Student Details

Student ID Number

Student Name

Preferred Name

Title

Date of Birth

Gender

Female

Male

Not Specified

Are you 18 years of age or older?

Yes

First Language

Disability

Yes

If yes please provide details

Comment

Unique Student Identifier (USI) Number

(Students who hold an Australian visa must provide an USI Number Apply online www.usi.gov.au)

I have not applied for USI number. Provide a reason:

Comment

Contact Details

Home Country Contact Details

Address

City

State/Province

Zip/Postal

Country

Telephone

Mobile

Australia Contact Details

Address

City

State/Province

Zip/Postal

Country

Telephone

Mobile

Emergency Contact

Next of Kin

Full Name

Phone

Note: Students MUST advise ACCHS of any change to their phone, address, email or emergency contact within 7 days of the change.

Overseas Student Health Cover (OSHC)

Do you have an existing OSHC?

Yes

Note: You must provide a copy to ACCHS

File Upload

Maximum file size: 268.44MB

Expire Date

Nationality/ Citizenship

Passport Number

Passport Expire Date

What is your Nationality on your passport?

Do you hold an Australia Visa?

Yes

If yes Country of Issue

Visa Type

*certified copy of your passport and visa is required with this application (if you have one)

File Upload

Maximum file size: 268.44MB

Expire Date

Highest Level of Education Achieved

Name of Highest Qualification (e.g. schooling Year 12, Qualifications: e.g. Cert III, IV /, Diploma or Bachelor) 
*attach Certified copies of completed qualifications
* of extra space required please attach separate list

Name of Institution

Completed Year

Counter/ State

Language of Instruction

File Upload

Maximum file size: 268.44MB

English Language

IELTS Score

TOEFL Score

Other

Date of Test

Attach details of other English language assessment including provider, date and copy of qualification.

Maximum file size: 268.44MB

Are you currently enrolled in an ELICOS/English language school?

Yes

If Yes provide details

Course Selection

CHC33015 Certificate III in Individual Support

CHC43015 Certificate IV in Ageing Support

CHC52015 Diploma of Community Services (Case Management)

BSB51918 Diploma of Leadership and Management

BSB50215 Diploma of Business

Date/s you wish to commence studies with ACCHS

*Please refer to college website or Course Fee structure for checking the payment details.

How Did You First Learn About ACCHS?

You may tick more than one box.

Comment

Agent Information (If applies)

Agent name

Agent stamp

If Yes Provide Details

When did you complete your course with your previous provider in Australia?

(Attach evidence e.g. certified copy of Certificate of completion)

File Upload

Maximum file size: 268.44MB

Note: ACCHS will not enrol a student wishing to transfer from another institution unless the student can provide evidence they have completed 6 calendar months or the provider has produced a Release Letter.

Student Declaration and Signature

I understand that by signing this application form, I may be sent a Formal Letter(s) of Offer/Written Agreement Contract from ACCHS.
• If all of the admission requirements are met.
• I authorise ACCHS to contact me by SMS, Email or phone.
• I authorise ACCHS to verify any information I have provided on this form.
• I give ACCHS permission to obtain official records / confirm details from a previous educational institution
attended by me listed on this form.
• I have read and understood all of the information on this form.
• I am aware of my obligation to advise of any changes to my contact details within 7 days including a change
to my next of kin / emergency contact / phone number /address or email
• I am aware of my obligation to pay outstanding fees and understand non-payment of fees can lead to
cancellation of my course enrolment by ACCHS.
• I am aware I must abide by visa conditions throughout my enrolment period in Australia including maintaining
attendance and course progress
• I understand living costs in Australia may be higher than my home country.
• I understand Tuition and Non-Tuition fees may change during my course.
• I have been provided with access to pre-enrolment information including the ACCHS International Student
Handbook & marketing information containing: entry requirements for the course including English language, and academic requirements, work experience and course credit/RPL applicable; any required work based training course content, duration & holiday breaks, qualification(s) on completion, modes of study and assessment methods; ACCHS campus locations, ACCHS general description of facilities, equipment, learning and library resources; details of any arrangements ACCHS has with any other organisations to provide the course; course related fees (Tuition and non-Tuition); the ACCHS Refund, Complaints and Appeals, Deferment, Suspension and Cancellation Policies; A description of the ESOS Framework including the ESOS Act (as amended) and the National Code 2018; Costs of living in Australia, Accommodation options, and obligations of schooling for any school aged dependents I may have.
• I acknowledge and agree that ACCHS may share personal information with The Australian Government and designated authorities and, if relevant, the Australian Skills Quality Authority (ASQA), the ESOS Assurance Fund Manager or the Tuition Protection Service (where applicable) and their authorised auditors.
• I acknowledge and agree that ACCHS may advise the Department of Home Affairs (DHA) and Agent about personal information, changes in the student enrolment and breach of any student visa relate to attendance or progress.
• I am aware I can obtain additional copies of the International Student Handbook, Policies, Procedures and Marketing Information from the ACCHS website: www.acchs.edu.au

Applicant's Name

Applicant's Signature

Clear

Date

Documents Provided

Copy Passport

Certified copies of Previous Qualifications

Evidence of English Language level

Copy of visa (if applies)

Copy of OSHC

Additional support information (if applies)

Release letter (If applies)

Office Use Only

Application received by

Title

Date

Application assessed by

Title

Date

* Attach enrolment assessment schedule

Maximum file size: 268.44MB

International Student Contract

Approved

Not Approved

If you are human, leave this field blank.

Application For Enrolment (International Students)

Student Details

Contact Details

Overseas Student Health Cover (OSHC)

Nationality/ Citizenship

Highest Level of Education Achieved

English Language

Course Selection

How Did You First Learn About ACCHS?

Agent Information (If applies)

To Be Completed If You Are Already Studying Or Completed Previous Course In Australia

Student Declaration and Signature

Office Use Only