| Title | | | |
| * Given name | | | |
| * Surname | | Date of birth | |
| | |
| |
| * Country of Birth | | Citizenship | |
| * Address in Home Country | |
| |
| | | Mobile | |
| Phone number | | Fax number | |
| Email | | | |
| Are you living in Australia now? | Yes No | | |
| | | | |
| Preferred mailing address | | | |
| | | | |
| Course for which you are applying | * Date of course |
| Previous field experience* | | |
| Why do you wish to attend this course?* | | |
| Please list any allergies, dietary restrictions or medical conditions of which staff should be aware* | |
Emergency contact information | | |
| * Name | | | |
| * Phone number(s) | | | |
| Email contact | |
Section 2 - Educational Qualifications | |
Highest level of study undertaken | | |
| Year in which completed | | | |
| Language of Instruction | | | |
| Name of Institution | | | |
| Name of Course | | | |
| Major field of study | | | |
| Length of course in years | | | |
If not completed, state number of years enrolled | | |
| | | | |
Section 3 - English language qualifications (international applicants only) | | |
My first language is English | Yes | | |
| OR | | | |
I completed one of the following | | | |
| TOEFL | Yes | my score was | year | | |
| IELTS | Yes | my score was | year | | |
| other | Yes | please state | | |
| | | | |
Section 4 - Information for visa purposes (international applicants only) | | |
Have you studied in Australia before? | | |
| | Yes No | | |
If 'yes' please state course, institution and year of most recent study in Australia | | |
| Course | | | |
| Institution | | | |
| Year | | | |
What kind of visa do you intend to obtain to enter Australia? (eg visitor, business, student) | |
| | |
In submitting this application, I agree: |
to comply with the rules on admission and enrolment of Flinders University |
| |
I understand that |
| the University may obtain official records from any institution in which I have previously been enrolled; |
| the University may vary or cancel any decision it makes if the information I have given is incorrect or imcomplete; |
| I am fully responsible for my educational and living expenses while studying at the University; |
the University is unable to provide me with financial assistance if I experience financial difficulties during the course of my studies; |
| all course fees must be paid in full before the commencement of the course |
| | | | |
I declare that the information I have given in this application is true and correct | |
| | | | |
