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CQU Application Form

This document is an application for admission to a coursework program for international applicants at CQUniversity. It collects personal details such as name, date of birth, citizenship, visa status, as well as contact details and addresses both within and outside of Australia. It requests information about the applicant's educational background, English language proficiency, employment history, any credit for prior learning being requested, financial support, eligibility for scholarships, overseas student health cover, and any disabilities. The applicant and agent are required to sign declarations agreeing to the information provided in the application.

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Kc Kirsten Kimberly Malbun
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447 views4 pages

CQU Application Form

This document is an application for admission to a coursework program for international applicants at CQUniversity. It collects personal details such as name, date of birth, citizenship, visa status, as well as contact details and addresses both within and outside of Australia. It requests information about the applicant's educational background, English language proficiency, employment history, any credit for prior learning being requested, financial support, eligibility for scholarships, overseas student health cover, and any disabilities. The applicant and agent are required to sign declarations agreeing to the information provided in the application.

Uploaded by

Kc Kirsten Kimberly Malbun
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR ADMISSION

TO A COURSEWORK PROGRAM
INTERNATIONAL APPLICANTS ONLY 
 

1. AGENT DETAILS

Address Line 1

Address Line 2

Address Line 3

Town / City State / Province

Country Postcode / ZIP

Counsellor name Counsellor email

2. PERSONAL DETAILS

Title Family name

First name Other given name(s)

Date of birth Gender Male Female Indeterminate

Email address

Have you previously enrolled at CQUniversity? Yes No Student number

Are you applying for a change of program? (if yes, Credit Transfer Form attached) Yes No

3. ADDRESS DETAILS

What is your permanent address outside of Australia?

Address Line 1

Address Line 2

Address Line 3

Town / City State / Province

Country Postcode / ZIP

Home telephone Mobile telephone

What are your current contact details? Same as permanent address above

Address Line 1

Address Line 2

Address Line 3

Town / City State / Province

Country Postcode / ZIP

Home telephone Mobile telephone

4. NATIONALITY & VISA DETAILS


Country of citizenship Country of birth

What country are you applying from?

Have a passport? Yes No Number Expiry


Hold an Australian visa? Yes No Visa type Expiry

Visa code

Do you have any previous immigration history such as visa applications/refusals/visa grants? Yes No

 IF YES > Have you previously had a visa granted or made a visa application? Yes No
Additional information:

 IF YES > Have you previously had a visa application refused? Yes No

Visa refusal letter and decision record attached (if yes).

5. COURSE PREFERENCES

Course

Campus Intake

Code Course type

Are you applying through a packaged pathway provider or an SVP partner? Yes No

Partner institution

6. ENGLISH LANGUAGE PROFICIENCY

First language? English test? Yes No Name of test

Reference Secret number Date of test


Overall score Listening Reading
Use of English Writing Speaking
English is the language of instruction and assessment across CQUniversity. You are required to meet the minimum
English language proficiency requirements for entry to our programs…

7. EDCUATION BACKGROUND (SUMMARY)

Qualification 1
Institution

Qualification

Date commenced Completion date

Qualification 2
Institution

Qualification

Date commenced Completion date

Qualification 3
Institution

Qualification

Date commenced Completion date

  Note: Academic certifications, transcripts & CV are attached 


8. CREDIT TRANSFER

Applying for credit transfer or Recognition of Prior Learning as a result of previous study? Yes No

Note: Translated copies of course and subject outlines attached.

9. EMPLOYMENT HISTORY

Employment 1
Employer

Job description

Start date End date

Employment 2
Employer

Job description

Start date End date

Employment 3
Employer

Job description

Start date End date

Employment 4
Employer

Job description

Start date End date

Employment 5
Employer

Job description

Start date End date

Note: Documentary evidence is attached.

10. FINANCIAL DETAILS

How will you be funding your studies whilst living in Australia? Name of sponsorship / loan provider:

Note: Financial documents attached.

11. UNIVERSITY SCHOLARSHIPS

I am applying / I would like to apply for a CQUniversity Scholarship? Yes No

Name of scholarship: Vice Chancellor’s Scholarship Placeholder Placeholder

12. OVERSEAS STUDENT HEALTH COVER (OSHC)

It is a requirement of the Australian Government that you maintain OSHC for the duration of your visa…

Type of cover required Name of OSHC provider


13. SUPPORT SERVICES

Have a disability, impairment or long-term medical condition which may affect your studies? Yes No

Area of impairment: Hearing Learning Medical Mobility

Vision Other:

14. APPLICANT DECLARATION

I agree Name / Signature

15. AGENT DECLARATION

I agree Name / Signature

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