Application for Change to Melbourne Campus for currently enrolled students at partners outside Australia Note: This form is to be used by RMIT currently enrolled students at partners outside Australia in TAFE or Higher Education Program who wish to change to the Melbourne Campus. Instructions for students Instructions for RMIT International 1. Please read and complete Section 1 to 3 of the form in block letters using a black or blue pen. 2. Return completed form to the offshore staff liaison at your home institution. 1. Check to ensure that the form is appropriately completed by all parties. 2. Process the application within 2 working days. 3. Issue an offer letter and forward to the student. 4. Upon receiving student’s confirmation of acceptance, issue visa documentation. 5. Forward of copy the Application for Change to Melbourne Campus form to Enrolment and Student Records. Instructions for partner staff liaison 3. Please check to ensure that student has completed Sections 1 to 3 correctly. 4. Forward the completed form to RMIT International, who will in turn forward to the appropriate School Selection Officer or delegate at RMIT University’s Melbourne campus. Instructions for School 1. Assess the student’s application and approve/disapprove request to change to Melbourne campus. 1. Forward completed and authorised form to RMIT International. Section 1 Instructions for RMIT Enrolment and Student Records 1. Discontinue offshore enrolment. Note: This form is not to be used as part of an exchange agreement. Name and contact details Student number Title  Male  Female Family name Given name(s) Country of birth Country of citizenship Mailing address Date of birth Day/month/year Address 1 Address 2 Contact details Section 2 State Postcode Phone number E-mail address Country Program enrolment information Current program code: _________________________________________ Future program code: _________________________________________ Current program name: ________________________________________ Future program name: _________________________________________ Future semester Intake: Month ______________ / Year ____________ Section 3 Declaration 1.I authorise the University to enrol me in the program details on this form. 2.I authorise the University to cancel my current enrolment. 3.I accept that changing the campus of study may affect the program fee. 4.I accept that the program may have a different program structure. 5.This request is subject to RMIT’s approval. I will be notified whether it has been approved or rejected. If approved a new offer letter will be issued. 6.I understand that the offer is subject to availability of places and I must complete the Offer Acceptance Form and pay the deposit fee to confirm my place at Melbourne Campus. Signature Day/month/year Date CRICOS Provider code: 00122A Issue date: January 2015. Ref: CRL03.1 Page 1/2 Section 4  Firm Offer School’s approval (must complete all fields)  Conditional Offer Cooperative Education Completed?  Unsuccessful  Yes  No  Exempt Amount of advanced standing granted: _______ semesters or _____ years Details/Reason of your decision: Completion date Day/month/year Date School authorisation signature RMIT International Authorisation Day/month/year Date received International authorisation Day/month/year Program duration remaining: Year(s): ________ Full name School authorisation name Section 5  Not Applicable Name Day/month/year Date Issue date: January 2015. Ref: CRL03.1 Page 2/2