Page 30 - KBS 2013 Prospectus

30 I www.kbs.edu.au

Student information (Compulsory)

Please return the completed form to the Kaplan booking office through your local representative or your chosen campus.

CRICOS Codes: SA/QLD 02426B, NSW 02913J, VIC 02887F Kaplan Business School Pty Ltd ABN 86 098 181 947 Registered as a Higher Education ProviderCRICOS Codes: SA/QLD 02426B, NSW 02913J, VIC 02887F Kaplan Business School Pty Ltd ABN 86 098 181 947 Registered as a Higher Education Provider

Declaration

I confirm that I have read, understood and agree to be bound by Kaplan’s Terms and Conditions detailed on page 31 and Kaplan’s privacy policy which can be found at www.kbs.edu.au

I authorise any licensed hospital or physician to initiate medical treatment for myself in case of medical emergency or for my child if he/she is under 18 years of age. Signature

Signature of parent/guardian (required if student is under 18 years old)

Date

Date

Undergraduate Courses Diploma of Commerce Bachelor of Business Postgraduate Courses Graduate Certificate in Accounting Master of Professional Accounting Master of Accounting Master of Business Administration

Planned Completion* (please select intended study option)

2 Trimesters ^ (9 mths) 3 Trimesters (12 mths) 6 Trimesters ^ (24 mths) 9 Trimesters (36 mths)

1 Trimesters ^ (4 mths)

3 Trimesters ^ (12 mths) 4 Trimesters (18 mths)

4 Trimesters ^ (18 mths) 6 Trimesters (24 mths)

4 Trimesters ^ (18 mths) 6 Trimesters (24 mths)

* Planned completion – indicates the minimum and maximum times allocated for typical course completion – note minimum duration may be less if recognition of prior learning granted. ^ Fast track – requires completion of 4 subjects per trimester.

Advanced standing

Work experience

Employer Years of Service

(e.g. 1999-2003)

Position

1. 2. 3.

Do you wish to apply for advanced standing? Yes No If yes, please download and complete an Application for Recognition of Prior Learning form from the KBS website, then attach your academic transcript, course syllabus and course details to submit with your application. Refer to Terms & Conditions.

Additional services

Would you like an airport transfer on arrival? Yes No On departure? Yes No (Please send flight details to your Kaplan representative) Do you wish to purchase Overseas Student Health Cover (OSHC) through Kaplan Business School? Yes No

If yes, please indicate: Single Couples Family If no, please list your current OSHC details. Policy provider:

Policy number: Expiry date:

Do you have a disability which may affect your learning (i.e. vision, hearing, mobility, learning difficulties, medical or other conditions)? Yes (please provide details separately) No

Note: Answering this question will not affect your application – the information you provide will assist us in assessing how we can best cater for your needs.

Previous education

Name and location of institution Years Attended

(e.g. 1999-2003)

Award Received

1. 2. 3. 4.

State/province

Representative name (if relevant)

Family name

Title

Mr Ms Other

Representative information

Date of birth (d/m/y)

Country of citizenship

City

First name(s)

First language

Postcode

Country

Please write clearly in English and in BLOCK letters. Tick boxes where appropriate.

International Student Application

Domestic Student Application (Eligible FEE HELP)

Domestic Student Application

Visa type (if applicable) Visa number (if applicable)

Permanent address*

Telephone (home/mobile)

Representative address

E-mail

* Your permanent/home country address is required by the Australian Government. If it is not supplied, your application cannot be processed.

Enrolment form

At the time of your application are you:

Where was this application form lodged?

Not in Australia In Australia

English proficiency

Do you wish to apply for an English language course?

Yes No If yes, how many weeks do you require? (Minimum 5 weeks).

Do you have an English Language Score?*

Yes No If yes, what is your score?

Exam: Test Date:

Have you studied at secondary level, or above with English as the language of instruction? Yes No

Is English your first language?

Yes No If no, what is your first language?

* You may be required to undertake an English Language program. The course duration will be determined by your English proficiency. Ask your Kaplan representative for more information.

Program selection

Year of entry (e.g. 2013):

Intake: March July November

Campus selection

Adelaide Brisbane Melbourne Sydney

Country of birth

Telephone (home/mobile)

E-mail

Do you hold Permanent Residency or a current Australian Visa? Yes No N/A

If yes, please provide a copy of your PR or visa.

Passport number (if available) Expiry date

City