Enrollment Application Form

Course/ Program Details

In which Course/ Program are you enrolling in?

Full time Part time Flexible
External Elicos
(no of weeks)

Personal Details

Surname
Given Names
Date of Birth
Title (please check one of the following)
Mr Mrs Miss Ms Dr
Other (please specify)
Gender
Female Male

Contact Details

Address
Town/ Suburb
State Post Code
Country
Telephone (H)
Telephone (W)
Mobile
Fax
Email

Next of KIN/ Parent Guardian Details

Name
Address
State Post Code
Country
Telephone

Employment Status (Domestic Students Only)

Employer
Part Time Employed
Full Time Employed
Self Employed - not employing others
Employed unpaid family worker
Unemployed seeking Part Time work
Unemployed seeking Full Time work
Unemployed not seeking work

Previous Qualifications Achieved

Have you successfully completed any of the following qualifications? (Please tick applicable boxes)
Bachelor or Higher Degree
Advanced Diploma or Associate Degree
Diploma (or Advance Certificate)
Certificate IV (or Advanced Certificate)
Certificate III (or Trade Certificate)
Certificate II
Certificate I

Schooling

Are you still attending school? Yes No
What is your highest COMPLETED school level?
Did not go to school Year 10
Year 8 or lower Year 11
Year 9 or equivalent Year 12
Please also fax or email certified copies of your secondary and tertiary qualifications.

International Students Only

What are the details of you education agent?
Name
Email
What are your passport details?
Country
Number
Which office will you be applying for your visa?

Please fax or email a certified copy of the pages of your passport bearing your photo and personal details as well as your visa if you already have one.
What is your expected start date?
Are you transferring from another college?
Yes No (If yes Please fax or email letter of release)
What is your IELTS or TOEFL score?
IELTS
TOEFL
Please fax or email a certified copy of English proficiency test score.
Do you have overseas health cover (OSHC)?
Yes (if yes, please fax or email a copy)
No
If No, Do you want the college to arrange OSHC
Yes
No

Disability Impairment or Long Term Medical Condition

Do you Consider yourself to have a disability, impairment or long term medical condition?
Yes No
If 'yes' please indicate the area(s) of impairment
Acquired Brain Impairment Deaf
Intellectual Learning Mental Illness
Vision Physical Medical Condition
Other
Would you like to recieve advice on support services, equipment and facilities which may assist you?
Yes No
Do you have a medical condition which may require first aid of which your trainer/ educator should be made aware of?
Yes No

Language/ Cultural Diversity

Do you speak a language other than English at home?
No, English only
Yes, Other
If 'other', how well do you speak English?
Very Well Well Not Well Not at All
Country of Birth
In which country were you born?
Specify
Are you a permanent resident of Australia?
Yes No

Indigenous Status

Are you of Aboriginal and/ or Torres Strait Islander origin?
Yes - Aboriginal
Yes - Torres Strait Islander
No
Would you like to recieve advice on support services which may assist you?
Yes No

Marketing Source
Where did you obtain information regarding the college?
Course Guide Internet Education Agent Newspaper Employment Agency	Yellow Pages Television Radio Friend Other

Refunds (for further information refer to the Student Handbook)

The Enrolment Fee is non-refundable except in the event that the College is unable to run a course for which a student has enrolled. In such a case the Enrolment Fee is fully refundable.

If a student cancels their course more than four weeks prior to the proposed course commencement date or if their visa application is rejected, a refund of any course fees already paid will be given within two weeks of receipt of a written request for the refund.

No refund is given after the course has commenced. This agreement does not remove the right to take further action under Australia’s consumer protection laws.

The College’s dispute resolution processes do not circumscribe a student’s right to pursue other legal remedies. Handbook for the College’s

Declaration

King’s International College’s courses are offered to international students in accordance with the Australian Government’s Education for Overseas Students (ESOS) Act 2000 – students must study full-time on campus in CRICOS registered courses only.

I agree that I will not hold King’s and/or its employees and/or agents liable for and will not make any claim against them for loss, damage, death or injury which I may suffer or cause as a result of or in connection with or during the period of: my attendance at any premises owned, operated or controlled by King’s; and/or my attendance at any activity of which King’s has any knowledge (whether sporting, cultural, recreational or otherwise) organised by or on behalf of or with assistance of King’s or any activity of King’s; and/or in any way whatsoever my association with King’s.

On behalf of myself, executives, administrators and assigns I hereby release King’s and/or its employees and/or its agents from loss, damage, death or injury and from any actions, claims and demands which, if I have not entered into this Agreement, I might otherwise have been entitled to take or make in respect of any such loss, damage, death or injury and I hereby indemnify King’s and/or its employees and/or its agents against any such liability. I agree that this Agreement shall be governed in all respects by and interpreted with the laws of the State of Queensland in the Commonwealth of Australia.

I certify that I have read this form thoroughly and agree to the conditions stated herein. I certify that I have read the Conditions of Enrolment and the Student Information Handbook, which incorporates the Code of Practice, Client Services Policies and the Code of Behaviour thoroughly and agree to the conditions stated.

I declare that the information supplied by me on this form is true and correct in every detail. I authorise King’s International College to obtain from other education institutions and relevant authorities details of my enrolment, academic record and examination results.

If accepted by the College I agree to abide by the rules and regulations of King’s International College and the conditions of my Australian visa (If applicable).

I understand that enrolment is accepted under the condition that my tuition and other fees are paid on or before the due date.

All information provided by me is correct and complete, at date of enrolment.

The student agrees that King's International College is able to provide information to their representative agent or parent/guardian in relation to attendance, academic performance, fees payment, welfare, and other associated student issues.

Please check this box if you have read and understood all the declarations of this form.

Payment Method

Please select your preferred payment method