1. Name of Secondary School:
2. Name of Post-Secondary/Teritary Institution:
Country:
Year Completed:
Country:
Year Completed:
Level of Study:
Level of Study:
Yes, please arrange: Single rate OSHC for myself
OR
Family rate OSHC for myself and my dependant/s
No, I will make my own arrangements for the duration of my student visa
Are you currently studying or do you intend studying an English Language Course before your Foundation Program? Yes No
Have you previously studied in Australia? Yes No
I will be sitting for a test:
Test Name:
Date:
Test Centre:
I have the following test result: IELTS Score:
Date:
Test report form no.:
TOEFL Score:
TWE/Writing Score:
Date:
If you have a current OSHC, please quote your OSHC policy number:
and expiry date:
7. Previous Study
Note: Please attach original certifed copies of your academic transcripts.
8. Overseas Student Health Cover (OSHC)
You must maintain OSHC for the proposed duration of your student visa. UNSW Foundation Studies can arrange visa-length cover with Medibank,
our preferred provider of OSHC.
9. English Language
If you have taken an IELTS or TOEFL or other test, please give details and
attach a copy
of the test result if available. Test must have been taken within 12 months of the enrolment date.
The length of OSHC will be calculated and advised, depending on your proposed enrolment period.
If you answered Yes to either question, please give details of these other programs below.
Correspondence
Lodge the completed form with a UNSW Foundation Studies representative in your country, or post to:
UNSW Foundation Studies, UNSW Sydney NSW 2052 Australia
T: +61 2 9385 5396
F: +61 2 9662 2651
E:
UNSW Global Pty Limited ABN 62 086 418 582 UNSW CRICOS Provider Code: 00098G
How did you hear about UNSW Foundation Studies?
Agency Name:
Branch Name:
Contact Name:
Email Address:
Application Form flled out completely and correctly?
Signed and attached the Australian Student Statement available at
f applicable.
Provided your program preferences and commencement date?
Nominated your intended Bachelor Degree?
Attached certifed copies of all required documents? Please note that each page must be certifed in accordance with our guidelines
available at
Signed the declaration on this form? If under 18 years of age, your parent/legal guardian must also sign.
10. Other Information
11. Checklist
Declaration
I certify that the information on the form is correct and complete in every detail, and I understand that inaccuracies or omissions may result in
non-acceptance or cancellation of enrolment at any time. I have read and understood the Conditions of Enrolment and acknowledge that the personal
information provided is covered under the Privacy Policy.
(Unsigned applications cannot be processed. Please sign your name on the signature box. A typed-in name cannot be accepted. Education Representatives cannot sign on behalf of the student.)
If applicant is under 18 years of age the signature of a Parent or Legal Guardian is required.
Start Date:
Finish Date:
Duration (English, high school etc.):
Type of Program:
Signature of Student (as it appears in your passport)
Date:
Signature of Parent or Legal Guardian
Date:
An online application form is available at:
UNI5629_UNSW Foundation Studies 2013 Guide_AW.indd 38
15/10/12 12