AICSE Enrollment Form

Enrolment Application Form International Students

This confidential Application Form asks for personal information about you. The main purpose for collecting this information is for administrative, regulatory and/or research purposes and to ensure our course is suitable for your needs. All staff at Australian College of Studies (AICSE) are required by law to protect the information provided on this Application Form
Personal Details
1. Name

First NameLast Name
2. Date of Birth

DayMonthYear
3. Gender
4. Phone Number

Area CodePhone Number
Home phone

Area CodePhone Number
Email
example@example.com
5. What is the address of your residence?
Address

Building/ property name

Flat/unit details

CityState / Province

Postal / Zip Code
6. What is your postal address (if different from above)?
Address

Building/ property name

Flat/unit details

CityState / Province

Postal / Zip Code
Next of kin/emergency contact

Please provide a contact AICSE may notify in the event of an emergency during your studies. Please ensure your contact is aware that they have been nominated as an emergencycontact and agree to their details being provided to AICSE.
Name:
Relationship to you:
Address:
Home Number

Area CodePhone Number
Work:

Area CodePhone Number
Mobile:

Area CodePhone Number
Email
example@example.com
Language and cultural diversity
7. Birth country

AustraliaOther, please specify
Birth Country
8. Do you speak a language other than English?

No, English onlyOther, please specify
If Not English then which language?
9. Are you of Aboriginal or Torres Strait Islander origin?

YesNo
Disability
10. Do you consider yourself to have a disability, impairment long-term condition?

YesNo – go to question 12
11. If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the followinglist: (You may indicate more than one area)

Hearing/deafPhysicalIntellectualLearningMental IllnessAcquired brain impairmentVisionMedical ConditionOther
Schooling
12. What is your highest COMPLETED school level (tick one box only)If you are currently enrolled in secondary education, the Highest school level completed refers to the highest school level you have actually completed and not the level you arecurrently undertaking. For example, if you are currently in Year 10 the Highest school level completed is Year 9. -Go to question 14

Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 9 or equivalentYear 8 or belowNever attended schoolOther
13. Are you still enrolled in secondary or senior secondary education?

YesNo
Previous qualifications achieved
14. Have you completed any previous qualifications?

YesNo – go to question 15
15. Details of qualification:
Name of qualification:
Year Completed:
Country of Qualification Completion:
Employment
16. Of the following categories, which BEST describes your current employment status? (Tick one box only)For casual, seasonal, contract and shift work, use the current number of hours worked per week to determine whether full time (35 hours or more per week) or part-timeemployed (less than 35 hours per week).

Full-time employeePart-time employeeSelf-employedUnemployed
Study reason
Unique Student Identifier (USI)

From 1 January 2015, AICSE can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if youdo not have a Unique Student Identifier (USI).If you have not yet obtained a USI you can apply for it directly at http://www.usi.gov.au/create-your-USI/
18. Enter your Unique Student Identifier (USI)If you already have one
19. If you do not have a USI, would you like us to apply for a USI on your behalf?

Yes – please complete ‘Applying on your behalf ’, questions and declaration.No – skip to next section
APPLYING ON YOUR BEHALF
If you would like AICSE to apply for a USI on your behalf you must authorise us to do so and declare that you have read the privacy information at
https://www.usi.gov.au/documents/privacy-notice-when-rto-applies-their-behalf
You must also provide some additional information as noted at the end of this form so that we can apply for a USI on your behalf. Please provide your town/city of birth and ensure that the name written in ‘Personal Details’ section is exactly the same as written in the identity document you select below. In accordance with section 11 of the Student Identifiers Act 2014, AICSE will securely destroy personal information which we collect from individuals solely for the purpose of applying for a USI on their behalf as soon as practicable after we have made the application or the information is no longer needed for that purpose, unless we are required by or under any law to retain it.
USI APPLICATION DECLARATION

I authorise AICSE to apply pursuant to sub-section 9 (2) of the Student Identifiers Act 2014, for a USI on my behalf. I have read and I consent to the collection, use and disclosure of my personal information pursuant to the information detailed at
20. Town/City of Birth
21. We will also need to verify your identity to create your USI. Please provide details for one of the forms of identity below (numbered 1 to 7).
1) Australian Driver’s License
2) Medicare Card
3) Australian Passport
4) Non-Australian Passport (with Australian Visa)
5) Immicard
6) Citizenship Certificate
7) Certificate of Registration by Descent
http://www.usi.gov.au/Training-Organisations/Pages/Privacy-Notice.aspx
Signature

Clear
Date

DayMonthYear
Date
Student Name:

First NameLast Name
PRIVACY NOTICE
Under the Data Provision Requirements 2012, AICSE is required to collect personal information about you and to disclose that
personal information to the National Centre for Vocational Education Research Ltd (NCVER).
Your personal information (including the personal information contained on this application form and your training activity data) may be
used or disclosed by AICSE for statistical, regulatory and research purposes. AICSE may disclose your personal information for these
purposes to third parties, including:
− Employer – if you are enrolled in training paid by your employer;
− Commonwealth and State or Territory government departments and authorised agencies;
− NCVER;
− Organisations conducting student surveys; and
− Researchers.
Personal information disclosed to NCVER may be used or disclosed for the following purposes:
− Issuing statements of attainment or qualification, and populating authenticated VET transcripts;
− facilitating statistics and research relating to education, including surveys;
− understanding how the VET market operates, for policy, workforce planning and consumer information; and
− administering VET, including programme administration, regulation, monitoring and evaluation.
NCVER will collect, hold, use and disclose your personal information in accordance with the Privacy Act 1988 (Cth), the VET Data Policy
and all NCVER policies and protocols (including those published on NCVER’s website at www.ncver.edu.au).
You may receive an NCVER student survey which may be administered by an NCVER employee, agent or third-party contractor. You
may opt out of the survey at the time of being contacted.
Learning Details
Have you ever studied with AICSE before?

YesNo
Do you wish to apply for Credit Transfer? If YES, certified copies of transcripts from previous qualifications must be provided with this form, along with a Credit Application Form.

YesNoMaybe - I’d like more information
Do you wish to apply for Recognition of Prior Learning?If you indicate YES, you will be contacted to discuss this further

YesNoMaybe - I’d like more information
Have you ever had any visa refused previously by the Australian Department of HomeAffairs? If Yes, please send us the Immi Refusal Letter together with this application.

YesNo
Select your course and intake
Select Course

RII60520 Advanced Diploma of Civil Construction Design: CRICOS Course Code: 113686C-94 weeksBSB50820 Diploma of Project Management - CRICOS Code: 108892F - 52 weeksBSB60720 Advanced Diploma of Program Management - CRICOS Code: 108894D - 52 weeksBSB80120 Graduate Diploma of Management (Learning) - CRICOS Code: 113661A - 104 weeksCHC30121 Certificate III in Early Childhood Education and Care - CRICOS Code: 108896B- 56 weeksCHC50121 Diploma of Early Childhood Education and Care - CRIOS Code: 108897A - 58 weeksCHC43015 Certificate IV in Ageing Support - CRICOS Code: 113682G - 52 weeksCHC33021 Certificate III in Individual Support - CRICOS Code: 113658G - 52 weeksCHC43121 Certificate IV in Disability Support - CRICOS Code: 113681H - 52 weeksCHC52021 Diploma of Community Services - CRICOS Code: 113659F - 104 weeksICT50220 Diploma of Information Technology - CRICOS Code 108895C - 76 weeksICT60220 Advanced Diploma of Information Technology - CRICOS Code 113683F - 78 weeksSIT40521 Certificate IV in Kitchen Management - CRICOS Code: 113684E - 78 weeksSIT50422 Diploma of Hospitality Management - CRICOS Code 113685D - 52 weeksCPC30220 Certificate III in Carpentry - 116762E - 58 WeeksCPC30620 Certificate III in Painting and Decorating - 116764C - 52 WeeksCPC40120 Certificate IV in Building and Construction - 116763D - 40 Weeks
Intake year:

202420252026
Intake month:

JanuaryAprilJulyOctober
Campus

LiverpoolSydney
I select to pay more than 50% of the course fees upfront

YesNo
I recommend that an offer be given to this applicant. I confirm that I have briefed the applicant and the applicant’s parents (if applicant is under 18) on the Terms and Conditions relating to this application and that I have provided the applicant with relevant information on AICSE and the course consistent with the requirements of the ESOS Act 2000 and the National Code 2018. Are you a registered agent with AICSE?

YesNo
Where did you hear about AICSE?
Type a question

AgentWebsiteFamily and FriendOther
If you have selected option other than agent , please specify:
Agency Company Name:
Name of Agent’s Staff Assigned
Signature

Clear
Date

DayMonthYear
Date
Application Checklist
Provide a copy of the following documents with your application (you will need to bring the originals to your orientation day for verification): Please tick those that you are providing.

Valid passport copy (JP signed or notarised)Valid visa (if you are applying onshore)High School certificate or other relevant certificatesProof of English Language Proficiency (e.g., IELTS 5.5 or equivalent)Any other relevant documents to support your application e.g., resumeGTE Application Form
File Upload*

Cancelof
Student Declaration and Consent (please tick all)

I declare that the information I have provided to the best of my knowledge is true and correct.I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above.
Student Declaration and Consent (please tick all)

I declare that the information I have provided to the best of my knowledge is true and correct.I consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice above.
Student Signature:

Clear
Date

DayMonthYear
Date
Name

First NameLast Name
Should be Empty:

Enrolment Application Form International Students

5. What is the address of your residence?

6. What is your postal address (if different from above)?

Next of kin/emergency contact

Language and cultural diversity

Disability

Schooling

Previous qualifications achieved

Employment

Study reason

Unique Student Identifier (USI)

Learning Details

Select your course and intake

Application Checklist