International Student Application Form

APPLICANT DETAILS

Have you previously studied at Wentworth Institute?(Required)

Yes please fill WIN Student ID below)

WIN Student ID(Required)

Title(Required)

Other

Gender(Required)

Male

Female

IndeterminateNon-binary/Other

Name(Required)

Given Name(s) Surname

Previous Name

Preferred Name

Date of Birth(Required)

Country of Birth(Required)

Citizenship(Required)

Passport Number(Required)

Expiry Date(Required)

Phone Number(Required)

Email(Required)

Current Residential Address(Required)

Street Address Suburb State Postcode

Home Country Address (if different from above)

Street Address City State / Province / Region Postcode Country

AGENT/REPRESENTATIVE INFORMATION

Agent Name(Required)

Contact Person(Required)

Agent Phone Number(Required)

Agent Email(Required)

VISA/IMMIGRATION DETAILS

Do you hold an Australian temporary entry permit or visa?(Required)

Yes

If yes, please provide a copy along with the following details:

Visa Type(Required)

Visa expiry Date(Required)

Do you have a USI (Unique Student Identifier) from the Australian Government?(Required)

Yes (provide USI number below)

USI Number(Required)

Have you, your spouse or any dependents ever been refused a visa to Australia or any other countries?(Required)

Yes (Country below)

OVERSEAS STUDENT HEALTH COVER

Do you wish to purchase Overseas Student Health Cover (OSHC) through Wentworth Institute?(Required)

Yes (Select below)

Untitled(Required)

Single

Couples

Family

PREFERRED INTAKE

Year(Required)

Intake Month(Required)

March

July

September (Canberra MIT & MPA only)

November

Campus(Required)

Sydney

Canberra

COURSE SELECTION

Courses offered in Sydney Campus(Required)

Courses offered in Canberra Campus(Required)

RECOGNITION OF PRIOR LEARNING

Do you wish to apply for Recognition of Prior Learning?(Required)

Yes

If yes, please provide the following evidence:

- Copies of subject outlines, including learning outcomes, topic list, assessment details, contact hours/study workload
- Originals or certified copies of certificates and transcripts.

ENGLISH LANGUAGE PROFICIENCY

Is English your first language?(Required)

Yes

Main Language spoken at home

Please indicate if you have taken one of the following English tests(Required)

IELTS

PTE

TOEFL

Other

Please specify the name of the English test(Required)

Score(Required)

Test Date(Required)

PREVIOUS EDUCATION

List(Required)

Name of Institution

Location

Name of Qualification

Years Attended

Completed (Y = Yes, N = No)

WORK EXPERIENCE

List

Name of Employer/Company

Location

Position Held

Years Employed

DISABILITY ASSISTANCE

Do you have a disability, impairment or long term medical condition which may affect your studies?(Required)

Yes

please provide details(Required)

Study area

Study level

Information

Academic Calendars and Timetables

Student support

More information

How to apply

Course fees

Recognition of prior learning

Living and Studying in Australia

About WIN

WIN team

WIN campus

Agents