Student Admission Application Form

PERSONAL DETAILS

Have you previously studied at the Southern Cross Institute (SCI)?

if yes, please provide Student ID Number

Title(Required)

Miss

Mrs

Other

Family Name/s(Required)

Given Name/s(Required)

Gender

Male

Female

Other

Date of Birth(Required)

MM slash DD slash YYYY

Telephone

Mobile(Required)

Email Address(Required)

Nationality(Required)

Country of Birth

Passport Number(Required)

Passport Expiry Date(Required)

MM slash DD slash YYYY

Country of Issue(Required)

At the time of application are you in Australia?

Address in Australia (if known)

Home Country Address

AUTHORISED AGENT DETAILS (IF APPLICABLE)

Agency Name

Contact Person

Email Address

Telephone Number

COURSE(S) & MAJOR SELECTION

Bachelor of Business (BBus) (CRICOS Course Code: 111606B) Please choose your preferred option for major

Graduate Diploma of Information and Communications Technology (GDICT) (CRICOS Course Code: 116826E)

Master of Information and Communications Technology (MICT) (CRICOS Course Code: 116825F)

Master of Social Work (Qualifying) (MSWQ) (CRICOS Course Code: 116823H)

Major Option

Accounting

Hospitality Management

Information Systems

Human Services Management

If you have chosen a Major that has professional accreditation, you will need to successfully complete all units of that major at SCI to receive professional body accredited qualification. The accrediting professional body may consider applications on case to case basis.

Cross-Institutional Study (please specify Unit Codes)

Unit Code

INTAKES

March

July

October

Year

ENGLISH PROFICIENCY

Is English your first language?

if no, what is your first language?

Have you completed any secondary or tertiary studies with English as the level of instruction?

Yes

Please indicate if you have taken any of the following English tests:

IELTS

TOFEL

PTE

OTHER

If Other

Overall Score

Test Date

MM slash DD slash YYYY

Note: To check if you have met SCI's English language Entry Requirements, please refer to the Admissions Policy and Procedure available on the SCI website www.sci.edu.au.

EDUCATION BACKGROUND

Institution/School

Name of Qualification

Location

Year completed

Advanced standing

If you have studied or are currently studying at another academic institution, you may be eligible for credit/advanced standing towards your course at SCI. Please refer to the Advanced Standing Policy and Procedure available on the SCI website (www.sci.edu.au) for further information on the process and the application deadline.

Do you wish to apply for Advanced Standing?

Yes

Your USI Number:

(Mandatory if seeking Credits from Australian RTO)

OVERSEAS STUDENT HEALTH COVER (OSHC)

Would you like us to arrange health cover for you?

Yes

if yes, please choose the level of cover:

Single

Couple

Family

SUPPORT SERVICES

Do you have a disability, impairment or long-term medical condition, which may affect your studies?

if yes, please specify:

Hearing

Vision

Learning

Mobility

Medical

Other

If Other Please Mention

CHECKLIST

I have:

Completed all sections of the application form

Attached certified copy of passport and current Australian visa (if applicable)

Attached certified copies of academic transcript(s) and certificate(s) translated into English (if applicable)

Attached evidence of English language proficiency

Read and sign the student declaration

Documents

Drop files here or

Max. file size: 128 MB.

DECLARATION

I declare that the information provided in this application form is true and correct, and the academic records provided are a true record of my academic results.

I declare that I authorise the Southern Cross Institute (SCI) to obtain enrolment and academic information from any of my previous or current education providers.
I declare that I have accessed information regarding the costs related to studying at SCI available on the SCI website (www.sci.edu.au) and that I have accessed information regarding the costs associated with living in Australia for me and any dependents accompanying me, published by the Australian Government at www.studyinaustralia.gov.au/en/study-costs.
I declare that I have adequate funds available to cover tuition fees, ancillary costs and living expenses for myself and any dependents travelling with me.
I consent to information collected about me on this form being disclosed if authorised or required by law and/or the Australian Government and/or designated authorities authorised by the SCI.
I understand that the SCI may vary or reverse any decision regarding admission or enrolment based on incorrect, incomplete or fraudulent information provided by me.
I understand that all documents I submit with my application become the property of SCI and will not be returned.
I confirm that I have read and fully understand the requirement of the course as outlined on the SCI website (www.sci.edu.au).
I will notify SCI immediately if there is any change to the information I have given in this application.
I have read and understood the SCI Refund Policy available on the SCI website (www.sci.edu.au). I am aware that the $250 enrolment fee is non-refundable.

Full Name

Date

MM slash DD slash YYYY

Southern Cross Institute (SCI)
Level 2, 1-3 Fitzwilliam Street,
PARRAMATTA NSW 2150
Level 6, 31-39 Macquarie Street,
PARRAMATTA NSW 2150

Phone: +61 2 9066 6902
Email: [email protected]
Website: www.sci.edu.au

PERSONAL DETAILS

Have you previously studied at the Southern Cross Institute (SCI)?

if yes, please provide Student ID Number

Title(Required)

Miss

Mrs

Other

Family Name/s(Required)

Given Name/s(Required)

Gender

Male

Female

Other

Date of Birth(Required)

MM slash DD slash YYYY

Telephone

Mobile(Required)

Email Address(Required)

Nationality(Required)

Country of Birth

Passport Number(Required)

Passport Expiry Date(Required)

MM slash DD slash YYYY

Country of Issue(Required)

At the time of application are you in Australia?

Address in Australia (if known)

Home Country Address

AUTHORISED AGENT DETAILS (IF APPLICABLE)

Agency Name

Contact Person

Email Address

Telephone Number

COURSE(S) & MAJOR SELECTION

Bachelor of Business (BBus) (CRICOS Course Code: 111606B) Please choose your preferred option for major

Graduate Diploma of Information and Communications Technology (GDICT) (CRICOS Course Code: 116826E)

Master of Information and Communications Technology (MICT) (CRICOS Course Code: 116825F)

Master of Social Work (Qualifying) (MSWQ) (CRICOS Course Code: 116823H)

Major Option

Accounting

Hospitality Management

Information Systems

Human Services Management

Cross-Institutional Study (please specify Unit Codes)

Unit Code

INTAKES

March

July

October

Year

ENGLISH PROFICIENCY

Is English your first language?

if no, what is your first language?

Have you completed any secondary or tertiary studies with English as the level of instruction?

Yes

Please indicate if you have taken any of the following English tests:

IELTS

TOFEL

PTE

OTHER

If Other

Overall Score

Test Date

MM slash DD slash YYYY

Note: To check if you have met SCI's English language Entry Requirements, please refer to the Admissions Policy and Procedure available on the SCI website www.sci.edu.au.

EDUCATION BACKGROUND

Institution/School

Name of Qualification

Location

Year completed

Advanced standing

Do you wish to apply for Advanced Standing?

Yes

Your USI Number:

(Mandatory if seeking Credits from Australian RTO)

OVERSEAS STUDENT HEALTH COVER (OSHC)

Would you like us to arrange health cover for you?

Yes

if yes, please choose the level of cover:

Single

Couple

Family

SUPPORT SERVICES

Do you have a disability, impairment or long-term medical condition, which may affect your studies?

if yes, please specify:

Hearing

Vision

Learning

Mobility

Medical

Other

If Other Please Mention

CHECKLIST

I have:

Completed all sections of the application form

Attached certified copy of passport and current Australian visa (if applicable)

Attached certified copies of academic transcript(s) and certificate(s) translated into English (if applicable)

Attached evidence of English language proficiency

Read and sign the student declaration

Documents

Drop files here or

Max. file size: 128 MB.

DECLARATION

I declare that the information provided in this application form is true and correct, and the academic records provided are a true record of my academic results.

I declare that I authorise the Southern Cross Institute (SCI) to obtain enrolment and academic information from any of my previous or current education providers.
I declare that I have accessed information regarding the costs related to studying at SCI available on the SCI website (www.sci.edu.au) and that I have accessed information regarding the costs associated with living in Australia for me and any dependents accompanying me, published by the Australian Government at www.studyinaustralia.gov.au/en/study-costs.
I declare that I have adequate funds available to cover tuition fees, ancillary costs and living expenses for myself and any dependents travelling with me.
I consent to information collected about me on this form being disclosed if authorised or required by law and/or the Australian Government and/or designated authorities authorised by the SCI.
I understand that the SCI may vary or reverse any decision regarding admission or enrolment based on incorrect, incomplete or fraudulent information provided by me.
I understand that all documents I submit with my application become the property of SCI and will not be returned.
I confirm that I have read and fully understand the requirement of the course as outlined on the SCI website (www.sci.edu.au).
I will notify SCI immediately if there is any change to the information I have given in this application.
I have read and understood the SCI Refund Policy available on the SCI website (www.sci.edu.au). I am aware that the $250 enrolment fee is non-refundable.

Full Name

Date

MM slash DD slash YYYY

Southern Cross Institute (SCI)
Level 2, 1-3 Fitzwilliam Street,
PARRAMATTA NSW 2150
Level 6, 31-39 Macquarie Street,
PARRAMATTA NSW 2150

Phone: +61 2 9066 6902
Email: [email protected]
Website: www.sci.edu.au