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: