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Application Form

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SECTION 1

Course Selection

Are you an Australian Citizen / Permanent resident? ^*	No Yes
Campus ^*
Course ^*
Start Date^*

Section 2* These fields are required

Student Details

First name^*		Last name^*
Gender^*	Male Female	Date of birth^*
Telephone^*		Email^*
Mobile		Fax
Citizenship^*		Country of birth^*
First language^*		Passport number
CSU Student number	(Only if you have previously been enrolled at Charles Sturt University)

Residential Address

Street Address^*		Suburb / City^*
State / Province^*		Postcode^*
Country^*

Section 3 * These fields are required

Visa Details

Visa Status

Visa Type

If you currently hold an Australian Student Visa, please provide details of the:

Visa Subclass
Visa expiry date
Visa number

Section 4 * These fields are required

English language proficiency

Academic IELTS (score)

Overall
Reading
Writing
Listening
Speaking

TOEFL (score)

Overall
Test for Written English

Other Test (please specify)

If you do not have test results, please indicate when you sat, or intend to sit the test

It should be noted that IELTS is the preferred test as many students must provide an IELTS test to the Australian Embassy in order to obtain their student visa.

Disability

Do you have a disability, impairment or long-term medical condition which may affect your studies?^*
Please indicate the area/s of impairment:^*	Brain Impairment Hearing/Deaf Intellectual Learning Medical Condition Mental Illness Mobility Physical Vision Other
	Other:^*
Would you like to receive advice on support services, equipment and faclities which may assist you?^*	Yes No

Section 5 * These fields are required

Educational Background - Secondary Studies

Name of school
What is your highest completed secondary level?^*
In which YEAR did you complete that school level?
In which country did you complete that school level?

Educational Background - Tertiary Studies

You will be contacted by a Student Enrollment Advisor about providing certified copies of your academic transcript and English language proficiency results
Course
Institution		Country
Duration		Year Completed
If you have not yet completes your course, please indicate when you expect to qualify for your award

Relevant Employment Experience (if required for your chosen course of study)

Please be prepared to send a written statement and evidence of your employment history including date of employment (fromt - to), job title, and main duties

Full-Time Part-Time

Do you wish to apply for exemption/credit based on previous relevant studies?

Yes No

If yes, you must provide a certified copy in English of your transcript of results; a description of the grading system used; and a description of all subjects completed from the institution’s official handbook/calendar for the appropriate year, or other appropriate evidence. For incomplete qualification we need the course structure (including number of credit points for whole degree and individual subjects if applicable). Applications for exemption/credit cannot be assessed without this information.

How did you hear about us?

Section 6

Declaration

First name		Last name
Email		Date of birth
Course

I have read, understood and agree to be bound by the Terms and Conditions as stated in this document^*
I have read the Cancellation, Refund and Grievances Policies and agree to abide by these policies^*
I hereby declare that the information supplied by me is true and correct^*
I agree to pay all fees owing and by the due date^*

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