UNSW Global 2018 Student Guide English Guide | Page 59

UNSW Institute of Languages Application form Before completing the application form, please visit: www.languages.unsw.edu.au or the current UNSW Global Student Guide for the entry requirements. You can also apply through our online application form: apply.unswglobal.unsw.edu.au/ola We will endeavour to place you in your requested course/s. If you do not meet the entry requirements, or there are no longer places available, we may offer you an alternative pathway best suited to your needs and chosen study plan. AGENTS STAMP 1. Personal details (as in passport) Family Name Given Name Other Names (i.e. your English name, if any): Date of Birth (dd/mm/yyyy): / / Gender Country of Birth Nationality £  Male £  Female Passport No. Please attach a copy of the first page of your passport which shows your photograph. Please note: if you are an international student and under 18 years of age on commencement of study, Will you be under 18 on arrival? £  Yes £  No certain visa conditions apply. 2. Emergency contact details (For students under 18 years of age, please put your parent’s details here) Family Name Given Name Telephone Relationship Mobile Email 3. Citizenship Please select your citizenship status £  Australian Citizen* £  Australian Permanent Resident or New Zealand Citizen* £  Australian Temporary Resident* £  International Student** * You will need to attach evidence of Australian Citizenship/Permanent Residency status. **If you ticked this box you will need Overseas Student Health Cover (OSHC). This can be arranged by UNSW Institute of Languages in section 11. What type of visa will you be applying for? £  Student £  Student Dependant £  Tourist £  Working Holiday 4. Correspondence address (of student) Address City State/Province Telephone Country Postcode Email 5. English Programs Academic English Pathways £  Essential English (EE) £  Foundation English Entry Course (FEEC) £  IELTS Test Preparation (ITP) £  Essential Academic English (EAE) £  University English Entry Course (UEEC) £  Tertiary Orientation Program (TOP) Career English Pathways £  Essential English (EE) £  English for Law (EL) £  Career English (CE) £  English for Engineering, Science and Technology (EEST) Term and start date Term: Start date: / / How many weeks do you intend to study English? (minimum five weeks) 6. Scholarships Have you been granted a scholarship? £  Yes £  No Scholarship’s Name or Sponsor’s Name: 7. English Language Test Scores If you have taken an IELTS or TOEFL or other test, please give details and attach a copy of the test result if available. Test must have been taken within 12 months of the enrolment date. IELTS Score (Overall): IELTS Writing Score: IELTS Test Report Form No: Cambridge Score: TOEFL/IBT/PBT Score: PTE Score: