Apply for a course at APC

Please enter the following details and press the Submit button.

PERSONAL DETAILS

Family Name :
Given Names :
Sex :	Male Female
Date of Birth :	Date: Month: Year:
Nationality :
Occupation :
Address in Home Country :
:
City :
State/Province :
Country :
Post Code :
Phone :
Fax :
email :
Address in Australia (if known) :
:
City :
State/Territory :
Post Code :
Phone :	Area Code Number
Fax :	Area Code Number

VISA DETAILS

Are you currently in Australia?	Yes No
If YES, what type of Visa do you currently hold?	Other:
If NO, what type of Visa have you applied for (or are you applying for)?	Other:

How were you introduced to Australian Pacific College:

EDUCATION DETAILS

Highest Level of Education Completed :

Level:
Award:
Other:
Institution Name:

Present level of English :

	Beginner
	Elementary
	Intermediate
	Advanced

Please provide details if you have already taken any of these examinations :

Examination:
(To view the list, please click on the down-arrow)
Score:

Other English Proficiency tests :

Name
Score:

Phone :

Area Code

Number

FURTHER STUDIES IN AUSTRALIA

Do you intend to continue studying in Australia after your course at APC? :

Yes No
(If NO, please go to the next section)

If YES, at what level do you expect to study? :

Level:
Subject Area(s):

Have you already applied for your next course? :

Yes No

If, YES :

Institution Name:
Course Name:
Course Start Date:	/ / (dd/mm/yyyy)

If NO, do you require assistance from APC with placement? :

Yes No
(If NO, please go to the next section)

If, YES :

Institution Name:
Course Name:
Course Start Date:	/ / (dd/mm/yyyy)

SELECT YOUR COURSE(S) AND ELECTIVE(S)

English Courses

General English(GE)	weeks
High School Preparation(HSP)	weeks

English for Academic Purposes (EAP)	weeks
IELTS elective	weeks
TOEFL elective	weeks
Cambridge FCE	weeks
Cambridge CAE	weeks

Conversation Class(CC)	weeks
English for Business Studies	weeks

Course Start Date: / / (dd/mm/yyyy)
Course commence every Monday (every week) except public holidays

Business/IT Courses

Business Studies or Information Technology

Level/Award:
Advanced Diploma ** Business (2 years)
Diploma (18 months-2 years)
Certificate IV (12 months)
Certificate III (6 months)
Certificate II (3 months)

Course Start Date: / / (dd/mm/yyyy)
(Click here for Business/IT course Start Dates)

STUDENT SERVICES - ACCOMMODATION & AIRPORT PICK-UP

Do you require APC to arrange your ACCOMMODATION?	Yes No (If NO, please go to the next section)
If, YES :	Type: Single or Shared Length: weeks Start Date: / / (dd/mm/yyyy)
*Please complete the section below only if you have chosen HOMESTAY*
Do you smoke :	Yes No
Do you object to pets in the house?	Yes No
Is there any food you do not eat?
Do you have any special dietary requirements?
Do you suffer from any medical conditions?

Do you require APC
to arrange your
AIRPORT PICK-UP?

Yes No
(If NO, please go to the next section)

If, YES :

Flight Carrier(Airline):	eg. Qantas
Flight number #:	eg. QF01, TG897, BA02 etc.
Flight DEPARTURE:	/ / (dd/mm/yyyy)
Flight ARRIVAL:	/ / (dd/mm/yyyy)
Flight ARRIVAL Time:	-- AM or PM

FEES AND PAYMENT

All values in Australian Dollars(A$) (Click here to see a list of our current fees)

Application Fee English Courses (Non Student Visa Holder) - $100 English Courses (Student Visa Holder) - $150 HSP - $220 Business & IT (Certificate II & III) - $200 Business & IT (Certificate IV) - $250 Business & IT (Diploma & Advanced Diploma) - $300	(non-refundable)
Tuition :
Accommodation Booking Fee:	(non-refundable)
Accommodation :
Airport Pick-up:
Overseas Health Students Cover (OSHC):	Single Family
Further Studies Placement:	(non-refundable)
Text Book and Materials:	(Only HSP students pay $175)
Other :
Bank charges/fees :	(Telegraphic Transfer fees)
TOTAL :

Payment :

Cash
Bank Draft
Telegraphic Transfer
Credit Card

If paying by Telegraphic Transfer or Direct Deposit

Bank Name: Westpac Bank
Address: 275 George St, Sydney N.S.W.
Account #: 032013 - 131540

If paying by
Credit Card

Type of Card - we accept the following
MasterCard Visa Amex JCB card

Name on Card:
Card Number:
Expiry Date:	/ (mm/yy e.g.11/03)
Amount:

Upon receipt of all application, tuition and other fees, we will send a successful applicant a Letter of Offer and a Confirmation of Enrolment (COE) Form. These will need to be presented to the Australian High Commission to obtain a Student Visa (this does not apply to Travel Visa and Working Holiday Visa holders).

Click Submit to send this form or Clear Form to erase all values

CRICOS PROVIDER: YOUNG RABBIT PTY LTD 01331F