relationship to the applicant:
I confirm I have applied to AHN for approved
home stay at www.homestaynetwork.org
Phone Number:
WSSC will issue a Confirmation of Appropriate
Accommodation & Welfare (CAAW) once the
accommodation and welfare services have been
confirmed by the partner organisations.
State/Country:
Contact Name:
Mobile Phone Number:
Email Address:
Address:
Town/City/Suburb:
State/Country:
Postcode:
Page 3 of 6
Postcode:
13. Medical
18. Marketing
Do you consider yourself to have a medical condition,
disability, impairment or a long term condition?
Yes
Where did you hear about Western Senior Secondary College?
No
If yes, please specify.
Advertising
Education agent
Search Engines/Web
Friends/Family
Other:
19. Agent Details (if applicable)
Agent Name:
If you answered yes to this question, you may wish to contact our Student
Support Officers on +61 3 9866 7555 for further information concerning the
support services available.
Agent Address:
14. Credit Transfer/RPL
I wish to apply for RPL:
Yes
No
I wish to apply for Credit Transfer:
Yes
No
Documentary evidence must be attached with this form.
15. Intended Commencement
Agent Phone Number:
Agent Mobile Number:
Agent Email:
Date of course commencement:
/
/
Format: DD/MM/YYYY
Agent Stamp:
16. Course Schedule and Fees
Tuition Fee VCAL Senior 60 Weeks
AUD$15,000.00
Enrolment Fee
AUD$250.00
Books and Material Fee
AUD$500.00
Overseas Student Health Cover (Single
Student) for 60 weeks
AUD$581.00*
*The fee depends on the provider.
17. Photographs at School
Occasionally photographs are taken of individuals students or
classes at school. Please mark one of the following:
Yes, permission is granted to photograph the
applicant
20. Checklist
Application for Enrolment Form signed
Certified copy of passport
Statement of results for Year 10 or equivalent
No, never photograph the applicant
Evidence of English proficiency: IELTS total score of 5.0
or equivalent.
Please ask whenever you intend to photograph the
applicant
Evidence of Year 11 or 12 studies if applying for credit
(certified by notary public)
RPL Application Form (if applicable) + supporting documents (certified by notary public)
Page 4 of 6
21. Terms and Conditions
21. Terms and Conditions
A. Terms and Conditions of Enrolment
ENTRY REQUIREMENTS
• Certified copy of passport
• Proof of completion of Year 10 or equivalent
• IELTS total score of 5.0 or equivalent
F. Suspension & Cancellation Procedures
Students studying at WSSC can withdraw or cancel their course
at any time if they do not wish to continue further. To do this the
students must
• Fill in Course Withdrawal / Cancellation Form.
• The reason for withdrawal must be clearly sited and relevant.
• Supportive documents must be provided to substantiate the
claim.
• The students can withdraw or cancel from the course for the
following reasons – medical, switching the course provider or
for personal reasons.
Once the duly filled forms with supportive documentation are
received by WSSC, a suitable response will be provided in 10
working days. For further information, please visit: wsscollege.
com.au
ENROLMENT & ACCEPTANCE
• All applications will be assessed by the Administration Manager
• Payment of the tuition fee is payable within 14 days of the
acceptance of offer.
• Attend a personal interview, for applications lodged in Australia.
B. Access and Equity
The following access and equity guidelines are designed to remove
barriers and obstacles so that all students have the opportunity
to gain skills, knowledge and experience. Access and equity
guidelines will be implemented through the following strategies:
• Access to VCAL subjects will be available to all eligible
participants regardless of gender or race.
• All participants will be provided with the opportunity to gain a
full qualification.
• For participants with special needs, access to additional
assistance will be provided.
• Where poor literacy and/or numeracy skills present a barrier
to participation, additional support will be provided to the
participants within the capacity of WSSC’s resources to provide
such support and/or external assistance will be accessed as
required.
WSSC actively encourages the participation of a cross section of
the community. For further information, please visit: wsscollege.
com.au
C. Complaints and Appeals Policy
Customer complaints are to be solemnly considered and reviewed
within 10 working days of being lodged. We will act upon the
subject of any complaint found to be substantiated. Appeals must
be lodged within 20 working days of the assessment decision, and
will be re-validated by the Deputy Principal. Appeals in regards
to the Department of Immigration and Citizenship reporting on
course progress/fees must be lodged within 20 working days of
the notification as aforementioned. The outcome will be notified
in writing. For further information, please visit: wsscollege.com.
au.
D. Program Delivery and Assessment
WSSC is committed to only have registered teachers of the
highest calibre. Every teacher is fully qualified and experienced.
Your teacher will also assist you in any way possible to ensure
your learning experience is memorable and insightful. All
training is delivered in classrooms and in simulated situations.
Assessments include written examinations, assignments, reports,
practical activities, and observation in classroom and/or during
your simulated work environment at the campus location.
Students are expected to satisfy the attendance requirement. For
the full course delivery and assessment procedures, please visit:
wsscollege.com.au.
E. Privacy Policy
WSSC is required to provide the Government, with student
activity data which may include information provided in this
enrolment form.
The Government may use the information provided for planning,
administration, policy development, program evaluation,
resource allocation, reporting and/or research activities. For these
and other lawful purposes, The Government may also disclose
information to its consultants, advisers, other government
agencies, professional bodies and/or other organisations.
The Education and Training Reform Act 2006 requires WSSC to
collect and disclose your personal information for a number of
purposes including the allocation of a Victorian Student Number
and updating your personal information on the Victorian Student
Register. For further information, please visit: wsscollege.com.
au.
Page 5 of 6
G. Fees and Refund Policy
Tuition fee payments prior to the start of the VCAL senior program
are protected by the Commonwealth Government Tuition
Protection scheme(TPS).
All students enrolled at WSSC are eligible for a refund under
special circumstances, such as:
• In the event that your course is cancelled or rescheduled by WSSC
(provider default) WSSC will refund your enrolment and tuition
fees in full within two weeks.
• If your student visa has been refused by the Department
of Immigration and Citizenship, you can receive a full refund
(excluding the enrolment fee)*.
• If you withdraw more than ten (10) weeks prior to course or
semester commencement you can receive a full refund (excluding
the enrolment fee)*.
• If you withdraw four (4) to nine (9) weeks prior to your course or
semester commencement you can receive 70% refund.*
• If you withdraw less than four (4) weeks prior to your course or
semester commencement you can receive 10% refund.*
If you withdraw after the course or semester commencement,
you will not receive a refund. In the event that you withdraw from
the program after your course or semester commences, or your
enrolment is terminated for failure to comply with WSSC’s policy,
bad behaviour, unsatisfactory progress, failure of examinations,
unsatisfactory attendance, or non-commencement of studies, all
fees for the current and next semester (if applicable) are nonrefundable.
All approved claims for refund are paid within 20 business days
of receipt of the written application. All students who believe
they have been given an incorrect refund are entitled to appeal
the decision and are entitled to have an independent person
appointed at WSSC expense to resolve the appeal. This agreement
and the availablity of complaints and appeals processes does not
remove the rights of the student to take action under Australia’s
consumer protection laws. *Refunds will be made within 20
working days.
In the event that an extension to your student visa is not granted
and the course has commenced, a refund will not be issued.
You are advised not to enrol if you believe your visa will not be
extended. No refund will be issued, which includes all monies
paid or scheduled to be paid to WSSC, and the balance of all
outstanding fees for the course will be invoiced to the Student.
Overseas Students abandoning or withdrawing from a course
of study without notice will be reported to the Department of
Immigration and Citizenship, as required by law.
H. Issuing Results and Qualification Process
WSSC students can access their results on request. A Statement
of Attainment of the completed units can be issued at any time
during the course upon request.
A WSSC Certificate of Completion will be issued once all units
have been satisfactorily completed and all agreed fees are paid.
Details are submitted to VCAL where VCAL certificates are issued
twice yearly.
22. Applicant’s Declaration
I declare that I have read and understood the course information and the instructions on this Application of
Enrolment Form. I understand, acknowledge and agree to the following information:
•
•
•
•
•
•
It is my responsibility to provide all relevant and required
documents.
I have provided evidence to meet the entry requirements.
I have been provided the information of the structure of and
contents of the course, the delivery mode, the duration and
the assessment methods of the course.
I understand the details of any arrangement with other
providers.
I understand, acknowledge and agree to that the information
provided by me shall be made available to the Australian and
State Government as pursuant to the laws.
I acknowledge that the provision of incorrect information
or withholding of relevant information relating to my
application, including academic transcript/s might invalidate
my application and that the Institute may withdraw an offer
of a place or cancel my enrolment in consequence.
•
•
•
•
•
•
•
•
•
•
The payments of any fees for which I am liable will be made
within the agreed time.
I understand that the qualification will be issued only at
successful completion of the course.
I have read and understood the Terms and Conditions of
Enrolment.
I have read and understood the Privacy Policy.
I have read and understood the Complaints and Appeals
Policy.
I have read and understood the Issuing Result and Qualification
Process.
I have read and understood the Suspension and Cancellation
Policy.
I have read and understood the Access and Equity Policy.
I have read and understood the Fees and Refund Policy.
I have read and understood the Program Delivery and
Assessment.
Signature of Applicant:
Printed Name:
Date: _ _ / _ _ / _ _ _ _
Format: DD/MM/YYYY
IF APPLICANT IS UNDER 18 YEARS OF AGE
Signature of Parent/Guardian:
Date: _ _ / _ _ / _ _ _ _
Printed Name:
Format: DD/MM/YYYY
Relationship to the Applicant:
Email:
Phone Number:
23. Submission
If you are a successful applicant, Western Senior Secondary College
(WSSC) will issue your Offer Letter and Acceptance of Form stating
the course for which you have been accepted. The Offer Letter will
state all the course details as well as the fees for the course.
The Acceptance Form is the actual agreement, which states all the
information about the course, fees, refund etc. You will have to sign
this form to accept the offer from WSSC.
Return the copies of the Offer Letter and Acceptance Form
with your signature and the date to WSSC and your course will
commence as agreed.
Email your application
[email protected]
Post your application
Western Senior Secondary College
Level 4-5, 220 Albert Road,
South Melbourne, VIC 3205
Australia
Hand in your application
Please hand in your application at the above address.
ABN: 66 126 049 821 | RTO No: 22098 | CRICOS Code: 02957G
Western Institute of Technology Pty Ltd trading as Western Senior Secondary College
Main Campus:
Western Senior Secondary College
Level 4-5, 220 Albert Road
South Melbourne, VIC 3205
Page 6 of 6
Phone: +613 9866 7555
Fax: +613 8648 6393
Email: [email protected]
Website: wsscollege.com.au
WSSC-F-V-042014-01 Created in Jan 2014, Modified in Apr 2014, To be reviewed in Apr 2015, Created by:CO Approved by: CEO