Domestic Student Application Form

Simply Follow Through

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*:

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

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

(109865A) SIT30821 Certificate III in Commercial Cookery

SIT40521 Certificate IV in Kitchen Management

(113397A) SIT50422 Diploma of Hospitality 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?*

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)?*

Do you have digital capability to participate in online training?*

Do you have access to a laptop or desktop computer, relevant software and technology and understand the minimum IT requirements to enable you to participate in online training?*

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

What is your career plan?*

Please upload all supporting documents

Upload document

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

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. Read more..

FEEDBACK

How did you hear about Melbourne City College Australia?*

Relative/Friend

Internet

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. Read more..

Declaration*:

I declare that the information provided by me in this Application Form, is correct. Read more..

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*:

Captcha*

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Application Form
Domestic Student
Version 23
Created Date: 18 February 2025

Domestic Student Application Form

Simply Follow Through

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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