Application form - International Students - WENTWORTH INSTITUTE OF HIGHER EDUCATION

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HIGHER EDUCATION STUDENT APPLICATION FORM (International Student Only)

SECTION A: PERSONAL DETAILS

Name*

Title

First Name (Given Names)

Last Name (Family Name)

Date of Birth*

day

month

year

USI*

Australian government requires every student to have a Unique Student Identifier (USI). Your USI is your lifelong education number in Australia. How to apply for a USI: https://www.usi.gov.au/students/get-a-usi

Nationality*

Passport No.*

Email*

Phone No.*

Current Address in Australia*

Street Address City State Postal

Address in Home Country

SECTION B: VISA / IMMIGRATIONDETAILS

B1. Are you currently holding an Australian visa?*

Yes (please go to B1-1)

B1-1. Visa Category number

Visa Expiry Date

B2. Do you intend to apply for a student visa?*

Yes (please go to B2-1)

B2-1. DIBP office for lodgement

B3. Have you applied for a student or any other visa to Australia in the past?*

Yes (please go to B3-1)

B3-1. Was it granted?

Yes (go to B3-1-1)

No (go to B3-1-2)

B3-1-1. If granted: why are you reapplying?

B3-1-2. If refused: the reason for the refusal

B4. Apart from Australia, have you applied for any student or other visa to US, UK, Canada or NZ?*

Yes

B5. Was it granted in all cases?*

Yes

If no, why?

B6. Have you ever been convicted of a crime or offence?*

Yes

Family Immigration details

B7. Are you married?*

Yes

If yes, please provide date of marriage

B8. Is your spouse currently employed?*

Yes

B9. Will your spouse leave his/her job and join you as a dependant?*

Yes

B10. Do you have child/children?*

C1. Select Course*

Diploma of Business (Higher Education)

Bachelor of Business

Bachelor of Business (Professional Accounting)

Bachelor of Interactive Media

Graduate Certificate in Business

Graduate Diploma in Business

Master of Business

Graduate Certificate in Professional Accounting

Graduate Diploma in Professional Accounting

Master of Professional Accounting

C2. Preferred Course Commencement Dates*

March

July

November

Year*

Advanced Standing/Credit Transfer

Are you seeking to apply for Advanced Standing/ Credit transfer for previous studies?*

Yes

*Applicant must attach completed Application form of Advanced Standing and detailed syllabus or curriculum for Advanced Standing/ Credit to be assessed. This must include courser content, assessment mode, contact hours, prescribes text, etc.

D1. Do you have a disability, impairment or long term medical condition which may affect your studies?*

Yes (go to D1-1)

D1-1. If yes, please provide details

ENGLISH LANGUAGE PROFICIENCY

E1. Is English your first language?*

Yes

No (go to E1-1)

If no, what is your first language?

E2. Your English Level*

Elementary

Pre-Intermediate

Intermediate

Upper Intermediate

Advanced

E3. Have you taken a formal English test?*

Yes (go to E3.1 - E3.3)

E3.1. Name of Test

E3.2. Date

E3.3. Score:

Overall

Listening

Reading

Writing

Speaking

Applicants must attach certified copies of English testing results.*

PREVIOUS EDUCATION BACKGROUND AND QUALIFICATIONS

E4. Current Studies

E4.1. Name of qualification*

E4.2. Name of Institute*

E4.3. Country*

E4.4. Date Completed*

E4.5. Will you complete any studies prior to the commencement of your proposed WIN program?*

Yes

E5. Completed Higher Education*

High School

College

University

Other

E5.1. Name of qualification*

E5.2. Name of Institution*

E5.3. Country*

E5.4. Date Completed*

*Applicants must attach certified copies of all relevant academic certificates and transcripts. Certified copies must be stamped and signed by a JP or an approved WIN education agent, and the certifier’s stamp must include the certifier’s printed name, title/position, signature and date of notary. All documents not in English must be translated into English by an approved translator.

WORK EXPERIENCE

List details of your previous work experiences (Please attach all work reference letters)

E6. Employment 1

Employer's Name(1)

Position and type of work(1)

Duration(1)

E6. Employment 2

Employer's Name(2)

Position and type of work(2)

Duration(2)

Applicants must attach certified copies of all relevant work references.

SECTION F: DETAILS OF FUND ( Apply for New Student Visa Only)

Welcome to Wentworth Institute of Higher Education. We offer quality undergraduate and postgraduate degree programs in Business, Professional Accounting and Interactive Media.