RGIT Australia – International Student Form

PERSONAL DETAILS

Campus Location

Melbourne

Hobart

Family Name(Required)

(as stated in your passport)

Given Name(s)(Required)

Email(Required)

Enter Email Confirm Email

Mobile(Required)

Telephone

Nationality

Date of birth

*Student must be at least 18 years of age at the time of arrival in Australia.

Gender

City of Birth

Country of Birth

First Language

Languages spoken at home

Address in Australia (if known)

Address

Street Address Suburb City State Postcode Country

Address in Your Home Country

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone

Mobile

Mailing Address in Australia (if different)

Address

Street Address Suburb City State Postcode Country

Telephone

Mobile

Do you have any disabilities or medical conditions?

Yes

No

If 'Yes', please specify:

Will it impact your ability to study?

Yes

No

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

Yes, please specify below

No

I will create myself (please visit www.usi.gov.au)

I authorise RGIT to create one on my behalf (you will be provided with a USI Consent Form to complete)

USI Number

Fill, if you mentioned you already have one above

PASSPORT AND VISA DETAILS

Passport Number

Expiry Date

Country of Citizenship

Country

Do you have a valid Overseas Student Health Cover (OSHC)?

Yes

No

Have you applied for any Australian visa in the past?

Yes

No

Have you applied for permanent residency in Australia?

Yes

No

Have you had your visa refused in the past?

Yes

No

COURSE OF STUDY

Please list the course/s you are applying for to study at RGIT Australia.

Interested Course

CRICOS Code

Name of the Course

Course Duration

Proposed Commencement Date (e.g. July 2023)

ENGLISH LANGUAGE PROFICIENCY

Please tick (✓) which of the following applies to you.
Attach relevant evidences/ documentation to support your selections.

Please tick (✓) which of the following applies to you.

English is my first language

I have completed a recognised English language test

I intend to complete an ELICOS course in Australia

English was the language of instruction in my secondary/tertiary studies

Attach relevant evidences/ documentation to support your selections.

English language evidence

Max. file size: 128 MB.

Name of the test (e.g. IELTS, TOEFL)

Test Score

Please make sure you refer to the specific entry requirements that apply to the course you are applying for. These requirements are detailed in the student prospectus. From 1 July 2018, students applying for HLT54115 Diploma of Nursing, would be required by the NMBA to provide a formal English language skills test when applying for registration and must provide a formal English language test result demonstrating achievement of the NMBA specified level of English language skills, prior to commencing the program (www.nursingmidwiferyboard.gov.au).

EDUCATION HISTORY

Please provide details and documentation of your past education including the highest qualification reached or completed.

List

Year Completed

Name of School/Institution

State/Country

Name of Qualification

Course Duration

EMPLOYMENT HISTORY

Please provide details and documents of your relevant employment.

List

Date Employed (e.g. Mar 13 – Feb 14)

Name & Country of Employer (e.g. Sheraton Pty Ltd, Australia)

Position

Duties

REQUESTS AND PREFERENCES

Do you want RGIT Australia to organise your accommodation?

Yes

No

If yes, what type of accommodation do you need?

Homestay

Sharing with others

Apartments, units and flats

Would you like RGIT Australia to provide you with an airport pick-up?

Yes

No

Please indicate your preferred timetable choice for classes

(This timetable choice is not guaranteed. RGIT Australia will do their best to meet this request)

Weekdays

Weekends

MEDIA CONSENT

From time to time, RGIT Australia staff may request to take photographs/videos or verbal/written interviews/testimonials of students at RGIT Australia or at places where the student is involved in an activity. These creations may be used in a classroom or on-the-job work activities or could be published by RGIT in print, digital or broadcast media such as documents, student magazine, website, RGIT TV, newsletters, displays, journals, professional development materials for trainers and marketing collateral. Staff may also at times request students provide any of the above of the students own creation for the same purposes.

Consent

I do consent to RGIT Australia using any of the above materials involving me for the purposes outlined above.

Consent

I do not consent to RGIT Australia using any of the above materials involving me for the purposes outlined above.

STUDENT DECLARATION

Consent(Required)

I confirm that I have read and understood RGIT Australia’s current Student Prospectus or information provided on RGIT Australia website (www.rgit.edu.au) which details information about the ESOS framework, course entry requirements, English entry requirements, LLN requirements. I also understand fees payments and refund policy, including an explanation of what occurs, if for some unforeseen reason, the course is not delivered.(Required)

Consent(Required)

I confirm that I am fully aware of the fees and refund policy, conditions of enrolment and privacy statement as set out in Privacy Policy and Procedure, available at www.rgit.edu.au/policies, which I agree to abide by as a student at RGIT Australia.(Required)

Consent(Required)

I understand that I am not required to pay more than the initial tuition fee amount as stated on this offer letter (or 50% of the tuition fee) before the start of the course. However, I am also aware that I have a choice to pay more than 50% of the tuition fees or the full course fees upfront if I choose to do so. Any amount of fees paid before the start of the course will be reflected in my Confirmation of Enrolment (CoE).(Required)

Consent(Required)

I declare that all information provided in this expression of interest is complete and correct. I understand that failure to provide correct information or documentation in relation to this expression of interest may result in cancellation of my enrolment.(Required)

Signature of Student(Required)

Signature of Parent or Legal Guardian*

Date(Required)

*Note: This expression of interest and declaration must be signed by a parent or legal guardian if the student is under 18 years of age at the time of expression of interest. Student must be at least 18 years of age at the time of arrival in Australia.

Name

This field is for validation purposes and should be left unchanged.

RGIT Australia - Expression of Interest Form

PERSONAL DETAILS

Address in Australia (if known)

Address in Your Home Country

Mailing Address in Australia (if different)

PASSPORT AND VISA DETAILS

COURSE OF STUDY

ENGLISH LANGUAGE PROFICIENCY

EDUCATION HISTORY

EMPLOYMENT HISTORY

REQUESTS AND PREFERENCES

MEDIA CONSENT

STUDENT DECLARATION