Part 6
Previous Employment
If you believe you have relevant employment experience, please attach separate
documentation to your application.
Recent Use of English (please tick where appropriate and attach evidence)
What is your first language?
(Please tick
þ
where applicable and attach documentary evidence)
Are you currently attempting final year high school?
If yes, when do you expect your results to be released?
I have satisfactorily completed secondary/tertiary studies in Australia.
I have successfully completed an approved ELICOS program at:
I have undertaken an English test:
SCORE :
IELTS
Pearson
Cambridge
TOEFL
Other
Name of Institution
Length of course
Date of completion
Date
Part 5
Previous
Studies
Part 4
English
Language
Proficiency
Part 7
Study
Plan in
Melbourne
Declaration
THIS SECTION MUST BE COMPLETED BY THE APPLICANT
Agent Name/Details
SECONDARY STUDIES
THIS SECTION MUST BE COMPLETED BY THE APPLICANT
POST SECONDARY STUDIES
Documentary
evidence of
qualifications
claimed must
be attached.
Documents
not in English
must be
accompanied
by certified
translations.
Name of qualification (eg. A levels)
Name of qualification (eg. Degree/Diploma)
Please consider your answers carefully before you sign this Application.
Why do you want to study the courses you have applied for at Holmesglen?
1. I declare that the information
contained in this application
is true.
2. I confirm that I have received
and read a copy of Holmesglen’s
current prospectus and
information available on
and fully understand the
requirements of the course.
3. I have read, understood and
consent to the Terms and
Conditions of Enrolment and
the Fee Payment and Refund
Procedures at Holmesglen
Institute of TAFE.
4. I consent to DIAC providing
Holmesglen with any information
about my visa status from the
time of my application to the
time of my departure from
Australia.
5. I understand that this
agreement and the availability
of Holmesglen’s complaint
and appeals processes do not
remove my right to take action
under Australia’s consumer
protection laws.
6. I agree that Holmesglen may
disclose information in relation
to my enrolment status, visa
status, including any possible
breach of visa conditions
along with copies of my course
progress and results to my
parent/s, welfare carer, and/
or agent.
7. I understand that my photo may
be used in Holmesglen Institute
of TAFE’s promotional material
and consent for this to be done.
8. I confirm the information
supplied on this form in relation
to my study plan is true and
accurate. I understand that any
changes to my study plan may be
considered detrimental.
What job do you hope to get when you finish your course?
Why have you chosen this level of studies?
The level of the Principal Course I have applied for is
o
Certificate
o
Diploma
o
Degree
o
Post Graduate
Yes
No
Applicant’s Signature:
Date
Parent or Guardian Signature:
Date
Contact Details:
Holmesglen PO Box 42
Holmesglen, Melbourne Victoria 3148 AUSTRALIA.
CRICOS Provider Code: 00012G
Tel
(+61 3) 9564 1703 or 9564 1948
Fax
(+61 3) 9564 1712 / 1753
Email
Web
For general enquiries on applications,
contact us on Holmesglen.intladmissions
School/Institution
Country
Year Completed
School/Institution
Country
Year Completed
