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---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Chad Stevens Program Coordinator cstevens@dewittrecreation.org 517-482-5117 Queensland University of Technology Student Business Services Victoria Park Road Kelvin Grove QLD 4059 Phone +61 7 3138 0513 Fax +61 7 3138 3529 www.qut.edu.au/international CRICOS No. 00213J ABN 83 791 724 622 F 1609 + + + + Page 1 Representativeâs name and contact details Application for Admission to QUT as an International Student 1. Please complete all sections and print neatly in BLOCK LETTERS, scan and submit to qut.intadmission@qut.edu.au 2. Do not use this form if you are a citizen of Australia or New Zealand or a permanent resident of Australia or the holder of an Australian permanent humanitarian visa. 3. Original academic records or portfolios posted will not be returned. 4. You will need to pay a non-refundable application fee of AUD$100 (GST inclusive) when you submit this form and complete Part 2 - Section 8 âPayment of application feeâ. 5. If you would like help with your application, please find a QUT representative in your country by using our online list www.qut.edu.au/international/ find-a-qut-representative-in-your-country Please check our guide at https://cms.qut.edu.au/__data/assets/pdf_file/0004/639526/phd-application- representative-requirements.pdf to find out if you need to use a QUT official representative to lodge your application. Using this form Have you applied to QUT before? No Ye s If yes, please quote your QUT student ID number N Degree program I do not wish to be considered for Advanced Standing. QUT will automatically assess your relevant post-secondary studies for advanced standing. If you are granted advanced standing you will not have to complete all the units listed in your course structure, and you may be able to graduate sooner. 1801 Part 1: Choose your QUT degree program Please nominate the main program you wish to study at QUT. If you do not meet the direct entry requirements we will automatically assess you for the best pathway into your chosen degree program. The pathway can be a Foundation, Diploma or Graduate Certificate course. Course code Name of course Major (if applicable) If you are applying for another course(s) to study PRIOR or AFTER your main course nominated above, please list the course(s) below. The course can be a Foundation, Diploma, Graduate Certificate or Masters course. Course code Name of course Major (if applicable) When do you wish to commence your studies at QUT? (please include any English courses in your response) m m y y y y / + + + + Page 2 2. Passport and visa information Visa type Please provide the reason below, and include a copy of the Decision Record letter Are you applying to study on campus in Australia? Ye s No Do you have a current passport Ye s Include copy of passport No Date passport will be available (mm/yy) Are you currently in Australia? No Ye s What type of visa do you hold? Student Details of the institution where you are studying Other visa What visa type? Have you ever had a visa refused or cancelled by Australia or any other country? No Ye s / (You must include a copy of your current and any future eCoEs) Part 2: Tell us about yourself Title (Mr, Miss, Mx etc) Surname or family name Given names Citizenship Country of birth Applicantâs permanent address in home country (must not be an Australian address) Current country of residence (country where you currently live) Years residing in current country of residence Applicantâs current address Telephone Telephone Country code Area code Number Country code Area code Number Cell/mobile Cell/mobile Country code Area code Number Country code Area code Number Personal email 1. Personal details Date of Marriage (if applicable) (dd/mm/yy) No Ye s How many dependents* do you have? *Dependents include spouse and/or children How many people* will accompany you to Australia? *Includes spouse and/or children Male Female Other Date of birth / / Current age ( dd/mm/yyyy) Are you married? No Ye s (If you are a current QUT student, all correspondence will be sent to your student email address.) Statement of Purpose (outline the reason you wish to study at QUT) Please provide details below Do you have any family and/or relatives in Australia? / / + + + + Page 3 5. Financial details International students are required to have access to sufficient funds to cover the full cost of your stay in Australia for the duration of your studies. Full cost includes tuition fees, study costs, and living expenses (including dependents). Please refer to the following address for further information: www.qut.edu.au/study/student-life/life-in-brisbane/cost-of-living How will you be funding your studies in Australia? 4. English proficiency Have you taken OR will you be taking an English Test? I will take a test on: IELTS (academic) test Pearson Test of English (PTE academic) TOEFL iBT (internet based) Cambridge English Advanced test (CAE) Cambridge English Proficiency (CPE) Other Registration number You must submit a copy of your test results. Are you applying for an English pathway? No Ye s Preferred English courses Weeks To apply for an English package applicants MUST provide a QUT approved English test. We will calculate the best English pathway based on your test results. General English English for Academic purposes - EAP 1 Please refer to English Language www.qut.edu.au/ international-students/applying/step-3-check-you-meet- the-entry-requirements/ for further information about the minimum level of English proficiency requirements for admission to QUT courses. English for Academic purposes - EAP 2 English for Academic purposes - EAP 3 University Certificate in Tertiary Preparation / / or I have completed the following test: 3. Educational qualifications: current and prior study Name of qualification e.g. High school, A levels, Diploma of business, Bachelor of Science Country where studied Study Mode (on campus, online or external) Name of institution or school Course completed? Start date Completion date Qualification you are currently studying Country (where you are currently studying) Study Mode (on campus, online or external) Name of school Start date Completion date Are you currently studying? No Please provide details of all activities undertaken since your last studies. Ye s Please provide details of any course you are currently studying including English studies. You must attach certified copies of your academic results to date including your current enrolment statement. Prior study Please provide details of all prior secondary and post-secondary courses that you have enrolled in. You must attach certified copies of your academic results, including English translations where necessary. Have you ever been excluded, dismissed or prevented from continuing previous studies either in Australia or overseas? No Yes If yes, please provide details below. (dd/mm/yyyy)
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