RTO Code 31897
CRICOS Code 03149K
AMERICAN
COLLEGE
INTERNATIONAL STUDENT ENROLMENT FORM
Applicant's Personal Details
(Please read and complete all of the information in clear, block writing).
Family Name
Given Names
DAY
Gender
Male
Female
MONTH
YEAR
Date of Birth
Overseas
Address
City
Country
Home phone
Postcode
Mobile No
Email Address
Name of Education Agent (if applicable)
Australian
Address
Building /Property Name _________________________________________________
Flat/Unit Details ________________________________________________________
Street or lot Number _____________________________________________________
Street Name ___________________________________________________________
Suburb
State/Territory
Postcode
Home phone
Mobile No
Email Address
Passport Details
Passport No
Date of Expiry
Nationality
Visa No. & Expiration Date
English Language Proficiency
Please provide evidence of your English language qualification
IELTS (Score)
Expiry Date
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AC01-International Student Enrolment Form - V3.2/01/15
Language/Cultural Diversity
Your first language____________________________________
Do you speak a language other than English at home?.
(If more than one language, indicate the one that is
spoken most often.)
How well do you speak English?.
Very well
Well
No, English only
Not well
Yes, other - Please specify
Not at all
Are you of Aboriginal or Torres Strait Island descent?
No
Yes, Aboriginal
Yes, Torres Strait
Overseas Student Health Cover (OSHC)
Do you have OSHC?
Yes
No
If Yes, who is your provider?._____________________________________________________________
DAY
MONTH
YEAR
Membership No _________________________________ Expiry
(Please attach a copy of your membership details)
If no, do you want American College to arrange OSHC on your behalf?.
Yes
No
Please note: It is a requirement of your student visa approval that you show evidence of current OSHC for the duration of student visa.
It is student's responsibility to get health coverage.
Disability
Yes
No
Do you consider yourself to have a disability, impairment or long-term condition?.
No - Go to Next Question
If YES, then please indicate the areas of disability, impairment or long-term condition:
(You may indicate more than one area.)
Hearing/Deaf
Physical
Intellectual
Learning
Vision
Medical Condition
Acquired Brain
Impairment
Mental Illness
Emergency Contact Information
Other
Name___________________________________Contact No. ____________________________
LOCAL
Address: __________________________________________ Relationship__________________
Name___________________________________Contact No. ____________________________
INTERNATIONAL
Address: __________________________________________ Relationship__________________
MEDICAL Doctor___________________________________Contact No. ____________________________
CONTACT
DETAILS Address: _______________________________________________________________________
Schooling
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
In which YEAR did you complete that school level?. Year __________________________________
Are you still attending secondary school?.
Yes
No
PREVIOUS Qualifications Achieved
Have you successfully completed any of the following qualifications?. Yes
No
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AC01-International Student Enrolment Form - V3.2/01/15
If YES, then tick ANY applicable boxes.
Bachelor Degree or Higher Degree
Advanced Diploma or Associate Degree
Diploma (or Associate Diploma)
Certificate IV (or Advanced Certificate/Technician)
Certificate III (or Trade Certificate)
Certificate II
Certificate I
Certificates other than the above
Please provide details and copies of completed certificates.
Qualification: ___________________ Year: __________ Location:______________________________
Qualification: ___________________ Year: __________ Location:______________________________
Qualification: ___________________ Year: __________ Location:______________________________
Qualification: ___________________ Year: __________ Location:______________________________
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?.
Tick ONE box only.
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 of study
For personal interest or self-development
Other reasons
(Please tick the box of the course(s) you wish to enrol in, and the preferred start date)
COURSE NAME
TOTAL
COURSE
DURATION
TUITION FEES TUITION FEES NON TUITION
PER STUDY PER STUDY
FEE
PERIOD
PERIOD
ENROLMENT FEE PLUS
COURSE MATERIAL FEE
I
II
LENGTH OF
STUDY
PERIOD
LENGTH OF
STUDY
PERIOD II
(INC. BREAKS)
21 Weeks
22 Weeks
52 weeks
$4930
$4930
$395 + $245
$10,500
21 Weeks
22 Weeks
52 weeks
$4930
$4930
$395 + $245
$10,500
TOTAL
TUITION
FEE
*10364NAT Certificate III
in Spoken and Written English
(CRICOS Code 080375F)
*10365NAT Certificate IV in
Spoken and Written English
(CRICOS Code 080376E)
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COURSE NAME
*BSB50215
Diploma of Business
(CRICOS Code: 087248A)
TOTAL
COURSE
DURATION
TUITION FEES TUITION FEES NON TUITION
PER STUDY PER STUDY
FEE
PERIOD
PERIOD
ENROLMENT FEE PLUS
COURSE MATERIAL FEE
I
II
LENGTH OF
STUDY
PERIOD
LENGTH OF
STUDY
PERIOD II
21 Weeks
22 Weeks
52 Weeks
$4930
$4930
$395 + $245
$10,500
21 Weeks
22 Weeks
52 Weeks
$4930
$4930
$395 + $245
$10,500
32 Weeks
32 Weeks
78 Weeks
$5930
$5930
$395 + $245
$12,500
21 Weeks
22 Weeks
52 Weeks
$4930
$4930
$395 + $245
$10,500
21 Weeks
22 Weeks
52 Weeks
$4930
$4930
$395 + $245
$10,500
21 Weeks
22 Weeks
52 Weeks
$4930
$4930
$395 + $245
$10,500
43 Weeks
43 Weeks
104 Weeks
$7930
$7930
$395 + $245
$16,500
32 Weeks
32 Weeks
78 Weeks
$5930
$5930
$395 + $245
$12,500
32 Weeks
32 Weeks
78 Weeks
$5930
$5930
$395 + $245
$12,500
(INC. BREAKS)
TOTAL
TUITION
FEE
*BSB50415 Diploma of Business
Administration
(CRICOS Code: 087306G)
*BSB51107 Diploma of Management
(CRICOS Code: 071432K)
*BSB51215 Diploma of Marketing
(CRICOS Code: 087413D)
*BSB50615 Diploma of Human
Resource Management
(CRICOS Code: 087327B)
*BSB51415 Diploma of Project
Management
(CRICOS Code: 087449C)
*BSB60407 Advanced Diploma
of Management
(CRICOS Code: 070908J)
*BSB60215 Advanced Diploma
of Business
(CRICOS Code: 087514K)
*BSB60515 Advanced Diploma
of Marketing
(CRICOS Code: 087582J)
Credit transfer/RPL (if applicable)
Do you wish to apply for credit transfer?.
Yes
No
Please refer to separate Credit Transfer form and provide certified copy of statement of attachment results
Do you wish to apply for RPL (Recognition of Prior Learning)?.
Yes
No
Please refer to separate RPL form and provide relevant certified documents
STANDARD 3 REFUND POLICY - Overseas Students
American College Pty Ltd. Trading as American College has a fair and equitable refund policy and procedure that is compliant
with NVR standards and ESOS Act requirements. This policy is provided to students prior to signing the International Enrolment
Form OR prior to any payment of the course (whichever happens first).
American College acknowledges that Government Legislation requires tuition fees and application fees to be refunded in full if:
Ÿ The course does not start on the agreed starting date which is notified in the Offer Letter.
Ÿ The course stops being provided after it starts and before it is completed.
Ÿ The course is not provided fully to the student because the college has a sanction imposed by a government regulator.
Ÿ If the course defaults, refunds will be granted in accordance with the provisions of the ESOS Act 2000 and the ESOS
Regulations 2001.
Refunds under the above conditions will be paid in full to the student within 14 working days.
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American College may arrange for another course, or part of a course, to be provided to students at no (extra) cost to
the student as an alternative to refunding course money. Where the student agrees to this arrangement, the College will
not be liable to refund the money owed for the original enrolment.
In signing the International Enrolment form to enroll in a course(s) at the College the Applicant acknowledges:
1. That the information provided by the Applicant in their application is complete and correct.
2. Agree to be bound by the College rules and regulations and any amendments made to the rules and regulations.
3. Agree to undertake a testing requirement prior to any course entry, if deemed necessary by the College.
4. Agree to update the College on any change of contact details within 7 working days.
5. Agree to obey DIBP student visa requirements.
6. Agree to pay all fees required on or by the due date as notified in writing by College or as per the invoice. The
College reserves the right to charge a late fee of $100 per week for two weeks, if the student defaults on the agreed
payment plan.
7. The College will access these fees in accordance with the procedures established by the State Government and
Department of Education.
8. The College reserves the right to accept or reject any application for enrolment at its discretion.
9. The College reserves the right to cancel any course prior to the commencement date of the course should it deem it
necessary and in that event, shall refund all payments received from the Applicant.
10. Refunds are made in accordance with the policy below and full refunds of amounts owed to the student will be
made within 20 working days.
1. Deposit
A deposit of 25 % of the cost of the course is payable to secure a place in a course at American College. Tuition fees are
refunded in full if you are originally NOT a holder of a student visa (which includes student bridging visa) and your
application for a student visa is rejected or American College is unable to offer the course.
The term “Overseas Student” includes an intending overseas student.
2. Refund Conditions
Withdrawal Period
Refund/ Cancellation Charge
Enrolment Fees of AUD $395
No refund of Enrolment fee of AUD $395 will be done
Visa refused prior to commencement (off-shore students)
Amount of refund is the amount of the course fees, minus
the lesser of the following amounts:
a) 5% of the amount of course fees received in respect
of the student before the default day;
b) $500
Visa extension refused/ Visa cancelled due to actions
of the student
(before course commences – on-shore students)
Full refund of course fees less AUD$ 395 (Administrative Fee)
Visa extension refused/ Visa cancelled due to actions
of the student
(after course commences – on-shore students)
Refund will be calculated as per refund amount
calculator# and there will be no refund on
any non-tuition fees paid
Withdrawal at least 8 weeks prior to course
commencement date
Full refund of course fees less AUD$395 (Administrative Fee)
College is unable to provide the course for which
the original offer was made before commencement
(Provider default)
Full refund of course fees
Course withdrawn by the College after
commencement (Provider default)
Calculation as per Refund amount calculator#
(Default period of Provider taken in count)
Residency status change from International to
Permanent resident (Provide application along with
proof of visa status changes with copies from passport)
Fee status will change from next study period
(If status is changed after the start of any study period)
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Airport pick-up
No refund
Home stay fees and accommodation booking fee
No refund
OSHC Refund Policy (Calculation of refund will be
done as per the policy provider)
If American College has organised the OSHC,
we will refund the OSHC directly to the student under
following conditions:
- Student request to cancel OSHC
- Student Visa Rejected
- Change of OSHC provider
Refund Calculator (ESOS Calculation of refund specifications 2014)#
Weekly Tuition Fees
Weeks in default period
Refund amount#
Course Fees
Total tuition fees for the course/number of calendar
days in the course
7
Number of calendar days from the default day to the end of
the period to which the payment relates
7
Weekly tuition fees X Weeks in default period
Sum of Tuition and Non Tuition fees
American College reserves the right to withhold granting the Qualification or Statement of Attainment
completed by the student, if student tuition fees remain outstanding.
3. Application for refund form
a. If a student wishes to withdraw their enrolment, they are required to complete an Application for Withdrawal and
Refund form and forward it to the Administration Officer. Your application will be processed within 14 working days
of the application being received. The refund will be paid within 28 days of the day on which the course ceased
being provided, if applicable.
b. The application should arrive at American College prior to course commencement (see Refund Conditions for
details of expected refund amounts).
c. If American College defaults the student is covered by the provisions of the ESOS Act 2000 and the ESOS
regulations 2001. Please note this before making payment to American College.
4. Provider default
In the unlikely event that American College is unable to deliver your course in full, you will be offered a refund of all
course money you have paid to date or alternately, American College will offer you the opportunity of studying in an
alternative course at no extra cost to you. Students may choose preferred option.
If American College is unable to offer the course, the refund will be processed within14 working days.
Students will be required to sign an agreement outlining preferred options co-signed by the Director.
If American College is unable to provide a refund or place you in an alternative course our Tuition Protection Service
(TPS) will place you in a suitable alternative course at no extra cost to you.
Finally, if you cannot be placed in a suitable alternative course, you will be eligible for a refund as calculated by the
Secretary of Tuition Protection Service.
5. Student rights
“This agreement, and the availability of complaints and appeals processes, does not remove the right of the
student to take action under Australia's consumer protection laws.”
Agreeing to the Refund policy does not remove the right of the student to take further action under Australia's consumer
protection laws or to pursue other legal remedies. Please see American College's Complaints /Appeals Policy on the
website (www.americancollege.edu.au)
When giving a student a refund American College will provide a written statement that explains how the amount has
been worked out, as required in sub-regulation 3.19 of the ESOS Regulations.
6. Recipient of refund
American College will pay the refund to the person who enters into the contract with the College, unless the person
gives a written direction to American College to pay the refund to someone else – (The legislation does not allow the
refund to be paid to an agent.)
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AC01-International Student Enrolment Form - V3.2/01/15
The refund will be paid in the same currency in which the fees were paid unless this is impractical.
7. Provision of refund information to students
The refund policy will be given to students in their handbook prior to enrolment (signing of the International Enrolment
Form) and made accessible on the American College website. It will also be explained at induction and orientation so
that it is clearly understood by overseas students.
Course deferment, suspension of studies, or cancellation (Procedure for application for deferment is available in the
student handbook).
8. Grounds for deferment /suspension / cancellation of enrolment
American College may grant deferral of commencement of studies or suspension of studies for students who request
such a change to their enrolment status on the grounds of compassionate or compelling circumstances. These include
but are not limited to:
a. Serious illness or injury, where a medical certificate states that the student is unable to attend classes;
b. Bereavement of close family members such as parents or grandparents (where possible, a death certificate should
be provided);
c. Major political upheaval or natural disaster in the home country requiring emergency travel and this has impacted
on the student's studies; or
d. A traumatic experience which could include:
Involvement in, or witnessing of a serious accident; or
Witnessing or being the victim of a serious crime, and this has impacted on the student (these cases should be
supported by police or psychologists' reports)
e. Where American College was unable to offer a pre-requisite unit; or
f. Inability to begin studying on the course commencement date due to delay in receiving a student visa,
g. Student failure to meet unit prerequisites,
h. Unavailability of units/subjects,
i. Non-payment of fees,
j. Student behavior,
k. Marriage and marriage of a sibling,
You need to complete the application for deferral form and send to the Director for consideration.
9. Payment Details:
American College Bank Details: Woolloongabba Campus
Bank Cheque: Payable to American College Pty Ltd
Bank Transfer Account Name: American College Pty Ltd
Bank: ANZ BANK
BSB Number: 014305
Account Number: 186330867
Swift Code: ANZBAU3M
American College Bank Details: Gold Coast Campus
Bank Cheque: Payable to American College Pty Ltd
Bank Transfer Account Name: American College Pty Ltd
Bank: ANZ BANK
BSB Number: 014247
Account Number: 292984514
Swift Code: ANZBAU3M
Please note that there is a 2% surcharge on a Credit Card Transactions.
Please email a copy of your receipt to American College.
Signature: ____________________________ Name:__________________________ Date:_____/_____/______
DAY
MONTH
YEAR
American College Pty. Ltd. trading as American College
180 Logan Road, Woolloongabba, Brisbane
4102 - Queensland, Australia
Gold Coast Campus
9 Bay Street Southport - Goldcoast
Queensland 4215
PHONE NO. 61 (0) 7 3391 7599
FAX NO.
61 (0) 7 5604 1494
[email protected]
w w w. a m e r i c a n c o l l e g e . e d u . a u
AC01-International Student Enrolment Form - V3.2/01/15
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