2022 Application To Study Form International
2022 Application To Study Form International
2022 Application To Study Form International
International
www.scei.edu.au
Include one set of supporting documents with this application including certified English
translation copies where required.
All supporting documents for this application must be certified as true copies of originals.
Refer to the following https://immi.homeaffairs.gov.au/help-support/applying-online-or-on-paper/on-
paper/certified-copy for more details.
Ensure that you sign the declaration in the end of this form.
Please note that delays may occur in the processing of this application if the application is incomplete.
Work
CRICOS
Select NTIS Code Course Title Duration Tuition Fee Placement Material Fee
Code
Fee
104439D BSB60720 Advanced Diploma of Program Management 52 WEEKS $12,000.00 N/A $350.00
090551A CHC33015 Certificate III in Individual Support 44 WEEKS $6,000.00 N/A $250.00
090553K CHC52015 Diploma of Community Services 104 WEEKS $20,000.00 $700.00 $350.00
090595M CHC62015 Advanced Diploma of Community Sector Management 66 WEEKS $10,000.00 $500.00 $350.00
108095B CHC30121 Certificate III in Early Childhood Education and Care 50 WEEKS $10,000.00 $250.00 $200.00
108094C CHC50121 Diploma of Early Childhood Education and Care 57 WEEKS $12,000.00 $250.00 $200.00
090550B HLT37215 Certificate III in Pathology Collection 32 WEEKS $7,000.00 $800.00 $500.00
Note : Application Fee $250 and Overseas Student Health Cover (OSHC) are not included in the Tuition fee.
** This indicates consumable fee for lab use
APPLICATION TO STUDY
Page 1 International
Version 3.0 - Jan 2022
(C) CONTACT DETAILS
Email Address :
Name :
In Case of an Emergency: In the event of circumstances requiring urgent medical care where the student is incapable of speaking on their own behalf,
SCEI is authorised as a matter of urgency to seek and provide appropriate medical care on behalf of the student.
Do you consider yourself to have a disability, impairment of long-term condition? No Yes, please specify
If yes, please indicate the areas of disability, impairment or long-term condition: You may indicate more than one area
Question Answer
Australia
In which country were you born?
Other, please specify
Do you speak a language other than English at home? No, English only
If more than one language, indicate the one that is spoken most often Yes, please specify:
No
Are you Aboriginal or Torres Strait Islander origin?
Yes
For persons of both Aboriginal and Torres Strait Islander origin, mark both “Yes” boxes
Yes, Torres Strait Islander
G.1 Schooling
What is your highest completed school level? (Tick one box only)
If you are currently enrolled in secondary education, the Highest school level completed refers to the highest school level you have actually
completed and not the level you are currently undertaking.
Year completed
APPLICATION TO STUDY
Page 2 International
Version 3.0 - Jan 2022
(G) EDUCATION DETAILS (cont.)
If yes, please provide details of your qualifications. Highest Level (Select one only)
I - International
Certificate I
If Yes, please download the RPL Policy and Application Form from the
Do you wish to apply for RPL? No Yes SCEI Website: www.scei.edu.au and contact us for your relevant RPL Kit.
Are you currently studying with another provider? No Yes If Yes, Date commenced (dd/mm/yyyy):
Reading Score Writing Score Speaking Score Listening Score Overall Score Date Achieved
(I) Barrier
Do you have any barriers that may prevent you from successfully completing your study?
APPLICATION TO STUDY
Page 3 International
Version 3.0 - Jan 2022
(J) Diploma of Nursing Applicants ONLY
Please read the NMBA English language skills registration standard to assist you to understand the requirements and
then tick the box that applies to you:
Australia Canada
Study Primary
commenced: New Zealand Republic of Full time
Secondary
South Africa Ireland
Vocational
United Part time
Tertiary United States
Kingdom
Australia Canada
Study Primary
commenced: New Zealand Republic of Full time
Secondary
South Africa Ireland
Vocational
United Part time
Tertiary United States
Kingdom
Australia Canada
Study Primary
commenced: New Zealand Republic of Full time
Secondary
South Africa Ireland
Vocational
United Part time
Tertiary United States
Kingdom
Australia Canada
Study Primary
commenced: New Zealand Republic of Full time
Secondary
South Africa Ireland
Vocational
United Part time
Tertiary United States
Kingdom
Australia Canada
Study Primary
commenced: New Zealand Republic of Full time
Secondary
South Africa Ireland
Vocational
United Part time
Tertiary United States
Kingdom
Australia Canada
Study Primary
commenced: New Zealand Republic of Full time
Secondary
South Africa Ireland
Vocational
United Part time
Tertiary United States
Kingdom
I declare that English is my primary language as defined above and I meet the NMBA English language skills
registration standard requirements.
Name :
Signed: Date :
Pathway 2: English is not your primary language but you achieve the required minimum scores as specified in the
NMBA English language registration standard.
Were your results from In certain circumstances, you can use English language test results from a maximum of two test sittings in a six month period.
the English language For more information, refer to the NMBA’s English language skills registration standard.
tests obtained in one or
two sittings?
One sitting. Provide details for one sitting.
IELTS Academic PTE Academic OET TOEFL iBT
Two sitting. Provide details for both sittings.
Sittings Reading Score Writing Score Speaking Score Listening Score Overall Score Date Achieved
Sitting 1
Sitting 2
APPLICATION TO STUDY
Page 4 International
Version 3.0 - Jan 2022
NMBA English language skills registration standard Information:
All applicants who do not have English as their primary language need to provide English Language test score results showing:
a) an IELTS (academic module) with a minimum overall score of 7 and a minimum score of 7 in each of the four components (listening, reading, writing and speaking). OR
b) an OET with a minimum score of B in each of the four components (listening, reading, writing and speaking). OR
c) a PTE Academic with a minimum overall score of 65 and a minimum score of 65 in each of the four communicative skills (listening, reading, writing and speaking). OR
d) a TOEFL iBT with a minimum total score of 94 and the following minimum score in each section of the test:
• 24 for listening
• 24 for reading
• 27 for writing
• 23 for speaking
I declare that I have undertaken/I will undertake an approved English language test and achieve the minimum scores to
meet the NMBA English language skills registration standard requirements. I have/I will attach/provide my test results prior
commencing the course.
Name :
Signed: Date :
Of the following categories, select the one which BEST describes the main reason you are undertaking this course/
traineeship/apprenticeship (Tick ONE box only)
(L) EMPLOYMENT
Of the following categories, which BEST describes your current employment status? (Select one only)
Which of the following classifications BEST describes your current or recent occupation? (Select one only)
If never employed go to next question.
APPLICATION TO STUDY
Page 5 International
Version 3.0 - Jan 2022
(M) EMPLOYMENT (cont.)
Which of the following classifications BEST describes the Industry of your current or previous Employer?
(Select one only)
Electricity, Gas, Water and Waste Services Administrative and Support Services
From 1 January 2015, we SCEI can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when
you complete your program if you do not have a Unique Student Identifier (USI). If you have not yet obtained a USI you can apply for it directly at
https://.usi.gov.au/your-usi/create-usi on a computer or mobile device. If you want SCEI to apply to the Student Identifiers Registrar on your behalf
for a USI, please complete and attach the Unique Student Identifier Application form.
Survey Contact Status is used to exclude clients from participating in the student Outcomes Survey and other communications
Of the following categories, which BEST describes your Survey Contact Status (Tick ONE box only)
Available for survey use Invalid address/Itinerant student (very low likelihood of response)
Excluded
What type of student visa application will you submit to Department of Home Affairs (DHA)?
Country : City :
Have you ever or any other person involved in the visa application ever been convicted of a criminal offence?
Have you ever or any other person involved in the visa application had any visa refused or cancelled in Australia or any other
countries before?
ENROLMENT FORM
Page 6 Domestic - Victoria
Version 1.0 - January 2021
(P) OVERSEAS STUDENT HEALTH COVER (OSHC) DETAILS
Do you want SCEI to arrange OSHC for you? If yes then please provide details :
(Note: SCEI will arrange NIB OSHC only)
(R) HOW DID YOU HEAR ABOUT SOUTHERN CROSS EDUCATION INSTUTE?
Company Name :
Agent’s Name :
Prior to establishing a payment plan, please ensure your initial deposit has been made.
Please choose one preferred payment plan option :
ENROLMENT FORM
Domestic - Victoria Page 7
Version 1.0 - January 2021
(V) ATTACHMENT CHECKLIST
Provide all the relevant documents, incomplete applications will cause delays in processing:
Certified evidence of English language proficiency like IELTS, TOEFL, PTE and ELICOS, etc.
Certified documented evidence of Year 12 education or equivalent (with certified translation, if not in English)
Certified documented evidence of other previous qualifications if applicable (with certified translation, if not in English)
Certified copies of documents to be assessed for Credit Transfer and/or Recognition of Prior Learning (RPL) if required
Other
In signing this Application Form, I agree that I have read and understood the following:
I declare that I have a genuine intention to study the course for which I have applied, and that I have access to sufficient
funds to cover tuition fees, living expenses, travel expenses, Overseas Student Health Cover for the duration of my studies
and to support my dependants (if coming along with me).
I understand that the application fee accompanying this application to study form is non-refundable.
I acknowledge that any false or misleading statement may result in denial of my admission application or subsequent
cancellation of my enrolment at SCEI, which may affect the validity of my visa.
The information on this form is true and correct. This information may be used for monitoring, program planning and
statistical purposes.
I declare that I will be solely responsible for meeting the conditions listed on my current student visa and liaise with DHA
and my agent (if applicable).
I declare that I have also read the ESOS framework provided by SCEI in Student’s Handbook.
ADELAIDE
+61 8 8212 8745
MELBOURNE
APPLICATION TO STUDY
Page 8 International
Version 3.0 - Jan 2022