Overseas Fee Paying Students Application Form
OVERSEAS FEE PAYING STUDENTS > APPLICATION FORM Checklist: YOU WILL BE REQUIRED TO PROVIDE SUPPORTING DOCUMENTS TO LODGE THIS FORM INCLUDING: Academic transcripts for your child Copy of your childs and your current passport Current visa grant documentation for you and your child Student Details: PRINT YOUR NAME AS IT APPEARS IN STUDENT’S PASSPORT. Please use BLOCK LETTERS. All fields must be completed. Title (Miss, Ms, etc): .................................. Date of birth (DD/MM/YY): ................................................. Gender M F Family name (as shown on your passport): ..................................................... Given name(s): ..................................................... Preferred name: ............................................................. Email address: ..................................................................................... (this email address can be of parents). Home Country Address: Number + Street: .......................................................................................................................................................................... Suburb/City: ................................................................. Country: ..................................................... Postcode: ......................... Telephone (country code/area code/number): ................................................................... Mobile: ............................................. Local Address in Western Australia: Number + Street: .......................................................................................................................................................................... if applicable Telephone: ................................................................................................... Mobile: ................................................................... Parent Details: Family name: .................................................................. Given names: ...................................................................................... Suburb: ........................................................................................................ Postcode: ............................................................... Relationship to student: Mother Father Guardian Email address:................................................................................................................................................................................ Visa subclass: .......................................... Visa expiry date: ..................................... Passport number: .................................... Language: What is your child’s first language? ............................................ What language is spoken at home? ....................................... Is your child studying English anywhere before commencing studies at a Public Primary or Secondary School? Yes No If yes, where? ............................................................................ For how long? .......................................................................... Department of Training and Workforce Development - Customer Service Centre Education + Training International Level 7, 3 Forrest Place, Perth WA 6004 Tel: +61 8 9218 2100 Fax: +61 8 9218 2170 Web: www.eti.wa.edu.au Email: [email protected] Overseas School Student Application Form CRICOS Provider Code: 01723A Issue Date: January 2015 Version: 4.1 Page 1 of 3 Enrolment: Please select the level of schooling at which you seek admission for your child. Please note that in Western Australia children are placed in the Year group appropriate for their age. To commence Pre-Primary, children must turn 5 years old by June 30 of that year. Kindergarten Pre-Primary Primary Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Secondary Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Commencing: ................................................................................ Ending: ................................................................................ List schools in order of preference: As this program runs on spare capacity it is important you identify at least three schools. (1) ............................................................................................. (2) .............................................................................................. (3) ............................................................................................. (4) .............................................................................................. Previous Education: Please attach transcripts of your child’s most recent schooling results Highest education: ............................................................ Year: .................................... Country: ............................................. Name of school: ................................................................ Year level studied: ......................... Period of study: ....................... Has your child studied at another school in Australia before coming to Education + Training International (ETI)? Yes If yes: No Year: ..................................................... Name of school: .................................................................................... Year level studied: ................................ Period of study: ..................................................................................... Disability/Medical: Does your child have a disability, impairment or long-term medical condition which may affect their studies? Please indicate the type/s of disability: Hearing Vision Learning Medical Mobility Yes No Other Please give brief details about their condition/disability: ....................................................................................................................................................................................................... Department of Training and Workforce Development - Customer Service Centre Education + Training International Level 7, 3 Forrest Place, Perth WA 6004 Tel: +61 8 9218 2100 Fax: +61 8 9218 2170 Web: www.eti.wa.edu.au Email: [email protected] Overseas School Student Application Form CRICOS Provider Code: 01723A Issue Date: January 2015 Version: 4.1 Page 2 of 3 Declaration: Information provided in this application may be made available to State and Commonwealth agencies. I certify that the information on this form and supporting documentation is complete and correct. I acknowledge that the provision of incorrect information or documentation or the withholding of information or documentation relating to my child’s application may result in the cancellation of their enrolment. By signing this application form I agree to the following: > My child will attend school in accordance with Australian Government policy. > I understand that placement in a school is based on spare capacity, a suitable education program and at the Principal’s discretion. > I will abide by the policies of the Department of Education Western Australia and the school at which my child will be enrolled. > I will advise Education + Training International immediately should mine or my child’s visa change. > I will pay all tuition fees associated with this enrolment in the specified time frame. > I will pay contributions, charges and fees, as determined by the school, directly to the school. > I understand that personal items such as school and sports uniforms, items for individual student use, stationery, travel to and from school, excursions/incursions, books, swimming programs and optional courses of study all incur additional fees. > I understand that special needs programs are costed on the basis of the child’s requirements in accordance with the Department of Education’s inclusive education standards. More information will be provided by Education + Training International if special needs programs are required. > I understand placement in an Intensive English Centre is $3,000 per year and English Support classes is $1,500 per year. This is additional to the tuition fees (2015 prices - subject to review annually). Parent/Guardian’s name: ............................................................................................................................................................... Signature: ...................................................................................... Date (DD/MM/YY): ............................................................... Please note: Completion and lodgment of this form does not necessarily guarantee you a place in a Western Australia Public School. Department of Training and Workforce Development - Customer Service Centre Education + Training International Level 7, 3 Forrest Place, Perth WA 6004 Tel: +61 8 9218 2100 Fax: +61 8 9218 2170 Web: www.eti.wa.edu.au Email: [email protected] Overseas School Student Application Form CRICOS Provider Code: 01723A Issue Date: January 2015 Version: 4.1 Page 3 of 3
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