APPLICATION FOR ADMISSION

TO A COURSEWORK PROGRAM
INTERNATIONAL APPLICANTS ONLY

1. AGENT DETAILS

Address Line 1

Address Line 2

Address Line 3

Town / City State / Province

Country Postcode / ZIP

Counsellor name Counsellor email

2. PERSONAL DETAILS

Title Family name

First name Other given name(s)

Date of birth Gender Male Female Indeterminate

Email address

Previously received an offer of admission? Yes No Student number

Have you previously enrolled at CQUniversity? Yes No

Are you applying for a change of program? (if yes, Credit Transfer Form attached) Yes No

Are you applying for readmission? Yes No Previous program

3. ADDRESS DETAILS
What is your permanent address outside of Australia?

Address Line 1

Address Line 2

Address Line 3

Town / City State / Province

Country Postcode / ZIP

Home telephone Mobile telephone

What are your current contact details? Same as permanent address above

Address Line 1

Address Line 2

Address Line 3

Town / City State / Province

Country Postcode / ZIP

Home telephone Mobile telephone

4. NATIONALITY & VISA DETAILS

Country of citizenship Country of birth

What country are you applying from?

 Have a passport? Yes No Number Expiry

Hold an Australian visa? Yes No Visa type Expiry

Visa code

Do you have any previous immigration history such as visa applications/refusals/visa grants? Yes No

 IF YES > Have you previously had a visa granted or made a visa application? Yes No
Additional information:

 IF YES > Have you previously had a visa application refused? Yes No

Visa refusal letter and decision record attached (if yes).

5. COURSE PREFERENCES

Course

Campus Intake

Code Course type

Are you applying through a packaged pathway provider or an SVP partner? Yes No

Partner institution

6. ENGLISH LANGUAGE PROFICIENCY

First language? English test? Yes No Name of test

Reference Secret number Date of test

Overall score Listening Reading
Use of English Writing Speaking
English is the language of instruction and assessment across CQUniversity. You are required to meet the minimum
English language proficiency requirements for entry to our programs…

7. EDCUATION BACKGROUND (SUMMARY)

Qualification 1
Institution

Qualification

Date commenced Completion date

Qualification 2
Institution

Qualification

Date commenced Completion date

Qualification 3
Institution

Qualification

Date commenced Completion date

Note: Academic certifications, transcripts & CV are attached
8. CREDIT TRANSFER

Applying for credit transfer or Recognition of Prior Learning as a result of previous study? Yes No

Note: Translated copies of course and subject outlines attached.

9. EMPLOYMENT HISTORY

Employment 1
Employer

Job description

Start date End date

Employment 2
Employer

Job description

Start date End date

Employment 3
Employer

Job description

Start date End date

Employment 4
Employer

Job description

Start date End date

Employment 5
Employer

Job description

Start date End date

Note: Documentary evidence is attached.

10. FINANCIAL DETAILS

How will you be funding your studies whilst living in Australia? Name of sponsorship / loan provider:

Note: Financial documents attached.

11. UNIVERSITY SCHOLARSHIPS

I am applying / I would like to apply for a CQUniversity Scholarship? Yes No

Name of scholarship: Vice Chancellor’s Scholarship Placeholder Placeholder

12. OVERSEAS STUDENT HEALTH COVER (OSHC)

It is a requirement of the Australian Government that you maintain OSHC for the duration of your visa…

Type of cover required Name of OSHC provider

12. SUPPORT SERVICES

Have a disability, impairment or long-term medical condition which may affect your studies? Yes No

Area of impairment: Hearing Learning Medical Mobility

Vision Other:

13. STUDY STATEMENT

Why do you want to study in Australia?

Why did you choose CQUniveristy?

How do you believe your chosen program will contribute towards your current or chosen career path?

What do you plan to do when you return to your home country?

What are your current personal circumstances in your home country ie family / relationships?

Do you already have family living in Australia? Yes No

Please provide details on the family members who are already living in Australia.

14. ALTERNATE STUDY STATEMENT

Why have you chosen Australia as a study destination?

Why did you choose CQUniveristy?

Have you explored a less expensive program alternative in your home country?

How do you believe your chosen program will increase your chances in the labour market in your home country?

Provide a detailed explanation of your previous employment history, and indicate its relevance to your future study.
 How do you believe your chosen program will contribute towards your current or chosen career path?

What do you intend to do when you return to your home country?

Do you have any previous immigration history such as visa applications/refusals/visa grants? Yes No
Please give details of your immigration history.

What are your personal circumstances in your home country ie family relationships? Why family members will
accompany you to Australia, and what is their relationship to you?

Do you currently have family living in Australia? Yes No

Please provide details on the family members currently living in Australia and their relationship to you.

Is there any further information that you would like to add to support your application?

15. APPLICANT DECLARATION

I agree Name / Signature

16. AGENT DECLARATION

I agree Name / Signature