TEMPORARY APPLICATION FORM

12
TEMPORARY APPLICATION FORM VICTORIAN GOVERNMENT SCHOOLS INTERNATIONAL STUDENT PROGRAM Department of Education and Training

Transcript of TEMPORARY APPLICATION FORM

Page 1: TEMPORARY APPLICATION FORM

TEMPORARY APPLICATION FORMVICTORIAN GOVERNMENT SCHOOLSINTERNATIONAL STUDENT PROGRAM

Department of Education and Training

copy State of Victoria (Department of Education and Training) 2022

The copyright in this document is owned by the State of Victoria (Department of Education and Training) or in the case of some materials by third parties (third party materials) No part may be

reproduced by any process except in accordance with the provisions of the Copyright Act 1968 the National Education Access Licence for Schools (NEALS) (see below) or with permission

An educational institution situated in Australia which is not conducted for profit or a body responsible for administering such an institution may copy and communicate the materials other than third party materials for the educational purposes of the institution Authorised by the Department of Education and Training 2 Treasury Place East Melbourne Victoria 3002

This document is also available on the internet at wwwstudyvicgovau

International Education DivisionDepartment of Education and Training

GPO Box 4367 Melbourne Victoria 3001 Australia

Level 28 80 Collins Street Melbourne Victoria 3000 Australia

Tel +61 3 7022 1000

Email internationaleducationvicgovau

Web wwwstudyvicgovau

CRICOS Provider Name and Code Department of Education and Training 00861K

2

Instructions

Please answer all questions in all sections Write clearly in black ink using BLOCK LETTERS and tick boxes where appropriate We cannot assess your application if it is incomplete or unreadable

School Term Dates 2021 to 2023

Term 1 Term 2 Term 3 Term 4

202228 January

- 8 April 26 April - 24 June

11 July - 16 September

03 October - 20 December

202327 January

- 6 April 24 April - 23 June

10 July - 15 September

02 October - 20 December

202429 January - 28 March

15 April - 28 June

15 July - 20 September

07 October - 20 December

School staff planning day on the first day of term 1 Student attendance may not be required on this day Check with your school to confirm

Application Process

Step 1 Gather informationVisit wwwstudyvicgovau or contact our office for information on enrolment and studying at a Victorian government school Read the Terms Conditions and Policies available at httpswwwstudyvicgovauShared20DocumentsenTemporaryApplicationTermsConditionsPoliciespdf A DET accredited education agent can also assist you with selecting a school and lodging your application o find a DET accredited education agent visit httpswwwstudyvicgovauensearchagentsPages

Step 2 Apply for school enrolment

Complete this application form and return it with the required documents to the International Education Division (IED) or a DET accredited education agent

Please refer to the checklist on page 9 for a list of all required documents

Step 3 Application assessment

Applications received are assessed to determine whether a student meets the entry requirements to study in a Victorian government school Application assessment cannot commence until all required documents are received To avoid unnecessary delays be sure applications are signed and include all the required supporting documents

Step 4 Letter of Offer and Written Agreement

Successful applicants will receive a Letter of Offer and Written Agreement to review

Step 5 Sign Written Agreement

Return a copy of the Letter of Offer and Written Agreement signed by the parents legal guardian (and the student if aged 18 years and over) by the due date

Step 6 Receive an invoice

After submitting your signed Written Agreement you will be sent an invoice

Step 7 Pay your invoice

Please pay your invoice by the due date to secure your place in a Victorian government school

Step 8 Receive your Confirmation of Placement (CoP) Letter

Following acceptance and invoice payment you will receive a CoP Letter

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

This application form is for students on a

1 Tourist Visa and who want to study in Victoria for 8 to 12 weeks

OR

2 Bridging Visa and are waiting for a substantive visa decision

Apply online

You can also lodge your application via our online portal Please access it at httpswwwstudyvicgovau Benefits include faster processing of applications saving and resuming applications at any time and creating and managing multiple applications in one online system

ACRONYMS

COP Confirmation of Placement

DET Department of Education and Training

ISP International Student Program

Agent = Education agent

3

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

2022 Tuition Fees

Weeks Primary School (Pre-6)Junior Secondary School (Years 7-10)

Senior Secondary School (Years 11-12)

1 $308 $409 $459

2 $616 $818 $918

3 $924 $1227 $1377

4 $1232 $1636 $1836

5 $1540 $2045 $2295

6 $1848 $2454 $2754

7 $2156 $2863 $3213

8 $2464 $3272 $3672

9 $2772 $3681 $4131

10 $3080 $4090 $4590

11 $3388 $4499 $5049

12 $3696 $4908 $5508

Other fees Cost (Australian Dollars)

Application fee $302

Enrolment Amendment Fee $302

School Transfer Fee $748

Default Administration Fee $500

Refund Administration Fee $500

Tuition fees and other charges are subject to change and may vary from year to year Any increase in fees during the period of study will apply to new and continuing students

Enrolment and Fee Paymentbull All fees specified by the IED Department of

Education and Training (DET) must be paid in full before the student can commence

bull Fees are payable to the DET by BPAY Electronic Funds Transfer or credit card within Australia and credit card or telegraphic transfer from overseas

bull The IED is not responsible for monies paid to an agent or other third party by the student parent or legal guardian

Application Fee - non fundableYou will receive an invoice including the $292 application fee following lodgement of this form The application fee is non-refundable

Tuition FeesTuition fees do not cover books uniforms stationery school excursions or camps

To calculate fees payable

1 Decide the dates that you want to start and finish studying in Victoria

2 Note the term dates on page 3 and calculate how many weeks this will be

3 Using the lsquoWeeksrsquo column in the 2021 Tuition Fee table above determine the number of weeks you will be at school during the school term

4 Identify the relevant study column (Primary Junior Secondary or Senior Secondary)

4

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

International Student Program (ISP) ndash Key Policies

Student Behaviour Policy

bull Each school has a code of conduct welfare and accommodation policy that students must abide by while enrolled at their host school

bull It is important that students avoid activities that may endanger their safety the safety of others or that could lead to criminal charges

bull When a student does not fulfil the requirements of the host schoolrsquos policies and rules andor the student enters into activities that are unsafe a studentrsquos enrolment may be suspended or cancelled for misbehaviour

Privacy Policy

bull The enrolment form requests personal information about the applicant as well as the applicantrsquos family members The purpose of collecting this information is to allow DET the relevant Victorian government school(s) and other contracted organisations to register the applicant and allocate staff and resources to ensure hisher educational and welfare needs are met

Also the information may be shared with other government departments and contracted organisations concerned with the administration of the ISP offered in Victorian government schools

bull Information about the privacy policy can be obtained from wwweducationvicgovau or wwwstudyvicgovau

International Student Program (ISP) ndash Key Policies

Complaints Policy

bull DET is committed to managing complaints and appeals impartially promptly and confidentially

bull The formal investigation of a complaint will require that details of the complaint be lodged in writing

bull The handling of the complaint will commence within 10 working days of receipt of the complaint

bull There is no cost associated with lodging a complaint with DET

bull The identity of the complainant will be protected unless permission for disclosure is given

Complaints in relation to refunds

bull Students or parents have 28 days to lodge a formal written complaint from the date of the remittance advice of their refund

Submission of complaints

bull Any issues or complaints in relation to the ISP offered in Victorian government schools should be discussed with the IED of DET

bull Formal complaints should be submitted in writing to

Executive Director International Education Division Department of Education and Training

GPO Box 4367 Melbourne Victoria 3001 Australia

Consideration of complaints

bull The Executive Director IED DET will consider the formal complaint

bull After consideration of all of the available evidence the Executive Director IED DET may decide to uphold or dismiss the complaint

Please note This agreement and the availability of complaints and appeals processes does not remove the right to take further action under Australiarsquos consumer protection laws

5

Please keep a copy of this application for your own record and subsequent enquiry

1 Student Details

Family name

Given name

Date of birth D D M M Y Y Y Y Gender Male Female

Nationality on passport

Country of birth

In which country will you be applying for your visa

Passport number Expiry date D D M M Y Y Y Y

2 Contact Details

It is compulsory to complete these details

bull Please note a legal guardian in relation to a child refers to having the right to the daily care and control of the child and the right to make decisions for that child

bull Please include the contact details of the adults to contact with regard to the payment of all fees and in the event of any student emergencies

FatherrsquosLegal guardianrsquos family name

FatherrsquosLegal guardianrsquos given name

MotherrsquosLegal guardianrsquos family name

MotherrsquosLegal guardianrsquos given name

Family contact number (include country and area codes)

Family email address

Street Address

City StateProvince PostcodeZip

Country Phone (include country and area codes)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

6

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

3 Accommodation Details in Victoria

Please indicate who the student will live with Parent Relative or family friend

Family name Given name

Relationship to student

Street Address

City State Postcode

Phone Mobile

Email

4 Sibling Details

Does the student have a brother or sister currently enrolled at a Victorian government school Yes No

If yes which school are they attending

Sibling name 1 Sibling student ID number

Sibling name 2 Sibling student ID number

Sibling name 3 Sibling student ID number

Sibling name 4 Sibling student ID number

5 Study Plan

Name of school GradeYear level

Commencement date D D M M Y Y Y Y End date D D M M Y Y Y Y

6 School Preferences

Please refer to wwwstudyvicgovau for a full list of Victorian government schools

The IED is able to offer enrolment based on the availability of places in a particular grade or year level in each school To assist in the placement of the student in a suitable school please provide a list of preferred schools and subjects

Preferred schoolsPreferred subjects (Year 11 students must complete this section)

bull bull EnglishEAL

bull bull

bull bull

bull bull

bull bull

7

7 Special Circumstances

The more information you provide will ensure that the student is placed in a school with the most appropriate support according to their needs

Has the student been diagnosed with a medical condition that a doctor should be aware of If so please provide details

Does the student have any special learning needs which the school needs to be aware of If so please provide details

8 Primary School Enrolment Immunisation Requirements

It is a legal requirement under Victoriarsquos Public Health and Wellbeing Act 2008 for parents to provide an immunisation status certificate to the primary school at the time of enrolment

For more information about how to obtain an immunisation status certificate please refer to the Department of Health website located at the following link httpswww2healthvicgovauApidownloadmedia7B5F1D6A9A-D91B-4FC1-AAF5-37A938B01AD27D~text=How20do20I20obtain20an20immunisation20status20certificate3Famptext=phone201800206532080920orChildhood20Immunisation20Register20(ACIR)

9 Checklist

The application process will not commence until the application form is complete and all necessary supporting documentation is provided to the IED of DET

Copies of the following original documents must be provided

bull in the original language

bull translated into English

bull certified as true copies of the original documents by an authorised person of the country concerned

Copy of original document

English translation

Certified as true copies of original

Document

na Birth certificate OR passport page

na na Evidence of visa (if available)

naProof of medical conditions and special learning needs (if applicable)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

8

10 Preferred Correspondence

Please complete ONE of the following options

DET Accredited Education Agent Details

Company name Contact person

Email

Visit httpswwwstudyvicgovauenbrochures-and-formsPagesBrochureFormsaspx for a list of DET accredited education agents

OR

Familyother (to be completed if not using a DET accredited education agent)

Name

Street address City

StateProvince PostcodeZip Country

Phone Mobile

Email

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

9

11 Declaration and Agreement

This information MUST be provided otherwise there may be delays with the processing of the application

I the parent or Legal Guardian of the student nominated on this application form declare that

bull I have read (andor had explained to me) understand and accept the terms and conditions of enrolment in this application form

bull I have read (andor had explained to me) understand and accept key policies outlined in this application form

bull I understand that the application fee (and School Transfer fee if applicable) are not refundable

bull I understand that the refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy I understand that any refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy as amended from time to time

bull by signing this application form for your child to study in a Victorian government primary school you are agreeing to provide an immunisation status certificate to the primary school It is recommended that you provide the immunisation status certificate to the primary school following the completion of this application form and your arrival in Australia but before your child attends the primary school

bull the information provided in this application is correct and complete the relevant documents are attached and that the information in the attached documentation provided is true and correct

bull I understand that I must declare to the Department of Education and Training any disability or medical condition that the student may have

bull I understand that the Department of Education and Training has the right to reject this application

ParentrsquosLegal Guardianrsquos name ParentrsquosLegal Guardianrsquos SignatureDate D D M M Y Y Y Y

OR

I the DET accredited education agent (if agent representation has been appointed) representing the student nominated on this application form declare that

bull the information provided in this application is correct

bull the parent has read andor I have explained all the terms and conditions outlined in this application form

bull I have explained to the parent the conditions of the Department of Education and Trainingrsquos refund policy AND explained that the application fee and School Transfer fee are not refundable

bull I understand that the Department of Education and Training has the right to reject this application

Agentrsquos name Agentrsquos signature

Date D D M M Y Y Y Y

Please keep a copy of this application for your own record and subsequent enquiry

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

10

Notes

11

  1. Check Box 22 Off
  2. Check Box 24 Off
  3. Check Box 23 Off
  4. Check Box 25 Off
  5. Text Field 23
  6. Text Field 24
  7. Text Field 25
  8. Text Field 26
  9. Text Field 28
  10. Text Field 29
  11. Text Field 30
  12. Text Field 31
  13. Text Field 32
  14. Text Field 33
  15. Text Field 34
  16. Text Field 35
  17. Text Field 36
  18. Text Field 39
  19. Text Field 40
  20. Text Field 37
  21. Text Field 38
  22. Text Field 27
  23. Text Field 1068
  24. Text Field 1069
  25. Text Field 1070
  26. Text Field 1071
  27. Text Field 1072
  28. Text Field 1073
  29. Text Field 1074
  30. Text Field 1075
  31. Text Field 1076
  32. Text Field 1077
  33. Text Field 1078
  34. Text Field 1079
  35. Text Field 1080
  36. Text Field 1081
  37. Text Field 1082
  38. Text Field 1083
  39. Check Box 26 Off
  40. Check Box 28 Off
  41. Check Box 30 Off
  42. Check Box 27 Off
  43. Check Box 29 Off
  44. Check Box 31 Off
  45. Check Box 32 Off
  46. Check Box 34 Off
  47. Check Box 33 Off
  48. Check Box 35 Off
  49. Text Field 42
  50. Text Field 44
  51. Text Field 45
  52. Text Field 46
  53. Text Field 49
  54. Text Field 51
  55. Text Field 52
  56. Text Field 53
  57. Text Field 57
  58. Text Field 54
  59. Text Field 58
  60. Text Field 55
  61. Text Field 59
  62. Text Field 56
  63. Text Field 61
  64. Text Field 90
  65. Text Field 98
  66. Text Field 91
  67. Text Field 99
  68. Text Field 92
  69. Text Field 100
  70. Text Field 93
  71. Text Field 101
  72. Text Field 94
  73. Text Field 102
  74. Text Field 95
  75. Text Field 103
  76. Text Field 96
  77. Text Field 104
  78. Text Field 97
  79. Text Field 105
  80. Text Field 62
  81. Text Field 63
  82. Text Field 67
  83. Text Field 110
  84. Text Field 64
  85. Text Field 68
  86. Text Field 65
  87. Text Field 69
  88. Text Field 66
  89. Text Field 70
  90. Text Field 60
  91. Text Field 50
  92. Text Field 47
  93. Text Field 48
  94. Text Field 43
  95. Check Box 36 Off
  96. Check Box 40 Off
  97. Check Box 42 Off
  98. Check Box 44 Off
  99. Check Box 38 Off
  100. Text Field 71
  101. Text Field 72
  102. Text Field 73
  103. Text Field 75
  104. Text Field 76
  105. Text Field 77
  106. Text Field 79
  107. Text Field 82
  108. Text Field 84
  109. Text Field 83
  110. Text Field 80
  111. Text Field 81
  112. Text Field 78
  113. Text Field 74
  114. Text Field 85
  115. Text Field 86
  116. Text Field 106
  117. Text Field 1014
  118. Text Field 107
  119. Text Field 1015
  120. Text Field 108
  121. Text Field 1016
  122. Text Field 109
  123. Text Field 1017
  124. Text Field 1010
  125. Text Field 1018
  126. Text Field 1011
  127. Text Field 1019
  128. Text Field 1012
  129. Text Field 1020
  130. Text Field 1013
  131. Text Field 1021
Page 2: TEMPORARY APPLICATION FORM

copy State of Victoria (Department of Education and Training) 2022

The copyright in this document is owned by the State of Victoria (Department of Education and Training) or in the case of some materials by third parties (third party materials) No part may be

reproduced by any process except in accordance with the provisions of the Copyright Act 1968 the National Education Access Licence for Schools (NEALS) (see below) or with permission

An educational institution situated in Australia which is not conducted for profit or a body responsible for administering such an institution may copy and communicate the materials other than third party materials for the educational purposes of the institution Authorised by the Department of Education and Training 2 Treasury Place East Melbourne Victoria 3002

This document is also available on the internet at wwwstudyvicgovau

International Education DivisionDepartment of Education and Training

GPO Box 4367 Melbourne Victoria 3001 Australia

Level 28 80 Collins Street Melbourne Victoria 3000 Australia

Tel +61 3 7022 1000

Email internationaleducationvicgovau

Web wwwstudyvicgovau

CRICOS Provider Name and Code Department of Education and Training 00861K

2

Instructions

Please answer all questions in all sections Write clearly in black ink using BLOCK LETTERS and tick boxes where appropriate We cannot assess your application if it is incomplete or unreadable

School Term Dates 2021 to 2023

Term 1 Term 2 Term 3 Term 4

202228 January

- 8 April 26 April - 24 June

11 July - 16 September

03 October - 20 December

202327 January

- 6 April 24 April - 23 June

10 July - 15 September

02 October - 20 December

202429 January - 28 March

15 April - 28 June

15 July - 20 September

07 October - 20 December

School staff planning day on the first day of term 1 Student attendance may not be required on this day Check with your school to confirm

Application Process

Step 1 Gather informationVisit wwwstudyvicgovau or contact our office for information on enrolment and studying at a Victorian government school Read the Terms Conditions and Policies available at httpswwwstudyvicgovauShared20DocumentsenTemporaryApplicationTermsConditionsPoliciespdf A DET accredited education agent can also assist you with selecting a school and lodging your application o find a DET accredited education agent visit httpswwwstudyvicgovauensearchagentsPages

Step 2 Apply for school enrolment

Complete this application form and return it with the required documents to the International Education Division (IED) or a DET accredited education agent

Please refer to the checklist on page 9 for a list of all required documents

Step 3 Application assessment

Applications received are assessed to determine whether a student meets the entry requirements to study in a Victorian government school Application assessment cannot commence until all required documents are received To avoid unnecessary delays be sure applications are signed and include all the required supporting documents

Step 4 Letter of Offer and Written Agreement

Successful applicants will receive a Letter of Offer and Written Agreement to review

Step 5 Sign Written Agreement

Return a copy of the Letter of Offer and Written Agreement signed by the parents legal guardian (and the student if aged 18 years and over) by the due date

Step 6 Receive an invoice

After submitting your signed Written Agreement you will be sent an invoice

Step 7 Pay your invoice

Please pay your invoice by the due date to secure your place in a Victorian government school

Step 8 Receive your Confirmation of Placement (CoP) Letter

Following acceptance and invoice payment you will receive a CoP Letter

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

This application form is for students on a

1 Tourist Visa and who want to study in Victoria for 8 to 12 weeks

OR

2 Bridging Visa and are waiting for a substantive visa decision

Apply online

You can also lodge your application via our online portal Please access it at httpswwwstudyvicgovau Benefits include faster processing of applications saving and resuming applications at any time and creating and managing multiple applications in one online system

ACRONYMS

COP Confirmation of Placement

DET Department of Education and Training

ISP International Student Program

Agent = Education agent

3

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

2022 Tuition Fees

Weeks Primary School (Pre-6)Junior Secondary School (Years 7-10)

Senior Secondary School (Years 11-12)

1 $308 $409 $459

2 $616 $818 $918

3 $924 $1227 $1377

4 $1232 $1636 $1836

5 $1540 $2045 $2295

6 $1848 $2454 $2754

7 $2156 $2863 $3213

8 $2464 $3272 $3672

9 $2772 $3681 $4131

10 $3080 $4090 $4590

11 $3388 $4499 $5049

12 $3696 $4908 $5508

Other fees Cost (Australian Dollars)

Application fee $302

Enrolment Amendment Fee $302

School Transfer Fee $748

Default Administration Fee $500

Refund Administration Fee $500

Tuition fees and other charges are subject to change and may vary from year to year Any increase in fees during the period of study will apply to new and continuing students

Enrolment and Fee Paymentbull All fees specified by the IED Department of

Education and Training (DET) must be paid in full before the student can commence

bull Fees are payable to the DET by BPAY Electronic Funds Transfer or credit card within Australia and credit card or telegraphic transfer from overseas

bull The IED is not responsible for monies paid to an agent or other third party by the student parent or legal guardian

Application Fee - non fundableYou will receive an invoice including the $292 application fee following lodgement of this form The application fee is non-refundable

Tuition FeesTuition fees do not cover books uniforms stationery school excursions or camps

To calculate fees payable

1 Decide the dates that you want to start and finish studying in Victoria

2 Note the term dates on page 3 and calculate how many weeks this will be

3 Using the lsquoWeeksrsquo column in the 2021 Tuition Fee table above determine the number of weeks you will be at school during the school term

4 Identify the relevant study column (Primary Junior Secondary or Senior Secondary)

4

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

International Student Program (ISP) ndash Key Policies

Student Behaviour Policy

bull Each school has a code of conduct welfare and accommodation policy that students must abide by while enrolled at their host school

bull It is important that students avoid activities that may endanger their safety the safety of others or that could lead to criminal charges

bull When a student does not fulfil the requirements of the host schoolrsquos policies and rules andor the student enters into activities that are unsafe a studentrsquos enrolment may be suspended or cancelled for misbehaviour

Privacy Policy

bull The enrolment form requests personal information about the applicant as well as the applicantrsquos family members The purpose of collecting this information is to allow DET the relevant Victorian government school(s) and other contracted organisations to register the applicant and allocate staff and resources to ensure hisher educational and welfare needs are met

Also the information may be shared with other government departments and contracted organisations concerned with the administration of the ISP offered in Victorian government schools

bull Information about the privacy policy can be obtained from wwweducationvicgovau or wwwstudyvicgovau

International Student Program (ISP) ndash Key Policies

Complaints Policy

bull DET is committed to managing complaints and appeals impartially promptly and confidentially

bull The formal investigation of a complaint will require that details of the complaint be lodged in writing

bull The handling of the complaint will commence within 10 working days of receipt of the complaint

bull There is no cost associated with lodging a complaint with DET

bull The identity of the complainant will be protected unless permission for disclosure is given

Complaints in relation to refunds

bull Students or parents have 28 days to lodge a formal written complaint from the date of the remittance advice of their refund

Submission of complaints

bull Any issues or complaints in relation to the ISP offered in Victorian government schools should be discussed with the IED of DET

bull Formal complaints should be submitted in writing to

Executive Director International Education Division Department of Education and Training

GPO Box 4367 Melbourne Victoria 3001 Australia

Consideration of complaints

bull The Executive Director IED DET will consider the formal complaint

bull After consideration of all of the available evidence the Executive Director IED DET may decide to uphold or dismiss the complaint

Please note This agreement and the availability of complaints and appeals processes does not remove the right to take further action under Australiarsquos consumer protection laws

5

Please keep a copy of this application for your own record and subsequent enquiry

1 Student Details

Family name

Given name

Date of birth D D M M Y Y Y Y Gender Male Female

Nationality on passport

Country of birth

In which country will you be applying for your visa

Passport number Expiry date D D M M Y Y Y Y

2 Contact Details

It is compulsory to complete these details

bull Please note a legal guardian in relation to a child refers to having the right to the daily care and control of the child and the right to make decisions for that child

bull Please include the contact details of the adults to contact with regard to the payment of all fees and in the event of any student emergencies

FatherrsquosLegal guardianrsquos family name

FatherrsquosLegal guardianrsquos given name

MotherrsquosLegal guardianrsquos family name

MotherrsquosLegal guardianrsquos given name

Family contact number (include country and area codes)

Family email address

Street Address

City StateProvince PostcodeZip

Country Phone (include country and area codes)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

6

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

3 Accommodation Details in Victoria

Please indicate who the student will live with Parent Relative or family friend

Family name Given name

Relationship to student

Street Address

City State Postcode

Phone Mobile

Email

4 Sibling Details

Does the student have a brother or sister currently enrolled at a Victorian government school Yes No

If yes which school are they attending

Sibling name 1 Sibling student ID number

Sibling name 2 Sibling student ID number

Sibling name 3 Sibling student ID number

Sibling name 4 Sibling student ID number

5 Study Plan

Name of school GradeYear level

Commencement date D D M M Y Y Y Y End date D D M M Y Y Y Y

6 School Preferences

Please refer to wwwstudyvicgovau for a full list of Victorian government schools

The IED is able to offer enrolment based on the availability of places in a particular grade or year level in each school To assist in the placement of the student in a suitable school please provide a list of preferred schools and subjects

Preferred schoolsPreferred subjects (Year 11 students must complete this section)

bull bull EnglishEAL

bull bull

bull bull

bull bull

bull bull

7

7 Special Circumstances

The more information you provide will ensure that the student is placed in a school with the most appropriate support according to their needs

Has the student been diagnosed with a medical condition that a doctor should be aware of If so please provide details

Does the student have any special learning needs which the school needs to be aware of If so please provide details

8 Primary School Enrolment Immunisation Requirements

It is a legal requirement under Victoriarsquos Public Health and Wellbeing Act 2008 for parents to provide an immunisation status certificate to the primary school at the time of enrolment

For more information about how to obtain an immunisation status certificate please refer to the Department of Health website located at the following link httpswww2healthvicgovauApidownloadmedia7B5F1D6A9A-D91B-4FC1-AAF5-37A938B01AD27D~text=How20do20I20obtain20an20immunisation20status20certificate3Famptext=phone201800206532080920orChildhood20Immunisation20Register20(ACIR)

9 Checklist

The application process will not commence until the application form is complete and all necessary supporting documentation is provided to the IED of DET

Copies of the following original documents must be provided

bull in the original language

bull translated into English

bull certified as true copies of the original documents by an authorised person of the country concerned

Copy of original document

English translation

Certified as true copies of original

Document

na Birth certificate OR passport page

na na Evidence of visa (if available)

naProof of medical conditions and special learning needs (if applicable)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

8

10 Preferred Correspondence

Please complete ONE of the following options

DET Accredited Education Agent Details

Company name Contact person

Email

Visit httpswwwstudyvicgovauenbrochures-and-formsPagesBrochureFormsaspx for a list of DET accredited education agents

OR

Familyother (to be completed if not using a DET accredited education agent)

Name

Street address City

StateProvince PostcodeZip Country

Phone Mobile

Email

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

9

11 Declaration and Agreement

This information MUST be provided otherwise there may be delays with the processing of the application

I the parent or Legal Guardian of the student nominated on this application form declare that

bull I have read (andor had explained to me) understand and accept the terms and conditions of enrolment in this application form

bull I have read (andor had explained to me) understand and accept key policies outlined in this application form

bull I understand that the application fee (and School Transfer fee if applicable) are not refundable

bull I understand that the refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy I understand that any refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy as amended from time to time

bull by signing this application form for your child to study in a Victorian government primary school you are agreeing to provide an immunisation status certificate to the primary school It is recommended that you provide the immunisation status certificate to the primary school following the completion of this application form and your arrival in Australia but before your child attends the primary school

bull the information provided in this application is correct and complete the relevant documents are attached and that the information in the attached documentation provided is true and correct

bull I understand that I must declare to the Department of Education and Training any disability or medical condition that the student may have

bull I understand that the Department of Education and Training has the right to reject this application

ParentrsquosLegal Guardianrsquos name ParentrsquosLegal Guardianrsquos SignatureDate D D M M Y Y Y Y

OR

I the DET accredited education agent (if agent representation has been appointed) representing the student nominated on this application form declare that

bull the information provided in this application is correct

bull the parent has read andor I have explained all the terms and conditions outlined in this application form

bull I have explained to the parent the conditions of the Department of Education and Trainingrsquos refund policy AND explained that the application fee and School Transfer fee are not refundable

bull I understand that the Department of Education and Training has the right to reject this application

Agentrsquos name Agentrsquos signature

Date D D M M Y Y Y Y

Please keep a copy of this application for your own record and subsequent enquiry

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

10

Notes

11

  1. Check Box 22 Off
  2. Check Box 24 Off
  3. Check Box 23 Off
  4. Check Box 25 Off
  5. Text Field 23
  6. Text Field 24
  7. Text Field 25
  8. Text Field 26
  9. Text Field 28
  10. Text Field 29
  11. Text Field 30
  12. Text Field 31
  13. Text Field 32
  14. Text Field 33
  15. Text Field 34
  16. Text Field 35
  17. Text Field 36
  18. Text Field 39
  19. Text Field 40
  20. Text Field 37
  21. Text Field 38
  22. Text Field 27
  23. Text Field 1068
  24. Text Field 1069
  25. Text Field 1070
  26. Text Field 1071
  27. Text Field 1072
  28. Text Field 1073
  29. Text Field 1074
  30. Text Field 1075
  31. Text Field 1076
  32. Text Field 1077
  33. Text Field 1078
  34. Text Field 1079
  35. Text Field 1080
  36. Text Field 1081
  37. Text Field 1082
  38. Text Field 1083
  39. Check Box 26 Off
  40. Check Box 28 Off
  41. Check Box 30 Off
  42. Check Box 27 Off
  43. Check Box 29 Off
  44. Check Box 31 Off
  45. Check Box 32 Off
  46. Check Box 34 Off
  47. Check Box 33 Off
  48. Check Box 35 Off
  49. Text Field 42
  50. Text Field 44
  51. Text Field 45
  52. Text Field 46
  53. Text Field 49
  54. Text Field 51
  55. Text Field 52
  56. Text Field 53
  57. Text Field 57
  58. Text Field 54
  59. Text Field 58
  60. Text Field 55
  61. Text Field 59
  62. Text Field 56
  63. Text Field 61
  64. Text Field 90
  65. Text Field 98
  66. Text Field 91
  67. Text Field 99
  68. Text Field 92
  69. Text Field 100
  70. Text Field 93
  71. Text Field 101
  72. Text Field 94
  73. Text Field 102
  74. Text Field 95
  75. Text Field 103
  76. Text Field 96
  77. Text Field 104
  78. Text Field 97
  79. Text Field 105
  80. Text Field 62
  81. Text Field 63
  82. Text Field 67
  83. Text Field 110
  84. Text Field 64
  85. Text Field 68
  86. Text Field 65
  87. Text Field 69
  88. Text Field 66
  89. Text Field 70
  90. Text Field 60
  91. Text Field 50
  92. Text Field 47
  93. Text Field 48
  94. Text Field 43
  95. Check Box 36 Off
  96. Check Box 40 Off
  97. Check Box 42 Off
  98. Check Box 44 Off
  99. Check Box 38 Off
  100. Text Field 71
  101. Text Field 72
  102. Text Field 73
  103. Text Field 75
  104. Text Field 76
  105. Text Field 77
  106. Text Field 79
  107. Text Field 82
  108. Text Field 84
  109. Text Field 83
  110. Text Field 80
  111. Text Field 81
  112. Text Field 78
  113. Text Field 74
  114. Text Field 85
  115. Text Field 86
  116. Text Field 106
  117. Text Field 1014
  118. Text Field 107
  119. Text Field 1015
  120. Text Field 108
  121. Text Field 1016
  122. Text Field 109
  123. Text Field 1017
  124. Text Field 1010
  125. Text Field 1018
  126. Text Field 1011
  127. Text Field 1019
  128. Text Field 1012
  129. Text Field 1020
  130. Text Field 1013
  131. Text Field 1021
Page 3: TEMPORARY APPLICATION FORM

Instructions

Please answer all questions in all sections Write clearly in black ink using BLOCK LETTERS and tick boxes where appropriate We cannot assess your application if it is incomplete or unreadable

School Term Dates 2021 to 2023

Term 1 Term 2 Term 3 Term 4

202228 January

- 8 April 26 April - 24 June

11 July - 16 September

03 October - 20 December

202327 January

- 6 April 24 April - 23 June

10 July - 15 September

02 October - 20 December

202429 January - 28 March

15 April - 28 June

15 July - 20 September

07 October - 20 December

School staff planning day on the first day of term 1 Student attendance may not be required on this day Check with your school to confirm

Application Process

Step 1 Gather informationVisit wwwstudyvicgovau or contact our office for information on enrolment and studying at a Victorian government school Read the Terms Conditions and Policies available at httpswwwstudyvicgovauShared20DocumentsenTemporaryApplicationTermsConditionsPoliciespdf A DET accredited education agent can also assist you with selecting a school and lodging your application o find a DET accredited education agent visit httpswwwstudyvicgovauensearchagentsPages

Step 2 Apply for school enrolment

Complete this application form and return it with the required documents to the International Education Division (IED) or a DET accredited education agent

Please refer to the checklist on page 9 for a list of all required documents

Step 3 Application assessment

Applications received are assessed to determine whether a student meets the entry requirements to study in a Victorian government school Application assessment cannot commence until all required documents are received To avoid unnecessary delays be sure applications are signed and include all the required supporting documents

Step 4 Letter of Offer and Written Agreement

Successful applicants will receive a Letter of Offer and Written Agreement to review

Step 5 Sign Written Agreement

Return a copy of the Letter of Offer and Written Agreement signed by the parents legal guardian (and the student if aged 18 years and over) by the due date

Step 6 Receive an invoice

After submitting your signed Written Agreement you will be sent an invoice

Step 7 Pay your invoice

Please pay your invoice by the due date to secure your place in a Victorian government school

Step 8 Receive your Confirmation of Placement (CoP) Letter

Following acceptance and invoice payment you will receive a CoP Letter

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

This application form is for students on a

1 Tourist Visa and who want to study in Victoria for 8 to 12 weeks

OR

2 Bridging Visa and are waiting for a substantive visa decision

Apply online

You can also lodge your application via our online portal Please access it at httpswwwstudyvicgovau Benefits include faster processing of applications saving and resuming applications at any time and creating and managing multiple applications in one online system

ACRONYMS

COP Confirmation of Placement

DET Department of Education and Training

ISP International Student Program

Agent = Education agent

3

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

2022 Tuition Fees

Weeks Primary School (Pre-6)Junior Secondary School (Years 7-10)

Senior Secondary School (Years 11-12)

1 $308 $409 $459

2 $616 $818 $918

3 $924 $1227 $1377

4 $1232 $1636 $1836

5 $1540 $2045 $2295

6 $1848 $2454 $2754

7 $2156 $2863 $3213

8 $2464 $3272 $3672

9 $2772 $3681 $4131

10 $3080 $4090 $4590

11 $3388 $4499 $5049

12 $3696 $4908 $5508

Other fees Cost (Australian Dollars)

Application fee $302

Enrolment Amendment Fee $302

School Transfer Fee $748

Default Administration Fee $500

Refund Administration Fee $500

Tuition fees and other charges are subject to change and may vary from year to year Any increase in fees during the period of study will apply to new and continuing students

Enrolment and Fee Paymentbull All fees specified by the IED Department of

Education and Training (DET) must be paid in full before the student can commence

bull Fees are payable to the DET by BPAY Electronic Funds Transfer or credit card within Australia and credit card or telegraphic transfer from overseas

bull The IED is not responsible for monies paid to an agent or other third party by the student parent or legal guardian

Application Fee - non fundableYou will receive an invoice including the $292 application fee following lodgement of this form The application fee is non-refundable

Tuition FeesTuition fees do not cover books uniforms stationery school excursions or camps

To calculate fees payable

1 Decide the dates that you want to start and finish studying in Victoria

2 Note the term dates on page 3 and calculate how many weeks this will be

3 Using the lsquoWeeksrsquo column in the 2021 Tuition Fee table above determine the number of weeks you will be at school during the school term

4 Identify the relevant study column (Primary Junior Secondary or Senior Secondary)

4

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

International Student Program (ISP) ndash Key Policies

Student Behaviour Policy

bull Each school has a code of conduct welfare and accommodation policy that students must abide by while enrolled at their host school

bull It is important that students avoid activities that may endanger their safety the safety of others or that could lead to criminal charges

bull When a student does not fulfil the requirements of the host schoolrsquos policies and rules andor the student enters into activities that are unsafe a studentrsquos enrolment may be suspended or cancelled for misbehaviour

Privacy Policy

bull The enrolment form requests personal information about the applicant as well as the applicantrsquos family members The purpose of collecting this information is to allow DET the relevant Victorian government school(s) and other contracted organisations to register the applicant and allocate staff and resources to ensure hisher educational and welfare needs are met

Also the information may be shared with other government departments and contracted organisations concerned with the administration of the ISP offered in Victorian government schools

bull Information about the privacy policy can be obtained from wwweducationvicgovau or wwwstudyvicgovau

International Student Program (ISP) ndash Key Policies

Complaints Policy

bull DET is committed to managing complaints and appeals impartially promptly and confidentially

bull The formal investigation of a complaint will require that details of the complaint be lodged in writing

bull The handling of the complaint will commence within 10 working days of receipt of the complaint

bull There is no cost associated with lodging a complaint with DET

bull The identity of the complainant will be protected unless permission for disclosure is given

Complaints in relation to refunds

bull Students or parents have 28 days to lodge a formal written complaint from the date of the remittance advice of their refund

Submission of complaints

bull Any issues or complaints in relation to the ISP offered in Victorian government schools should be discussed with the IED of DET

bull Formal complaints should be submitted in writing to

Executive Director International Education Division Department of Education and Training

GPO Box 4367 Melbourne Victoria 3001 Australia

Consideration of complaints

bull The Executive Director IED DET will consider the formal complaint

bull After consideration of all of the available evidence the Executive Director IED DET may decide to uphold or dismiss the complaint

Please note This agreement and the availability of complaints and appeals processes does not remove the right to take further action under Australiarsquos consumer protection laws

5

Please keep a copy of this application for your own record and subsequent enquiry

1 Student Details

Family name

Given name

Date of birth D D M M Y Y Y Y Gender Male Female

Nationality on passport

Country of birth

In which country will you be applying for your visa

Passport number Expiry date D D M M Y Y Y Y

2 Contact Details

It is compulsory to complete these details

bull Please note a legal guardian in relation to a child refers to having the right to the daily care and control of the child and the right to make decisions for that child

bull Please include the contact details of the adults to contact with regard to the payment of all fees and in the event of any student emergencies

FatherrsquosLegal guardianrsquos family name

FatherrsquosLegal guardianrsquos given name

MotherrsquosLegal guardianrsquos family name

MotherrsquosLegal guardianrsquos given name

Family contact number (include country and area codes)

Family email address

Street Address

City StateProvince PostcodeZip

Country Phone (include country and area codes)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

6

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

3 Accommodation Details in Victoria

Please indicate who the student will live with Parent Relative or family friend

Family name Given name

Relationship to student

Street Address

City State Postcode

Phone Mobile

Email

4 Sibling Details

Does the student have a brother or sister currently enrolled at a Victorian government school Yes No

If yes which school are they attending

Sibling name 1 Sibling student ID number

Sibling name 2 Sibling student ID number

Sibling name 3 Sibling student ID number

Sibling name 4 Sibling student ID number

5 Study Plan

Name of school GradeYear level

Commencement date D D M M Y Y Y Y End date D D M M Y Y Y Y

6 School Preferences

Please refer to wwwstudyvicgovau for a full list of Victorian government schools

The IED is able to offer enrolment based on the availability of places in a particular grade or year level in each school To assist in the placement of the student in a suitable school please provide a list of preferred schools and subjects

Preferred schoolsPreferred subjects (Year 11 students must complete this section)

bull bull EnglishEAL

bull bull

bull bull

bull bull

bull bull

7

7 Special Circumstances

The more information you provide will ensure that the student is placed in a school with the most appropriate support according to their needs

Has the student been diagnosed with a medical condition that a doctor should be aware of If so please provide details

Does the student have any special learning needs which the school needs to be aware of If so please provide details

8 Primary School Enrolment Immunisation Requirements

It is a legal requirement under Victoriarsquos Public Health and Wellbeing Act 2008 for parents to provide an immunisation status certificate to the primary school at the time of enrolment

For more information about how to obtain an immunisation status certificate please refer to the Department of Health website located at the following link httpswww2healthvicgovauApidownloadmedia7B5F1D6A9A-D91B-4FC1-AAF5-37A938B01AD27D~text=How20do20I20obtain20an20immunisation20status20certificate3Famptext=phone201800206532080920orChildhood20Immunisation20Register20(ACIR)

9 Checklist

The application process will not commence until the application form is complete and all necessary supporting documentation is provided to the IED of DET

Copies of the following original documents must be provided

bull in the original language

bull translated into English

bull certified as true copies of the original documents by an authorised person of the country concerned

Copy of original document

English translation

Certified as true copies of original

Document

na Birth certificate OR passport page

na na Evidence of visa (if available)

naProof of medical conditions and special learning needs (if applicable)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

8

10 Preferred Correspondence

Please complete ONE of the following options

DET Accredited Education Agent Details

Company name Contact person

Email

Visit httpswwwstudyvicgovauenbrochures-and-formsPagesBrochureFormsaspx for a list of DET accredited education agents

OR

Familyother (to be completed if not using a DET accredited education agent)

Name

Street address City

StateProvince PostcodeZip Country

Phone Mobile

Email

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

9

11 Declaration and Agreement

This information MUST be provided otherwise there may be delays with the processing of the application

I the parent or Legal Guardian of the student nominated on this application form declare that

bull I have read (andor had explained to me) understand and accept the terms and conditions of enrolment in this application form

bull I have read (andor had explained to me) understand and accept key policies outlined in this application form

bull I understand that the application fee (and School Transfer fee if applicable) are not refundable

bull I understand that the refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy I understand that any refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy as amended from time to time

bull by signing this application form for your child to study in a Victorian government primary school you are agreeing to provide an immunisation status certificate to the primary school It is recommended that you provide the immunisation status certificate to the primary school following the completion of this application form and your arrival in Australia but before your child attends the primary school

bull the information provided in this application is correct and complete the relevant documents are attached and that the information in the attached documentation provided is true and correct

bull I understand that I must declare to the Department of Education and Training any disability or medical condition that the student may have

bull I understand that the Department of Education and Training has the right to reject this application

ParentrsquosLegal Guardianrsquos name ParentrsquosLegal Guardianrsquos SignatureDate D D M M Y Y Y Y

OR

I the DET accredited education agent (if agent representation has been appointed) representing the student nominated on this application form declare that

bull the information provided in this application is correct

bull the parent has read andor I have explained all the terms and conditions outlined in this application form

bull I have explained to the parent the conditions of the Department of Education and Trainingrsquos refund policy AND explained that the application fee and School Transfer fee are not refundable

bull I understand that the Department of Education and Training has the right to reject this application

Agentrsquos name Agentrsquos signature

Date D D M M Y Y Y Y

Please keep a copy of this application for your own record and subsequent enquiry

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

10

Notes

11

  1. Check Box 22 Off
  2. Check Box 24 Off
  3. Check Box 23 Off
  4. Check Box 25 Off
  5. Text Field 23
  6. Text Field 24
  7. Text Field 25
  8. Text Field 26
  9. Text Field 28
  10. Text Field 29
  11. Text Field 30
  12. Text Field 31
  13. Text Field 32
  14. Text Field 33
  15. Text Field 34
  16. Text Field 35
  17. Text Field 36
  18. Text Field 39
  19. Text Field 40
  20. Text Field 37
  21. Text Field 38
  22. Text Field 27
  23. Text Field 1068
  24. Text Field 1069
  25. Text Field 1070
  26. Text Field 1071
  27. Text Field 1072
  28. Text Field 1073
  29. Text Field 1074
  30. Text Field 1075
  31. Text Field 1076
  32. Text Field 1077
  33. Text Field 1078
  34. Text Field 1079
  35. Text Field 1080
  36. Text Field 1081
  37. Text Field 1082
  38. Text Field 1083
  39. Check Box 26 Off
  40. Check Box 28 Off
  41. Check Box 30 Off
  42. Check Box 27 Off
  43. Check Box 29 Off
  44. Check Box 31 Off
  45. Check Box 32 Off
  46. Check Box 34 Off
  47. Check Box 33 Off
  48. Check Box 35 Off
  49. Text Field 42
  50. Text Field 44
  51. Text Field 45
  52. Text Field 46
  53. Text Field 49
  54. Text Field 51
  55. Text Field 52
  56. Text Field 53
  57. Text Field 57
  58. Text Field 54
  59. Text Field 58
  60. Text Field 55
  61. Text Field 59
  62. Text Field 56
  63. Text Field 61
  64. Text Field 90
  65. Text Field 98
  66. Text Field 91
  67. Text Field 99
  68. Text Field 92
  69. Text Field 100
  70. Text Field 93
  71. Text Field 101
  72. Text Field 94
  73. Text Field 102
  74. Text Field 95
  75. Text Field 103
  76. Text Field 96
  77. Text Field 104
  78. Text Field 97
  79. Text Field 105
  80. Text Field 62
  81. Text Field 63
  82. Text Field 67
  83. Text Field 110
  84. Text Field 64
  85. Text Field 68
  86. Text Field 65
  87. Text Field 69
  88. Text Field 66
  89. Text Field 70
  90. Text Field 60
  91. Text Field 50
  92. Text Field 47
  93. Text Field 48
  94. Text Field 43
  95. Check Box 36 Off
  96. Check Box 40 Off
  97. Check Box 42 Off
  98. Check Box 44 Off
  99. Check Box 38 Off
  100. Text Field 71
  101. Text Field 72
  102. Text Field 73
  103. Text Field 75
  104. Text Field 76
  105. Text Field 77
  106. Text Field 79
  107. Text Field 82
  108. Text Field 84
  109. Text Field 83
  110. Text Field 80
  111. Text Field 81
  112. Text Field 78
  113. Text Field 74
  114. Text Field 85
  115. Text Field 86
  116. Text Field 106
  117. Text Field 1014
  118. Text Field 107
  119. Text Field 1015
  120. Text Field 108
  121. Text Field 1016
  122. Text Field 109
  123. Text Field 1017
  124. Text Field 1010
  125. Text Field 1018
  126. Text Field 1011
  127. Text Field 1019
  128. Text Field 1012
  129. Text Field 1020
  130. Text Field 1013
  131. Text Field 1021
Page 4: TEMPORARY APPLICATION FORM

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

2022 Tuition Fees

Weeks Primary School (Pre-6)Junior Secondary School (Years 7-10)

Senior Secondary School (Years 11-12)

1 $308 $409 $459

2 $616 $818 $918

3 $924 $1227 $1377

4 $1232 $1636 $1836

5 $1540 $2045 $2295

6 $1848 $2454 $2754

7 $2156 $2863 $3213

8 $2464 $3272 $3672

9 $2772 $3681 $4131

10 $3080 $4090 $4590

11 $3388 $4499 $5049

12 $3696 $4908 $5508

Other fees Cost (Australian Dollars)

Application fee $302

Enrolment Amendment Fee $302

School Transfer Fee $748

Default Administration Fee $500

Refund Administration Fee $500

Tuition fees and other charges are subject to change and may vary from year to year Any increase in fees during the period of study will apply to new and continuing students

Enrolment and Fee Paymentbull All fees specified by the IED Department of

Education and Training (DET) must be paid in full before the student can commence

bull Fees are payable to the DET by BPAY Electronic Funds Transfer or credit card within Australia and credit card or telegraphic transfer from overseas

bull The IED is not responsible for monies paid to an agent or other third party by the student parent or legal guardian

Application Fee - non fundableYou will receive an invoice including the $292 application fee following lodgement of this form The application fee is non-refundable

Tuition FeesTuition fees do not cover books uniforms stationery school excursions or camps

To calculate fees payable

1 Decide the dates that you want to start and finish studying in Victoria

2 Note the term dates on page 3 and calculate how many weeks this will be

3 Using the lsquoWeeksrsquo column in the 2021 Tuition Fee table above determine the number of weeks you will be at school during the school term

4 Identify the relevant study column (Primary Junior Secondary or Senior Secondary)

4

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

International Student Program (ISP) ndash Key Policies

Student Behaviour Policy

bull Each school has a code of conduct welfare and accommodation policy that students must abide by while enrolled at their host school

bull It is important that students avoid activities that may endanger their safety the safety of others or that could lead to criminal charges

bull When a student does not fulfil the requirements of the host schoolrsquos policies and rules andor the student enters into activities that are unsafe a studentrsquos enrolment may be suspended or cancelled for misbehaviour

Privacy Policy

bull The enrolment form requests personal information about the applicant as well as the applicantrsquos family members The purpose of collecting this information is to allow DET the relevant Victorian government school(s) and other contracted organisations to register the applicant and allocate staff and resources to ensure hisher educational and welfare needs are met

Also the information may be shared with other government departments and contracted organisations concerned with the administration of the ISP offered in Victorian government schools

bull Information about the privacy policy can be obtained from wwweducationvicgovau or wwwstudyvicgovau

International Student Program (ISP) ndash Key Policies

Complaints Policy

bull DET is committed to managing complaints and appeals impartially promptly and confidentially

bull The formal investigation of a complaint will require that details of the complaint be lodged in writing

bull The handling of the complaint will commence within 10 working days of receipt of the complaint

bull There is no cost associated with lodging a complaint with DET

bull The identity of the complainant will be protected unless permission for disclosure is given

Complaints in relation to refunds

bull Students or parents have 28 days to lodge a formal written complaint from the date of the remittance advice of their refund

Submission of complaints

bull Any issues or complaints in relation to the ISP offered in Victorian government schools should be discussed with the IED of DET

bull Formal complaints should be submitted in writing to

Executive Director International Education Division Department of Education and Training

GPO Box 4367 Melbourne Victoria 3001 Australia

Consideration of complaints

bull The Executive Director IED DET will consider the formal complaint

bull After consideration of all of the available evidence the Executive Director IED DET may decide to uphold or dismiss the complaint

Please note This agreement and the availability of complaints and appeals processes does not remove the right to take further action under Australiarsquos consumer protection laws

5

Please keep a copy of this application for your own record and subsequent enquiry

1 Student Details

Family name

Given name

Date of birth D D M M Y Y Y Y Gender Male Female

Nationality on passport

Country of birth

In which country will you be applying for your visa

Passport number Expiry date D D M M Y Y Y Y

2 Contact Details

It is compulsory to complete these details

bull Please note a legal guardian in relation to a child refers to having the right to the daily care and control of the child and the right to make decisions for that child

bull Please include the contact details of the adults to contact with regard to the payment of all fees and in the event of any student emergencies

FatherrsquosLegal guardianrsquos family name

FatherrsquosLegal guardianrsquos given name

MotherrsquosLegal guardianrsquos family name

MotherrsquosLegal guardianrsquos given name

Family contact number (include country and area codes)

Family email address

Street Address

City StateProvince PostcodeZip

Country Phone (include country and area codes)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

6

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

3 Accommodation Details in Victoria

Please indicate who the student will live with Parent Relative or family friend

Family name Given name

Relationship to student

Street Address

City State Postcode

Phone Mobile

Email

4 Sibling Details

Does the student have a brother or sister currently enrolled at a Victorian government school Yes No

If yes which school are they attending

Sibling name 1 Sibling student ID number

Sibling name 2 Sibling student ID number

Sibling name 3 Sibling student ID number

Sibling name 4 Sibling student ID number

5 Study Plan

Name of school GradeYear level

Commencement date D D M M Y Y Y Y End date D D M M Y Y Y Y

6 School Preferences

Please refer to wwwstudyvicgovau for a full list of Victorian government schools

The IED is able to offer enrolment based on the availability of places in a particular grade or year level in each school To assist in the placement of the student in a suitable school please provide a list of preferred schools and subjects

Preferred schoolsPreferred subjects (Year 11 students must complete this section)

bull bull EnglishEAL

bull bull

bull bull

bull bull

bull bull

7

7 Special Circumstances

The more information you provide will ensure that the student is placed in a school with the most appropriate support according to their needs

Has the student been diagnosed with a medical condition that a doctor should be aware of If so please provide details

Does the student have any special learning needs which the school needs to be aware of If so please provide details

8 Primary School Enrolment Immunisation Requirements

It is a legal requirement under Victoriarsquos Public Health and Wellbeing Act 2008 for parents to provide an immunisation status certificate to the primary school at the time of enrolment

For more information about how to obtain an immunisation status certificate please refer to the Department of Health website located at the following link httpswww2healthvicgovauApidownloadmedia7B5F1D6A9A-D91B-4FC1-AAF5-37A938B01AD27D~text=How20do20I20obtain20an20immunisation20status20certificate3Famptext=phone201800206532080920orChildhood20Immunisation20Register20(ACIR)

9 Checklist

The application process will not commence until the application form is complete and all necessary supporting documentation is provided to the IED of DET

Copies of the following original documents must be provided

bull in the original language

bull translated into English

bull certified as true copies of the original documents by an authorised person of the country concerned

Copy of original document

English translation

Certified as true copies of original

Document

na Birth certificate OR passport page

na na Evidence of visa (if available)

naProof of medical conditions and special learning needs (if applicable)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

8

10 Preferred Correspondence

Please complete ONE of the following options

DET Accredited Education Agent Details

Company name Contact person

Email

Visit httpswwwstudyvicgovauenbrochures-and-formsPagesBrochureFormsaspx for a list of DET accredited education agents

OR

Familyother (to be completed if not using a DET accredited education agent)

Name

Street address City

StateProvince PostcodeZip Country

Phone Mobile

Email

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

9

11 Declaration and Agreement

This information MUST be provided otherwise there may be delays with the processing of the application

I the parent or Legal Guardian of the student nominated on this application form declare that

bull I have read (andor had explained to me) understand and accept the terms and conditions of enrolment in this application form

bull I have read (andor had explained to me) understand and accept key policies outlined in this application form

bull I understand that the application fee (and School Transfer fee if applicable) are not refundable

bull I understand that the refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy I understand that any refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy as amended from time to time

bull by signing this application form for your child to study in a Victorian government primary school you are agreeing to provide an immunisation status certificate to the primary school It is recommended that you provide the immunisation status certificate to the primary school following the completion of this application form and your arrival in Australia but before your child attends the primary school

bull the information provided in this application is correct and complete the relevant documents are attached and that the information in the attached documentation provided is true and correct

bull I understand that I must declare to the Department of Education and Training any disability or medical condition that the student may have

bull I understand that the Department of Education and Training has the right to reject this application

ParentrsquosLegal Guardianrsquos name ParentrsquosLegal Guardianrsquos SignatureDate D D M M Y Y Y Y

OR

I the DET accredited education agent (if agent representation has been appointed) representing the student nominated on this application form declare that

bull the information provided in this application is correct

bull the parent has read andor I have explained all the terms and conditions outlined in this application form

bull I have explained to the parent the conditions of the Department of Education and Trainingrsquos refund policy AND explained that the application fee and School Transfer fee are not refundable

bull I understand that the Department of Education and Training has the right to reject this application

Agentrsquos name Agentrsquos signature

Date D D M M Y Y Y Y

Please keep a copy of this application for your own record and subsequent enquiry

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

10

Notes

11

  1. Check Box 22 Off
  2. Check Box 24 Off
  3. Check Box 23 Off
  4. Check Box 25 Off
  5. Text Field 23
  6. Text Field 24
  7. Text Field 25
  8. Text Field 26
  9. Text Field 28
  10. Text Field 29
  11. Text Field 30
  12. Text Field 31
  13. Text Field 32
  14. Text Field 33
  15. Text Field 34
  16. Text Field 35
  17. Text Field 36
  18. Text Field 39
  19. Text Field 40
  20. Text Field 37
  21. Text Field 38
  22. Text Field 27
  23. Text Field 1068
  24. Text Field 1069
  25. Text Field 1070
  26. Text Field 1071
  27. Text Field 1072
  28. Text Field 1073
  29. Text Field 1074
  30. Text Field 1075
  31. Text Field 1076
  32. Text Field 1077
  33. Text Field 1078
  34. Text Field 1079
  35. Text Field 1080
  36. Text Field 1081
  37. Text Field 1082
  38. Text Field 1083
  39. Check Box 26 Off
  40. Check Box 28 Off
  41. Check Box 30 Off
  42. Check Box 27 Off
  43. Check Box 29 Off
  44. Check Box 31 Off
  45. Check Box 32 Off
  46. Check Box 34 Off
  47. Check Box 33 Off
  48. Check Box 35 Off
  49. Text Field 42
  50. Text Field 44
  51. Text Field 45
  52. Text Field 46
  53. Text Field 49
  54. Text Field 51
  55. Text Field 52
  56. Text Field 53
  57. Text Field 57
  58. Text Field 54
  59. Text Field 58
  60. Text Field 55
  61. Text Field 59
  62. Text Field 56
  63. Text Field 61
  64. Text Field 90
  65. Text Field 98
  66. Text Field 91
  67. Text Field 99
  68. Text Field 92
  69. Text Field 100
  70. Text Field 93
  71. Text Field 101
  72. Text Field 94
  73. Text Field 102
  74. Text Field 95
  75. Text Field 103
  76. Text Field 96
  77. Text Field 104
  78. Text Field 97
  79. Text Field 105
  80. Text Field 62
  81. Text Field 63
  82. Text Field 67
  83. Text Field 110
  84. Text Field 64
  85. Text Field 68
  86. Text Field 65
  87. Text Field 69
  88. Text Field 66
  89. Text Field 70
  90. Text Field 60
  91. Text Field 50
  92. Text Field 47
  93. Text Field 48
  94. Text Field 43
  95. Check Box 36 Off
  96. Check Box 40 Off
  97. Check Box 42 Off
  98. Check Box 44 Off
  99. Check Box 38 Off
  100. Text Field 71
  101. Text Field 72
  102. Text Field 73
  103. Text Field 75
  104. Text Field 76
  105. Text Field 77
  106. Text Field 79
  107. Text Field 82
  108. Text Field 84
  109. Text Field 83
  110. Text Field 80
  111. Text Field 81
  112. Text Field 78
  113. Text Field 74
  114. Text Field 85
  115. Text Field 86
  116. Text Field 106
  117. Text Field 1014
  118. Text Field 107
  119. Text Field 1015
  120. Text Field 108
  121. Text Field 1016
  122. Text Field 109
  123. Text Field 1017
  124. Text Field 1010
  125. Text Field 1018
  126. Text Field 1011
  127. Text Field 1019
  128. Text Field 1012
  129. Text Field 1020
  130. Text Field 1013
  131. Text Field 1021
Page 5: TEMPORARY APPLICATION FORM

TEMPORARY INTERNATIONAL STUDENT APPLICATION FORM

International Student Program (ISP) ndash Key Policies

Student Behaviour Policy

bull Each school has a code of conduct welfare and accommodation policy that students must abide by while enrolled at their host school

bull It is important that students avoid activities that may endanger their safety the safety of others or that could lead to criminal charges

bull When a student does not fulfil the requirements of the host schoolrsquos policies and rules andor the student enters into activities that are unsafe a studentrsquos enrolment may be suspended or cancelled for misbehaviour

Privacy Policy

bull The enrolment form requests personal information about the applicant as well as the applicantrsquos family members The purpose of collecting this information is to allow DET the relevant Victorian government school(s) and other contracted organisations to register the applicant and allocate staff and resources to ensure hisher educational and welfare needs are met

Also the information may be shared with other government departments and contracted organisations concerned with the administration of the ISP offered in Victorian government schools

bull Information about the privacy policy can be obtained from wwweducationvicgovau or wwwstudyvicgovau

International Student Program (ISP) ndash Key Policies

Complaints Policy

bull DET is committed to managing complaints and appeals impartially promptly and confidentially

bull The formal investigation of a complaint will require that details of the complaint be lodged in writing

bull The handling of the complaint will commence within 10 working days of receipt of the complaint

bull There is no cost associated with lodging a complaint with DET

bull The identity of the complainant will be protected unless permission for disclosure is given

Complaints in relation to refunds

bull Students or parents have 28 days to lodge a formal written complaint from the date of the remittance advice of their refund

Submission of complaints

bull Any issues or complaints in relation to the ISP offered in Victorian government schools should be discussed with the IED of DET

bull Formal complaints should be submitted in writing to

Executive Director International Education Division Department of Education and Training

GPO Box 4367 Melbourne Victoria 3001 Australia

Consideration of complaints

bull The Executive Director IED DET will consider the formal complaint

bull After consideration of all of the available evidence the Executive Director IED DET may decide to uphold or dismiss the complaint

Please note This agreement and the availability of complaints and appeals processes does not remove the right to take further action under Australiarsquos consumer protection laws

5

Please keep a copy of this application for your own record and subsequent enquiry

1 Student Details

Family name

Given name

Date of birth D D M M Y Y Y Y Gender Male Female

Nationality on passport

Country of birth

In which country will you be applying for your visa

Passport number Expiry date D D M M Y Y Y Y

2 Contact Details

It is compulsory to complete these details

bull Please note a legal guardian in relation to a child refers to having the right to the daily care and control of the child and the right to make decisions for that child

bull Please include the contact details of the adults to contact with regard to the payment of all fees and in the event of any student emergencies

FatherrsquosLegal guardianrsquos family name

FatherrsquosLegal guardianrsquos given name

MotherrsquosLegal guardianrsquos family name

MotherrsquosLegal guardianrsquos given name

Family contact number (include country and area codes)

Family email address

Street Address

City StateProvince PostcodeZip

Country Phone (include country and area codes)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

6

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

3 Accommodation Details in Victoria

Please indicate who the student will live with Parent Relative or family friend

Family name Given name

Relationship to student

Street Address

City State Postcode

Phone Mobile

Email

4 Sibling Details

Does the student have a brother or sister currently enrolled at a Victorian government school Yes No

If yes which school are they attending

Sibling name 1 Sibling student ID number

Sibling name 2 Sibling student ID number

Sibling name 3 Sibling student ID number

Sibling name 4 Sibling student ID number

5 Study Plan

Name of school GradeYear level

Commencement date D D M M Y Y Y Y End date D D M M Y Y Y Y

6 School Preferences

Please refer to wwwstudyvicgovau for a full list of Victorian government schools

The IED is able to offer enrolment based on the availability of places in a particular grade or year level in each school To assist in the placement of the student in a suitable school please provide a list of preferred schools and subjects

Preferred schoolsPreferred subjects (Year 11 students must complete this section)

bull bull EnglishEAL

bull bull

bull bull

bull bull

bull bull

7

7 Special Circumstances

The more information you provide will ensure that the student is placed in a school with the most appropriate support according to their needs

Has the student been diagnosed with a medical condition that a doctor should be aware of If so please provide details

Does the student have any special learning needs which the school needs to be aware of If so please provide details

8 Primary School Enrolment Immunisation Requirements

It is a legal requirement under Victoriarsquos Public Health and Wellbeing Act 2008 for parents to provide an immunisation status certificate to the primary school at the time of enrolment

For more information about how to obtain an immunisation status certificate please refer to the Department of Health website located at the following link httpswww2healthvicgovauApidownloadmedia7B5F1D6A9A-D91B-4FC1-AAF5-37A938B01AD27D~text=How20do20I20obtain20an20immunisation20status20certificate3Famptext=phone201800206532080920orChildhood20Immunisation20Register20(ACIR)

9 Checklist

The application process will not commence until the application form is complete and all necessary supporting documentation is provided to the IED of DET

Copies of the following original documents must be provided

bull in the original language

bull translated into English

bull certified as true copies of the original documents by an authorised person of the country concerned

Copy of original document

English translation

Certified as true copies of original

Document

na Birth certificate OR passport page

na na Evidence of visa (if available)

naProof of medical conditions and special learning needs (if applicable)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

8

10 Preferred Correspondence

Please complete ONE of the following options

DET Accredited Education Agent Details

Company name Contact person

Email

Visit httpswwwstudyvicgovauenbrochures-and-formsPagesBrochureFormsaspx for a list of DET accredited education agents

OR

Familyother (to be completed if not using a DET accredited education agent)

Name

Street address City

StateProvince PostcodeZip Country

Phone Mobile

Email

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

9

11 Declaration and Agreement

This information MUST be provided otherwise there may be delays with the processing of the application

I the parent or Legal Guardian of the student nominated on this application form declare that

bull I have read (andor had explained to me) understand and accept the terms and conditions of enrolment in this application form

bull I have read (andor had explained to me) understand and accept key policies outlined in this application form

bull I understand that the application fee (and School Transfer fee if applicable) are not refundable

bull I understand that the refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy I understand that any refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy as amended from time to time

bull by signing this application form for your child to study in a Victorian government primary school you are agreeing to provide an immunisation status certificate to the primary school It is recommended that you provide the immunisation status certificate to the primary school following the completion of this application form and your arrival in Australia but before your child attends the primary school

bull the information provided in this application is correct and complete the relevant documents are attached and that the information in the attached documentation provided is true and correct

bull I understand that I must declare to the Department of Education and Training any disability or medical condition that the student may have

bull I understand that the Department of Education and Training has the right to reject this application

ParentrsquosLegal Guardianrsquos name ParentrsquosLegal Guardianrsquos SignatureDate D D M M Y Y Y Y

OR

I the DET accredited education agent (if agent representation has been appointed) representing the student nominated on this application form declare that

bull the information provided in this application is correct

bull the parent has read andor I have explained all the terms and conditions outlined in this application form

bull I have explained to the parent the conditions of the Department of Education and Trainingrsquos refund policy AND explained that the application fee and School Transfer fee are not refundable

bull I understand that the Department of Education and Training has the right to reject this application

Agentrsquos name Agentrsquos signature

Date D D M M Y Y Y Y

Please keep a copy of this application for your own record and subsequent enquiry

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

10

Notes

11

  1. Check Box 22 Off
  2. Check Box 24 Off
  3. Check Box 23 Off
  4. Check Box 25 Off
  5. Text Field 23
  6. Text Field 24
  7. Text Field 25
  8. Text Field 26
  9. Text Field 28
  10. Text Field 29
  11. Text Field 30
  12. Text Field 31
  13. Text Field 32
  14. Text Field 33
  15. Text Field 34
  16. Text Field 35
  17. Text Field 36
  18. Text Field 39
  19. Text Field 40
  20. Text Field 37
  21. Text Field 38
  22. Text Field 27
  23. Text Field 1068
  24. Text Field 1069
  25. Text Field 1070
  26. Text Field 1071
  27. Text Field 1072
  28. Text Field 1073
  29. Text Field 1074
  30. Text Field 1075
  31. Text Field 1076
  32. Text Field 1077
  33. Text Field 1078
  34. Text Field 1079
  35. Text Field 1080
  36. Text Field 1081
  37. Text Field 1082
  38. Text Field 1083
  39. Check Box 26 Off
  40. Check Box 28 Off
  41. Check Box 30 Off
  42. Check Box 27 Off
  43. Check Box 29 Off
  44. Check Box 31 Off
  45. Check Box 32 Off
  46. Check Box 34 Off
  47. Check Box 33 Off
  48. Check Box 35 Off
  49. Text Field 42
  50. Text Field 44
  51. Text Field 45
  52. Text Field 46
  53. Text Field 49
  54. Text Field 51
  55. Text Field 52
  56. Text Field 53
  57. Text Field 57
  58. Text Field 54
  59. Text Field 58
  60. Text Field 55
  61. Text Field 59
  62. Text Field 56
  63. Text Field 61
  64. Text Field 90
  65. Text Field 98
  66. Text Field 91
  67. Text Field 99
  68. Text Field 92
  69. Text Field 100
  70. Text Field 93
  71. Text Field 101
  72. Text Field 94
  73. Text Field 102
  74. Text Field 95
  75. Text Field 103
  76. Text Field 96
  77. Text Field 104
  78. Text Field 97
  79. Text Field 105
  80. Text Field 62
  81. Text Field 63
  82. Text Field 67
  83. Text Field 110
  84. Text Field 64
  85. Text Field 68
  86. Text Field 65
  87. Text Field 69
  88. Text Field 66
  89. Text Field 70
  90. Text Field 60
  91. Text Field 50
  92. Text Field 47
  93. Text Field 48
  94. Text Field 43
  95. Check Box 36 Off
  96. Check Box 40 Off
  97. Check Box 42 Off
  98. Check Box 44 Off
  99. Check Box 38 Off
  100. Text Field 71
  101. Text Field 72
  102. Text Field 73
  103. Text Field 75
  104. Text Field 76
  105. Text Field 77
  106. Text Field 79
  107. Text Field 82
  108. Text Field 84
  109. Text Field 83
  110. Text Field 80
  111. Text Field 81
  112. Text Field 78
  113. Text Field 74
  114. Text Field 85
  115. Text Field 86
  116. Text Field 106
  117. Text Field 1014
  118. Text Field 107
  119. Text Field 1015
  120. Text Field 108
  121. Text Field 1016
  122. Text Field 109
  123. Text Field 1017
  124. Text Field 1010
  125. Text Field 1018
  126. Text Field 1011
  127. Text Field 1019
  128. Text Field 1012
  129. Text Field 1020
  130. Text Field 1013
  131. Text Field 1021
Page 6: TEMPORARY APPLICATION FORM

Please keep a copy of this application for your own record and subsequent enquiry

1 Student Details

Family name

Given name

Date of birth D D M M Y Y Y Y Gender Male Female

Nationality on passport

Country of birth

In which country will you be applying for your visa

Passport number Expiry date D D M M Y Y Y Y

2 Contact Details

It is compulsory to complete these details

bull Please note a legal guardian in relation to a child refers to having the right to the daily care and control of the child and the right to make decisions for that child

bull Please include the contact details of the adults to contact with regard to the payment of all fees and in the event of any student emergencies

FatherrsquosLegal guardianrsquos family name

FatherrsquosLegal guardianrsquos given name

MotherrsquosLegal guardianrsquos family name

MotherrsquosLegal guardianrsquos given name

Family contact number (include country and area codes)

Family email address

Street Address

City StateProvince PostcodeZip

Country Phone (include country and area codes)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

6

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

3 Accommodation Details in Victoria

Please indicate who the student will live with Parent Relative or family friend

Family name Given name

Relationship to student

Street Address

City State Postcode

Phone Mobile

Email

4 Sibling Details

Does the student have a brother or sister currently enrolled at a Victorian government school Yes No

If yes which school are they attending

Sibling name 1 Sibling student ID number

Sibling name 2 Sibling student ID number

Sibling name 3 Sibling student ID number

Sibling name 4 Sibling student ID number

5 Study Plan

Name of school GradeYear level

Commencement date D D M M Y Y Y Y End date D D M M Y Y Y Y

6 School Preferences

Please refer to wwwstudyvicgovau for a full list of Victorian government schools

The IED is able to offer enrolment based on the availability of places in a particular grade or year level in each school To assist in the placement of the student in a suitable school please provide a list of preferred schools and subjects

Preferred schoolsPreferred subjects (Year 11 students must complete this section)

bull bull EnglishEAL

bull bull

bull bull

bull bull

bull bull

7

7 Special Circumstances

The more information you provide will ensure that the student is placed in a school with the most appropriate support according to their needs

Has the student been diagnosed with a medical condition that a doctor should be aware of If so please provide details

Does the student have any special learning needs which the school needs to be aware of If so please provide details

8 Primary School Enrolment Immunisation Requirements

It is a legal requirement under Victoriarsquos Public Health and Wellbeing Act 2008 for parents to provide an immunisation status certificate to the primary school at the time of enrolment

For more information about how to obtain an immunisation status certificate please refer to the Department of Health website located at the following link httpswww2healthvicgovauApidownloadmedia7B5F1D6A9A-D91B-4FC1-AAF5-37A938B01AD27D~text=How20do20I20obtain20an20immunisation20status20certificate3Famptext=phone201800206532080920orChildhood20Immunisation20Register20(ACIR)

9 Checklist

The application process will not commence until the application form is complete and all necessary supporting documentation is provided to the IED of DET

Copies of the following original documents must be provided

bull in the original language

bull translated into English

bull certified as true copies of the original documents by an authorised person of the country concerned

Copy of original document

English translation

Certified as true copies of original

Document

na Birth certificate OR passport page

na na Evidence of visa (if available)

naProof of medical conditions and special learning needs (if applicable)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

8

10 Preferred Correspondence

Please complete ONE of the following options

DET Accredited Education Agent Details

Company name Contact person

Email

Visit httpswwwstudyvicgovauenbrochures-and-formsPagesBrochureFormsaspx for a list of DET accredited education agents

OR

Familyother (to be completed if not using a DET accredited education agent)

Name

Street address City

StateProvince PostcodeZip Country

Phone Mobile

Email

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

9

11 Declaration and Agreement

This information MUST be provided otherwise there may be delays with the processing of the application

I the parent or Legal Guardian of the student nominated on this application form declare that

bull I have read (andor had explained to me) understand and accept the terms and conditions of enrolment in this application form

bull I have read (andor had explained to me) understand and accept key policies outlined in this application form

bull I understand that the application fee (and School Transfer fee if applicable) are not refundable

bull I understand that the refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy I understand that any refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy as amended from time to time

bull by signing this application form for your child to study in a Victorian government primary school you are agreeing to provide an immunisation status certificate to the primary school It is recommended that you provide the immunisation status certificate to the primary school following the completion of this application form and your arrival in Australia but before your child attends the primary school

bull the information provided in this application is correct and complete the relevant documents are attached and that the information in the attached documentation provided is true and correct

bull I understand that I must declare to the Department of Education and Training any disability or medical condition that the student may have

bull I understand that the Department of Education and Training has the right to reject this application

ParentrsquosLegal Guardianrsquos name ParentrsquosLegal Guardianrsquos SignatureDate D D M M Y Y Y Y

OR

I the DET accredited education agent (if agent representation has been appointed) representing the student nominated on this application form declare that

bull the information provided in this application is correct

bull the parent has read andor I have explained all the terms and conditions outlined in this application form

bull I have explained to the parent the conditions of the Department of Education and Trainingrsquos refund policy AND explained that the application fee and School Transfer fee are not refundable

bull I understand that the Department of Education and Training has the right to reject this application

Agentrsquos name Agentrsquos signature

Date D D M M Y Y Y Y

Please keep a copy of this application for your own record and subsequent enquiry

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

10

Notes

11

  1. Check Box 22 Off
  2. Check Box 24 Off
  3. Check Box 23 Off
  4. Check Box 25 Off
  5. Text Field 23
  6. Text Field 24
  7. Text Field 25
  8. Text Field 26
  9. Text Field 28
  10. Text Field 29
  11. Text Field 30
  12. Text Field 31
  13. Text Field 32
  14. Text Field 33
  15. Text Field 34
  16. Text Field 35
  17. Text Field 36
  18. Text Field 39
  19. Text Field 40
  20. Text Field 37
  21. Text Field 38
  22. Text Field 27
  23. Text Field 1068
  24. Text Field 1069
  25. Text Field 1070
  26. Text Field 1071
  27. Text Field 1072
  28. Text Field 1073
  29. Text Field 1074
  30. Text Field 1075
  31. Text Field 1076
  32. Text Field 1077
  33. Text Field 1078
  34. Text Field 1079
  35. Text Field 1080
  36. Text Field 1081
  37. Text Field 1082
  38. Text Field 1083
  39. Check Box 26 Off
  40. Check Box 28 Off
  41. Check Box 30 Off
  42. Check Box 27 Off
  43. Check Box 29 Off
  44. Check Box 31 Off
  45. Check Box 32 Off
  46. Check Box 34 Off
  47. Check Box 33 Off
  48. Check Box 35 Off
  49. Text Field 42
  50. Text Field 44
  51. Text Field 45
  52. Text Field 46
  53. Text Field 49
  54. Text Field 51
  55. Text Field 52
  56. Text Field 53
  57. Text Field 57
  58. Text Field 54
  59. Text Field 58
  60. Text Field 55
  61. Text Field 59
  62. Text Field 56
  63. Text Field 61
  64. Text Field 90
  65. Text Field 98
  66. Text Field 91
  67. Text Field 99
  68. Text Field 92
  69. Text Field 100
  70. Text Field 93
  71. Text Field 101
  72. Text Field 94
  73. Text Field 102
  74. Text Field 95
  75. Text Field 103
  76. Text Field 96
  77. Text Field 104
  78. Text Field 97
  79. Text Field 105
  80. Text Field 62
  81. Text Field 63
  82. Text Field 67
  83. Text Field 110
  84. Text Field 64
  85. Text Field 68
  86. Text Field 65
  87. Text Field 69
  88. Text Field 66
  89. Text Field 70
  90. Text Field 60
  91. Text Field 50
  92. Text Field 47
  93. Text Field 48
  94. Text Field 43
  95. Check Box 36 Off
  96. Check Box 40 Off
  97. Check Box 42 Off
  98. Check Box 44 Off
  99. Check Box 38 Off
  100. Text Field 71
  101. Text Field 72
  102. Text Field 73
  103. Text Field 75
  104. Text Field 76
  105. Text Field 77
  106. Text Field 79
  107. Text Field 82
  108. Text Field 84
  109. Text Field 83
  110. Text Field 80
  111. Text Field 81
  112. Text Field 78
  113. Text Field 74
  114. Text Field 85
  115. Text Field 86
  116. Text Field 106
  117. Text Field 1014
  118. Text Field 107
  119. Text Field 1015
  120. Text Field 108
  121. Text Field 1016
  122. Text Field 109
  123. Text Field 1017
  124. Text Field 1010
  125. Text Field 1018
  126. Text Field 1011
  127. Text Field 1019
  128. Text Field 1012
  129. Text Field 1020
  130. Text Field 1013
  131. Text Field 1021
Page 7: TEMPORARY APPLICATION FORM

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

3 Accommodation Details in Victoria

Please indicate who the student will live with Parent Relative or family friend

Family name Given name

Relationship to student

Street Address

City State Postcode

Phone Mobile

Email

4 Sibling Details

Does the student have a brother or sister currently enrolled at a Victorian government school Yes No

If yes which school are they attending

Sibling name 1 Sibling student ID number

Sibling name 2 Sibling student ID number

Sibling name 3 Sibling student ID number

Sibling name 4 Sibling student ID number

5 Study Plan

Name of school GradeYear level

Commencement date D D M M Y Y Y Y End date D D M M Y Y Y Y

6 School Preferences

Please refer to wwwstudyvicgovau for a full list of Victorian government schools

The IED is able to offer enrolment based on the availability of places in a particular grade or year level in each school To assist in the placement of the student in a suitable school please provide a list of preferred schools and subjects

Preferred schoolsPreferred subjects (Year 11 students must complete this section)

bull bull EnglishEAL

bull bull

bull bull

bull bull

bull bull

7

7 Special Circumstances

The more information you provide will ensure that the student is placed in a school with the most appropriate support according to their needs

Has the student been diagnosed with a medical condition that a doctor should be aware of If so please provide details

Does the student have any special learning needs which the school needs to be aware of If so please provide details

8 Primary School Enrolment Immunisation Requirements

It is a legal requirement under Victoriarsquos Public Health and Wellbeing Act 2008 for parents to provide an immunisation status certificate to the primary school at the time of enrolment

For more information about how to obtain an immunisation status certificate please refer to the Department of Health website located at the following link httpswww2healthvicgovauApidownloadmedia7B5F1D6A9A-D91B-4FC1-AAF5-37A938B01AD27D~text=How20do20I20obtain20an20immunisation20status20certificate3Famptext=phone201800206532080920orChildhood20Immunisation20Register20(ACIR)

9 Checklist

The application process will not commence until the application form is complete and all necessary supporting documentation is provided to the IED of DET

Copies of the following original documents must be provided

bull in the original language

bull translated into English

bull certified as true copies of the original documents by an authorised person of the country concerned

Copy of original document

English translation

Certified as true copies of original

Document

na Birth certificate OR passport page

na na Evidence of visa (if available)

naProof of medical conditions and special learning needs (if applicable)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

8

10 Preferred Correspondence

Please complete ONE of the following options

DET Accredited Education Agent Details

Company name Contact person

Email

Visit httpswwwstudyvicgovauenbrochures-and-formsPagesBrochureFormsaspx for a list of DET accredited education agents

OR

Familyother (to be completed if not using a DET accredited education agent)

Name

Street address City

StateProvince PostcodeZip Country

Phone Mobile

Email

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

9

11 Declaration and Agreement

This information MUST be provided otherwise there may be delays with the processing of the application

I the parent or Legal Guardian of the student nominated on this application form declare that

bull I have read (andor had explained to me) understand and accept the terms and conditions of enrolment in this application form

bull I have read (andor had explained to me) understand and accept key policies outlined in this application form

bull I understand that the application fee (and School Transfer fee if applicable) are not refundable

bull I understand that the refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy I understand that any refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy as amended from time to time

bull by signing this application form for your child to study in a Victorian government primary school you are agreeing to provide an immunisation status certificate to the primary school It is recommended that you provide the immunisation status certificate to the primary school following the completion of this application form and your arrival in Australia but before your child attends the primary school

bull the information provided in this application is correct and complete the relevant documents are attached and that the information in the attached documentation provided is true and correct

bull I understand that I must declare to the Department of Education and Training any disability or medical condition that the student may have

bull I understand that the Department of Education and Training has the right to reject this application

ParentrsquosLegal Guardianrsquos name ParentrsquosLegal Guardianrsquos SignatureDate D D M M Y Y Y Y

OR

I the DET accredited education agent (if agent representation has been appointed) representing the student nominated on this application form declare that

bull the information provided in this application is correct

bull the parent has read andor I have explained all the terms and conditions outlined in this application form

bull I have explained to the parent the conditions of the Department of Education and Trainingrsquos refund policy AND explained that the application fee and School Transfer fee are not refundable

bull I understand that the Department of Education and Training has the right to reject this application

Agentrsquos name Agentrsquos signature

Date D D M M Y Y Y Y

Please keep a copy of this application for your own record and subsequent enquiry

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

10

Notes

11

  1. Check Box 22 Off
  2. Check Box 24 Off
  3. Check Box 23 Off
  4. Check Box 25 Off
  5. Text Field 23
  6. Text Field 24
  7. Text Field 25
  8. Text Field 26
  9. Text Field 28
  10. Text Field 29
  11. Text Field 30
  12. Text Field 31
  13. Text Field 32
  14. Text Field 33
  15. Text Field 34
  16. Text Field 35
  17. Text Field 36
  18. Text Field 39
  19. Text Field 40
  20. Text Field 37
  21. Text Field 38
  22. Text Field 27
  23. Text Field 1068
  24. Text Field 1069
  25. Text Field 1070
  26. Text Field 1071
  27. Text Field 1072
  28. Text Field 1073
  29. Text Field 1074
  30. Text Field 1075
  31. Text Field 1076
  32. Text Field 1077
  33. Text Field 1078
  34. Text Field 1079
  35. Text Field 1080
  36. Text Field 1081
  37. Text Field 1082
  38. Text Field 1083
  39. Check Box 26 Off
  40. Check Box 28 Off
  41. Check Box 30 Off
  42. Check Box 27 Off
  43. Check Box 29 Off
  44. Check Box 31 Off
  45. Check Box 32 Off
  46. Check Box 34 Off
  47. Check Box 33 Off
  48. Check Box 35 Off
  49. Text Field 42
  50. Text Field 44
  51. Text Field 45
  52. Text Field 46
  53. Text Field 49
  54. Text Field 51
  55. Text Field 52
  56. Text Field 53
  57. Text Field 57
  58. Text Field 54
  59. Text Field 58
  60. Text Field 55
  61. Text Field 59
  62. Text Field 56
  63. Text Field 61
  64. Text Field 90
  65. Text Field 98
  66. Text Field 91
  67. Text Field 99
  68. Text Field 92
  69. Text Field 100
  70. Text Field 93
  71. Text Field 101
  72. Text Field 94
  73. Text Field 102
  74. Text Field 95
  75. Text Field 103
  76. Text Field 96
  77. Text Field 104
  78. Text Field 97
  79. Text Field 105
  80. Text Field 62
  81. Text Field 63
  82. Text Field 67
  83. Text Field 110
  84. Text Field 64
  85. Text Field 68
  86. Text Field 65
  87. Text Field 69
  88. Text Field 66
  89. Text Field 70
  90. Text Field 60
  91. Text Field 50
  92. Text Field 47
  93. Text Field 48
  94. Text Field 43
  95. Check Box 36 Off
  96. Check Box 40 Off
  97. Check Box 42 Off
  98. Check Box 44 Off
  99. Check Box 38 Off
  100. Text Field 71
  101. Text Field 72
  102. Text Field 73
  103. Text Field 75
  104. Text Field 76
  105. Text Field 77
  106. Text Field 79
  107. Text Field 82
  108. Text Field 84
  109. Text Field 83
  110. Text Field 80
  111. Text Field 81
  112. Text Field 78
  113. Text Field 74
  114. Text Field 85
  115. Text Field 86
  116. Text Field 106
  117. Text Field 1014
  118. Text Field 107
  119. Text Field 1015
  120. Text Field 108
  121. Text Field 1016
  122. Text Field 109
  123. Text Field 1017
  124. Text Field 1010
  125. Text Field 1018
  126. Text Field 1011
  127. Text Field 1019
  128. Text Field 1012
  129. Text Field 1020
  130. Text Field 1013
  131. Text Field 1021
Page 8: TEMPORARY APPLICATION FORM

7 Special Circumstances

The more information you provide will ensure that the student is placed in a school with the most appropriate support according to their needs

Has the student been diagnosed with a medical condition that a doctor should be aware of If so please provide details

Does the student have any special learning needs which the school needs to be aware of If so please provide details

8 Primary School Enrolment Immunisation Requirements

It is a legal requirement under Victoriarsquos Public Health and Wellbeing Act 2008 for parents to provide an immunisation status certificate to the primary school at the time of enrolment

For more information about how to obtain an immunisation status certificate please refer to the Department of Health website located at the following link httpswww2healthvicgovauApidownloadmedia7B5F1D6A9A-D91B-4FC1-AAF5-37A938B01AD27D~text=How20do20I20obtain20an20immunisation20status20certificate3Famptext=phone201800206532080920orChildhood20Immunisation20Register20(ACIR)

9 Checklist

The application process will not commence until the application form is complete and all necessary supporting documentation is provided to the IED of DET

Copies of the following original documents must be provided

bull in the original language

bull translated into English

bull certified as true copies of the original documents by an authorised person of the country concerned

Copy of original document

English translation

Certified as true copies of original

Document

na Birth certificate OR passport page

na na Evidence of visa (if available)

naProof of medical conditions and special learning needs (if applicable)

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

8

10 Preferred Correspondence

Please complete ONE of the following options

DET Accredited Education Agent Details

Company name Contact person

Email

Visit httpswwwstudyvicgovauenbrochures-and-formsPagesBrochureFormsaspx for a list of DET accredited education agents

OR

Familyother (to be completed if not using a DET accredited education agent)

Name

Street address City

StateProvince PostcodeZip Country

Phone Mobile

Email

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

9

11 Declaration and Agreement

This information MUST be provided otherwise there may be delays with the processing of the application

I the parent or Legal Guardian of the student nominated on this application form declare that

bull I have read (andor had explained to me) understand and accept the terms and conditions of enrolment in this application form

bull I have read (andor had explained to me) understand and accept key policies outlined in this application form

bull I understand that the application fee (and School Transfer fee if applicable) are not refundable

bull I understand that the refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy I understand that any refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy as amended from time to time

bull by signing this application form for your child to study in a Victorian government primary school you are agreeing to provide an immunisation status certificate to the primary school It is recommended that you provide the immunisation status certificate to the primary school following the completion of this application form and your arrival in Australia but before your child attends the primary school

bull the information provided in this application is correct and complete the relevant documents are attached and that the information in the attached documentation provided is true and correct

bull I understand that I must declare to the Department of Education and Training any disability or medical condition that the student may have

bull I understand that the Department of Education and Training has the right to reject this application

ParentrsquosLegal Guardianrsquos name ParentrsquosLegal Guardianrsquos SignatureDate D D M M Y Y Y Y

OR

I the DET accredited education agent (if agent representation has been appointed) representing the student nominated on this application form declare that

bull the information provided in this application is correct

bull the parent has read andor I have explained all the terms and conditions outlined in this application form

bull I have explained to the parent the conditions of the Department of Education and Trainingrsquos refund policy AND explained that the application fee and School Transfer fee are not refundable

bull I understand that the Department of Education and Training has the right to reject this application

Agentrsquos name Agentrsquos signature

Date D D M M Y Y Y Y

Please keep a copy of this application for your own record and subsequent enquiry

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

10

Notes

11

  1. Check Box 22 Off
  2. Check Box 24 Off
  3. Check Box 23 Off
  4. Check Box 25 Off
  5. Text Field 23
  6. Text Field 24
  7. Text Field 25
  8. Text Field 26
  9. Text Field 28
  10. Text Field 29
  11. Text Field 30
  12. Text Field 31
  13. Text Field 32
  14. Text Field 33
  15. Text Field 34
  16. Text Field 35
  17. Text Field 36
  18. Text Field 39
  19. Text Field 40
  20. Text Field 37
  21. Text Field 38
  22. Text Field 27
  23. Text Field 1068
  24. Text Field 1069
  25. Text Field 1070
  26. Text Field 1071
  27. Text Field 1072
  28. Text Field 1073
  29. Text Field 1074
  30. Text Field 1075
  31. Text Field 1076
  32. Text Field 1077
  33. Text Field 1078
  34. Text Field 1079
  35. Text Field 1080
  36. Text Field 1081
  37. Text Field 1082
  38. Text Field 1083
  39. Check Box 26 Off
  40. Check Box 28 Off
  41. Check Box 30 Off
  42. Check Box 27 Off
  43. Check Box 29 Off
  44. Check Box 31 Off
  45. Check Box 32 Off
  46. Check Box 34 Off
  47. Check Box 33 Off
  48. Check Box 35 Off
  49. Text Field 42
  50. Text Field 44
  51. Text Field 45
  52. Text Field 46
  53. Text Field 49
  54. Text Field 51
  55. Text Field 52
  56. Text Field 53
  57. Text Field 57
  58. Text Field 54
  59. Text Field 58
  60. Text Field 55
  61. Text Field 59
  62. Text Field 56
  63. Text Field 61
  64. Text Field 90
  65. Text Field 98
  66. Text Field 91
  67. Text Field 99
  68. Text Field 92
  69. Text Field 100
  70. Text Field 93
  71. Text Field 101
  72. Text Field 94
  73. Text Field 102
  74. Text Field 95
  75. Text Field 103
  76. Text Field 96
  77. Text Field 104
  78. Text Field 97
  79. Text Field 105
  80. Text Field 62
  81. Text Field 63
  82. Text Field 67
  83. Text Field 110
  84. Text Field 64
  85. Text Field 68
  86. Text Field 65
  87. Text Field 69
  88. Text Field 66
  89. Text Field 70
  90. Text Field 60
  91. Text Field 50
  92. Text Field 47
  93. Text Field 48
  94. Text Field 43
  95. Check Box 36 Off
  96. Check Box 40 Off
  97. Check Box 42 Off
  98. Check Box 44 Off
  99. Check Box 38 Off
  100. Text Field 71
  101. Text Field 72
  102. Text Field 73
  103. Text Field 75
  104. Text Field 76
  105. Text Field 77
  106. Text Field 79
  107. Text Field 82
  108. Text Field 84
  109. Text Field 83
  110. Text Field 80
  111. Text Field 81
  112. Text Field 78
  113. Text Field 74
  114. Text Field 85
  115. Text Field 86
  116. Text Field 106
  117. Text Field 1014
  118. Text Field 107
  119. Text Field 1015
  120. Text Field 108
  121. Text Field 1016
  122. Text Field 109
  123. Text Field 1017
  124. Text Field 1010
  125. Text Field 1018
  126. Text Field 1011
  127. Text Field 1019
  128. Text Field 1012
  129. Text Field 1020
  130. Text Field 1013
  131. Text Field 1021
Page 9: TEMPORARY APPLICATION FORM

10 Preferred Correspondence

Please complete ONE of the following options

DET Accredited Education Agent Details

Company name Contact person

Email

Visit httpswwwstudyvicgovauenbrochures-and-formsPagesBrochureFormsaspx for a list of DET accredited education agents

OR

Familyother (to be completed if not using a DET accredited education agent)

Name

Street address City

StateProvince PostcodeZip Country

Phone Mobile

Email

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

9

11 Declaration and Agreement

This information MUST be provided otherwise there may be delays with the processing of the application

I the parent or Legal Guardian of the student nominated on this application form declare that

bull I have read (andor had explained to me) understand and accept the terms and conditions of enrolment in this application form

bull I have read (andor had explained to me) understand and accept key policies outlined in this application form

bull I understand that the application fee (and School Transfer fee if applicable) are not refundable

bull I understand that the refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy I understand that any refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy as amended from time to time

bull by signing this application form for your child to study in a Victorian government primary school you are agreeing to provide an immunisation status certificate to the primary school It is recommended that you provide the immunisation status certificate to the primary school following the completion of this application form and your arrival in Australia but before your child attends the primary school

bull the information provided in this application is correct and complete the relevant documents are attached and that the information in the attached documentation provided is true and correct

bull I understand that I must declare to the Department of Education and Training any disability or medical condition that the student may have

bull I understand that the Department of Education and Training has the right to reject this application

ParentrsquosLegal Guardianrsquos name ParentrsquosLegal Guardianrsquos SignatureDate D D M M Y Y Y Y

OR

I the DET accredited education agent (if agent representation has been appointed) representing the student nominated on this application form declare that

bull the information provided in this application is correct

bull the parent has read andor I have explained all the terms and conditions outlined in this application form

bull I have explained to the parent the conditions of the Department of Education and Trainingrsquos refund policy AND explained that the application fee and School Transfer fee are not refundable

bull I understand that the Department of Education and Training has the right to reject this application

Agentrsquos name Agentrsquos signature

Date D D M M Y Y Y Y

Please keep a copy of this application for your own record and subsequent enquiry

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

10

Notes

11

  1. Check Box 22 Off
  2. Check Box 24 Off
  3. Check Box 23 Off
  4. Check Box 25 Off
  5. Text Field 23
  6. Text Field 24
  7. Text Field 25
  8. Text Field 26
  9. Text Field 28
  10. Text Field 29
  11. Text Field 30
  12. Text Field 31
  13. Text Field 32
  14. Text Field 33
  15. Text Field 34
  16. Text Field 35
  17. Text Field 36
  18. Text Field 39
  19. Text Field 40
  20. Text Field 37
  21. Text Field 38
  22. Text Field 27
  23. Text Field 1068
  24. Text Field 1069
  25. Text Field 1070
  26. Text Field 1071
  27. Text Field 1072
  28. Text Field 1073
  29. Text Field 1074
  30. Text Field 1075
  31. Text Field 1076
  32. Text Field 1077
  33. Text Field 1078
  34. Text Field 1079
  35. Text Field 1080
  36. Text Field 1081
  37. Text Field 1082
  38. Text Field 1083
  39. Check Box 26 Off
  40. Check Box 28 Off
  41. Check Box 30 Off
  42. Check Box 27 Off
  43. Check Box 29 Off
  44. Check Box 31 Off
  45. Check Box 32 Off
  46. Check Box 34 Off
  47. Check Box 33 Off
  48. Check Box 35 Off
  49. Text Field 42
  50. Text Field 44
  51. Text Field 45
  52. Text Field 46
  53. Text Field 49
  54. Text Field 51
  55. Text Field 52
  56. Text Field 53
  57. Text Field 57
  58. Text Field 54
  59. Text Field 58
  60. Text Field 55
  61. Text Field 59
  62. Text Field 56
  63. Text Field 61
  64. Text Field 90
  65. Text Field 98
  66. Text Field 91
  67. Text Field 99
  68. Text Field 92
  69. Text Field 100
  70. Text Field 93
  71. Text Field 101
  72. Text Field 94
  73. Text Field 102
  74. Text Field 95
  75. Text Field 103
  76. Text Field 96
  77. Text Field 104
  78. Text Field 97
  79. Text Field 105
  80. Text Field 62
  81. Text Field 63
  82. Text Field 67
  83. Text Field 110
  84. Text Field 64
  85. Text Field 68
  86. Text Field 65
  87. Text Field 69
  88. Text Field 66
  89. Text Field 70
  90. Text Field 60
  91. Text Field 50
  92. Text Field 47
  93. Text Field 48
  94. Text Field 43
  95. Check Box 36 Off
  96. Check Box 40 Off
  97. Check Box 42 Off
  98. Check Box 44 Off
  99. Check Box 38 Off
  100. Text Field 71
  101. Text Field 72
  102. Text Field 73
  103. Text Field 75
  104. Text Field 76
  105. Text Field 77
  106. Text Field 79
  107. Text Field 82
  108. Text Field 84
  109. Text Field 83
  110. Text Field 80
  111. Text Field 81
  112. Text Field 78
  113. Text Field 74
  114. Text Field 85
  115. Text Field 86
  116. Text Field 106
  117. Text Field 1014
  118. Text Field 107
  119. Text Field 1015
  120. Text Field 108
  121. Text Field 1016
  122. Text Field 109
  123. Text Field 1017
  124. Text Field 1010
  125. Text Field 1018
  126. Text Field 1011
  127. Text Field 1019
  128. Text Field 1012
  129. Text Field 1020
  130. Text Field 1013
  131. Text Field 1021
Page 10: TEMPORARY APPLICATION FORM

11 Declaration and Agreement

This information MUST be provided otherwise there may be delays with the processing of the application

I the parent or Legal Guardian of the student nominated on this application form declare that

bull I have read (andor had explained to me) understand and accept the terms and conditions of enrolment in this application form

bull I have read (andor had explained to me) understand and accept key policies outlined in this application form

bull I understand that the application fee (and School Transfer fee if applicable) are not refundable

bull I understand that the refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy I understand that any refund of paid tuition and other fees are subject to the Department of Education and Trainingrsquos refund policy as amended from time to time

bull by signing this application form for your child to study in a Victorian government primary school you are agreeing to provide an immunisation status certificate to the primary school It is recommended that you provide the immunisation status certificate to the primary school following the completion of this application form and your arrival in Australia but before your child attends the primary school

bull the information provided in this application is correct and complete the relevant documents are attached and that the information in the attached documentation provided is true and correct

bull I understand that I must declare to the Department of Education and Training any disability or medical condition that the student may have

bull I understand that the Department of Education and Training has the right to reject this application

ParentrsquosLegal Guardianrsquos name ParentrsquosLegal Guardianrsquos SignatureDate D D M M Y Y Y Y

OR

I the DET accredited education agent (if agent representation has been appointed) representing the student nominated on this application form declare that

bull the information provided in this application is correct

bull the parent has read andor I have explained all the terms and conditions outlined in this application form

bull I have explained to the parent the conditions of the Department of Education and Trainingrsquos refund policy AND explained that the application fee and School Transfer fee are not refundable

bull I understand that the Department of Education and Training has the right to reject this application

Agentrsquos name Agentrsquos signature

Date D D M M Y Y Y Y

Please keep a copy of this application for your own record and subsequent enquiry

VICTORIAN GOVERNMENT SCHOOLS TEMPORARY INTERNATIONAL STUDENT APPLICATION

10

Notes

11

  1. Check Box 22 Off
  2. Check Box 24 Off
  3. Check Box 23 Off
  4. Check Box 25 Off
  5. Text Field 23
  6. Text Field 24
  7. Text Field 25
  8. Text Field 26
  9. Text Field 28
  10. Text Field 29
  11. Text Field 30
  12. Text Field 31
  13. Text Field 32
  14. Text Field 33
  15. Text Field 34
  16. Text Field 35
  17. Text Field 36
  18. Text Field 39
  19. Text Field 40
  20. Text Field 37
  21. Text Field 38
  22. Text Field 27
  23. Text Field 1068
  24. Text Field 1069
  25. Text Field 1070
  26. Text Field 1071
  27. Text Field 1072
  28. Text Field 1073
  29. Text Field 1074
  30. Text Field 1075
  31. Text Field 1076
  32. Text Field 1077
  33. Text Field 1078
  34. Text Field 1079
  35. Text Field 1080
  36. Text Field 1081
  37. Text Field 1082
  38. Text Field 1083
  39. Check Box 26 Off
  40. Check Box 28 Off
  41. Check Box 30 Off
  42. Check Box 27 Off
  43. Check Box 29 Off
  44. Check Box 31 Off
  45. Check Box 32 Off
  46. Check Box 34 Off
  47. Check Box 33 Off
  48. Check Box 35 Off
  49. Text Field 42
  50. Text Field 44
  51. Text Field 45
  52. Text Field 46
  53. Text Field 49
  54. Text Field 51
  55. Text Field 52
  56. Text Field 53
  57. Text Field 57
  58. Text Field 54
  59. Text Field 58
  60. Text Field 55
  61. Text Field 59
  62. Text Field 56
  63. Text Field 61
  64. Text Field 90
  65. Text Field 98
  66. Text Field 91
  67. Text Field 99
  68. Text Field 92
  69. Text Field 100
  70. Text Field 93
  71. Text Field 101
  72. Text Field 94
  73. Text Field 102
  74. Text Field 95
  75. Text Field 103
  76. Text Field 96
  77. Text Field 104
  78. Text Field 97
  79. Text Field 105
  80. Text Field 62
  81. Text Field 63
  82. Text Field 67
  83. Text Field 110
  84. Text Field 64
  85. Text Field 68
  86. Text Field 65
  87. Text Field 69
  88. Text Field 66
  89. Text Field 70
  90. Text Field 60
  91. Text Field 50
  92. Text Field 47
  93. Text Field 48
  94. Text Field 43
  95. Check Box 36 Off
  96. Check Box 40 Off
  97. Check Box 42 Off
  98. Check Box 44 Off
  99. Check Box 38 Off
  100. Text Field 71
  101. Text Field 72
  102. Text Field 73
  103. Text Field 75
  104. Text Field 76
  105. Text Field 77
  106. Text Field 79
  107. Text Field 82
  108. Text Field 84
  109. Text Field 83
  110. Text Field 80
  111. Text Field 81
  112. Text Field 78
  113. Text Field 74
  114. Text Field 85
  115. Text Field 86
  116. Text Field 106
  117. Text Field 1014
  118. Text Field 107
  119. Text Field 1015
  120. Text Field 108
  121. Text Field 1016
  122. Text Field 109
  123. Text Field 1017
  124. Text Field 1010
  125. Text Field 1018
  126. Text Field 1011
  127. Text Field 1019
  128. Text Field 1012
  129. Text Field 1020
  130. Text Field 1013
  131. Text Field 1021
Page 11: TEMPORARY APPLICATION FORM

Notes

11

  1. Check Box 22 Off
  2. Check Box 24 Off
  3. Check Box 23 Off
  4. Check Box 25 Off
  5. Text Field 23
  6. Text Field 24
  7. Text Field 25
  8. Text Field 26
  9. Text Field 28
  10. Text Field 29
  11. Text Field 30
  12. Text Field 31
  13. Text Field 32
  14. Text Field 33
  15. Text Field 34
  16. Text Field 35
  17. Text Field 36
  18. Text Field 39
  19. Text Field 40
  20. Text Field 37
  21. Text Field 38
  22. Text Field 27
  23. Text Field 1068
  24. Text Field 1069
  25. Text Field 1070
  26. Text Field 1071
  27. Text Field 1072
  28. Text Field 1073
  29. Text Field 1074
  30. Text Field 1075
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