Domestic Application Form - Melbourne City College Australia

Domestic Student Application Form

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+61 3 9614 8422

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Personal Details:

Title*:

First Name*:

Last Name*:

Date of Birth (dd/mm/yyyy)*:

Gender*:

Have you been enrolled at Melbourne City College Australia (MCCA) previously?*

Student No*:

Do you have a Unique Student Identifier Number (USI)?*

USI No*:

Note: - If No, you can create your own USI at the USI website www.usi.gov.au or fill out the College USI Application Form. If you are a student undertaking nationally recognised training you must have a Unique Student Identifier (USI)

Contact Details - Place of Residence:

Street Address*:

Suburb/ Town*:

State*:

Post Code*:

Telephone (H):

Fax (H):

Telephone (W):

Fax (W):

Mobile Phone*:

Email Address*:

Next of Kin (Emergency Contact Details):

Relationship*:

Given Name*:

Family Name*:

Address (Line1)*:

Address (Line2):

Suburb*:

State*:

Post Code*:

Mobile Phone*:

Email Address*:

Extra/ Special Support Needs:

Do you need extra support/ have a disability, medical condition, impairment or long term condition that should be considered which may interfere with undertaking the course or which requires special assistance from the College? (E.g. Hearing/visual impairment, mobility requirements)*

If you require assistance, please contact: +61 3 9614 8422

VSN Details

Are you new to the Victorian Education system or do not have your Victorian Student Number (VSN)? To be completed by all students aged up to 24 years

I do not know my VSN but I have participated in training at a Victorian school since 2009, TAFE or other VET training provider since 2011. Please list the most recent training

If you require accommodation or airport pick up arranged, please speak to the Student Services Department

Agent Details*:

Any agent involved with your application:

Choose your course*

(113396B) CHC33021 Certificate III in Individual Support

SIT40521 Certificate IV in Kitchen Management

(110430G) CHC30121 Certificate III in Early Childhood Education and Care

(109865A) SIT30821 Certificate III in Commercial Cookery

(113397A) SIT50422 Diploma of Hospitality Management

(108269G) BSB50120 Diploma of Business

(108270C) BSB60420Advanced Diploma of Leadership and Management

when you want to start the course?*

Entry Requirements, Prior Learning & Career Goals

Why did you choose to enrol at MCCA?*

Why do you wish to undertake the course?*

Do you meet the course entry requirements?*

Qualification Details

What is your Highest Qualification?*

Country*:

Institute*:

Completed Year*

Add Qualification

Work History

Do you have any experience that is relevant to your chosen course?*

Please upload all supporting documents

Upload document

Add new

(Example – Passport copy, IELTS Score copy, Qualifications etc.,)

Language, Literacy and Numeracy (LLN)

Are you willing to complete a Language, Literacy and Numeracy (LLN) assessment by the College?*

Do you intend to request for a Credit Transfer of Recognition of Prior Learning (RPL)?*

What do you expect to achieve after completion of the course?*

What is your career plan?*

Payment

A request for payment or tuition and other fees will be made if you receive a letter of Offer. Please make your payment by bank cheque, credit card,telegraphic transfer or direct deposit into our account of Melbourne City College Australia. Melbourne City College Australia has no obligation until funds are cleared and an official receipt is issued.

Melbourne City College Australia accepts payment of no more than $1,500 from each individual student prior to the commencement of the course. Following course commencement, it may require payment of additional fees in advance from the student but only such that at any given time, the total amount required to be paid which is attributable to tuition or other services yet to be delivered to the student does not exceed $1,500.

FEEDBACK

How did you hear about Melbourne City College Australia?*

Relative/Friend Internet Social Media Agent/JSA Centrelink Other

Privacy Statement*

The information collected in this form is for the purpose of processing your application with Melbourne City College Australia. The information will be held by the College in accordance with its Privacy Policy and Procedures and may be accessed and used by people employed/ engaged by the College.
The information may be made available to government departments and agencies in relation to the College’s obligations under law including the Education Services to Overseas Students (ESOS) Act 2000(Cth), the National Code 2018 and Standards for RTOs 2015 and the Australian Skills Quality Authority (ASQA) reported under the Australian Vocational Education and Training Management Information Statistical Standards (AVETMISS); and to ensure student compliance with the conditions of their visas and their obligations under Australian immigration laws through the Department of Home Affairs (DHA).
The Education and Training Reform Act 2006 requires Melbourne City College Australia to collect and disclose my personal information for a number of purposes including the allocation to me of a Victorian Student Number, Unique Student Identifier and updating my personal information on the Victorian Student Register. You have a right to access and correct your personal information in accordance with privacy legislation and the College’s Privacy Policy and Procedures. For more information in relation to how student information may be used or disclosed please access the Colleges Privacy Policy at:

melbournecitycollege.edu.au/pdfs/privacy.pdf

Declaration*:

I declare that the information provided by me in this Application Form, is correct. I confirm that I have read, fully understand, and accept the College TERMS AND CONDITIONS and Policies and Procedures available on the College Website, and agree to be bound by them including the Fee and Refund Policy, and that I have the financial capacity to meet tuition fees and agree to pay fees as they become due. I acknowledge and agree to the terms described in this privacy statement

Application Submission*

By submitting your application, you agree that you have provided accurate and true information to Melbourne City College Australia. The information on this form will be treated in confidence and will only be used in accordance with the Data Protection Act 1988.

Student Signature*

(Please left click your mouse for making signature)

Applicant Full Name*:

Date*

Captcha*

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Application Form
Domestic Student
Version 20
Create Date: 26 September 2023

Domestic Student Application Form

Simply Follow Through

Call us

+61 3 9614 8422

Personal Details:

Contact Details - Place of Residence:

Next of Kin (Emergency Contact Details):

Extra/ Special Support Needs:

VSN Details

Agent Details*:

Choose your course*

Entry Requirements, Prior Learning & Career Goals

Qualification Details

Work History

Language, Literacy and Numeracy (LLN)

Payment

FEEDBACK

Privacy Statement*

Declaration*:

Application Submission*

Student Signature*

Captcha*

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Confirmation

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