Post Year 12 Studies APPLICATION FORM Please complete and return to the Careers Counsellor with all relevant attachments Careers

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Post Year 12 Application Form | International Students

Post Year 12 Studies - APPLICATION FORM

Please complete and return to the Careers Counsellor with all relevant attachments

Careers Counsellor, ELTHAM College of Education, PO Box 40, Eltham 3095

Telephone	(03) 9437 1421
Fax	(03) 9437 1881
Email	cnightingale@elthamcollege.vic.edu.au

*means the data is required

Student Details

Title*	Other
First Name*
Surname*
Date of Birth*	Month Day Year
Sex*
Residential Address
Address*
City*
Country*
Zip*
Postal Address
Address*
City*
Country*
Zip*
Contact
Telephone (Home)*
Mobile
Fax
Email
Country of Birth*
Nationality*
Course Details
Name of Course*
Start Date*	Month Day Year
Expected Completion Date*	Month Day Year
Educational Background
Secondary Education >>>
Highest Qualification or Level*
Institution/School Name*
Address*
Date Completed*	Month Day Year
Teriary Education >>>
Highest Qualification or Level
Institution/School Name
Address
Date Completed	Month Day Year
Employment History	Include any employment experience (full-time, part-time or casual) which is relevant to your application. Include any relevant school work experience, voluntary or community work.
Position 1 >>>
Company Name / Employer
Position and duties performed
Duration of employment	Month Day Year
Position 2
Company Name / Employer
Position and duties performed
Duration of employment	Month Day Year
Position 3
Company Name / Employer
Position and duties performed
Duration of employment	Month Day Year
Position 4
Company Name / Employer
Position and duties performed
Duration of employment	Month Day Year
Position 5
Company Name / Employer
Position and duties performed
Duration of employment	Month Day Year
Position 6
Company Name / Employer
Position and duties performed
Duration of employment	Month Day Year

Person/Company Responsible for Payment of Accounts

Address to which accounts are to be forwarded (or write “student” if applicable)

Title*
Company Name (if applicable)
First Name*
Surname*
Telephone (AH)*
Telephone (BH)
Email

Payment

A non-refundable application fee of A$ 100 must be submitted with this application. This can be paid by:

Bank Draft payable to Eltham College in A$ to an Australian Bank – please fax or mail a copy of the bank draft
Credit Card (Visa or Master Card)
Electronic Transfer (please fax or mail a copy of the transfer receipt including your name and contact details)

Payee Eltham College
Bank National Australia Bank
Branch Number (BSB) 083-784
Account Number 515 366 554

Bank Draft payable to Eltham College in A$ to an Australian Bank – please fax or mail a copy of the bank draft

All Applicants must read and agree to the conditions below:

Please check that the following documents have been attached to your application:
Certified academic records
Application Fee (please attach a copy of receipt if paying by bank draft or electronic transfer)

By submitting this form online, I declare that:

the information provided in this application and the attached documents is true and correct
I have read the attached Conditions of Enrolment and agree to be bound by these conditions
I have read and understand the refund policy relating to prepaid enrolment and course fees

Notification must be given immediately of any change to details provided on this form.