Hillshire College Application Form

Student Application Form

ABOUT THIS FORM
Thank you for your interest in seeking enrollment into Hillshire International College. This application for enrollment form must be completed in English. If you require any assistance in completing this form, please contact us by phone or email.

You can send this form back to us by post or email. Please provide a copy of your passport, your visa (if relevant), your High School Certificate, proof of English language proficiency as specified in the entry requirements and any other requested documents referred to in the course brochure.

Carefully read the Hillshire International College. Prospectus for International Students, complete this Application Form and send with attachments listed on the last page to:
Hillshire International College

Admission Department
Suite 1, Level 2, 16-18 Wentworth Street
Parramatta, NSW 2150.
Email: [email protected].

• All documents must be certified by a recognized authority e.g., school, university, or an Institute representative.
• Where necessary, provide official certified English translations.
• This application is the property of the Institute. Supporting documentation will NOT be returned.
• It is your responsibility to advise IIE of any change of address prior to enrolment at the Institute

Applicant Information

Title:

Mr.
Mrs.
Ms.

Existing student number:

First Name *

Last Name *

Date of Birth *//

Gender *

Marital Status

Married
Single
Divorced

Passport and Visa Details

Passport Number

Country Of Passport

Passport Expiry Date

Have you applied for an Australian Visa before or hold an Australian visa?

Please tick Above if yes

Please specify Visa Type *

Student Visa
Visitors Visa
Working Holiday Visa
Others

If applying for a student visa, where will you apply?

In Australia?
Outside Australia

Please tick Above if yes

Contact Details

Current Address *

Suburb *

Postcode *

State *

Home phone: *

Mobile phone *

Course Enrollment Information

Campus Location

HIC Main Campus S1, L2, 16 Wentworth Street, Parramatta NSW 2150, Australia

Are you applying for any of the above courses as a concurrent study option?

Are you transferring from another provider?

Have you completed 6 months of your principal course with your current provider?

HIC does not enroll a student from another provider who is transferring to HIC without completing 6 months of their principal course from their current provider unless the student has been released by the provider or except. *Please tick one that applies to your condition

the original registered provider has ceased to be registered or the course in which the student is enrolled has ceased to be registered.
The original registered provider has provided a written letter of release
The original registered provider has had a sanction imposed on its registration by the Australian. Government or state or territory government that prevents the student from continuing his or her principal course; or
My government sponsor of the student considers the change to be in the student’s best interest and has provided written support for that change.

OSHC [ Overseas Student Health Cover]

Do you currently hold Overseas Student Health Cover (OSHC)?

Do you want the Hillshire International College to organise the Overseas Student Health Cover (OSHC) for you?

Name of OSHC provider

Start date

Expiration date

Unique Student Identifier [USI] From 1 January 2015, we Hillshire International College can be prevented from issuing you with a nationally recognised VET qualification or statement of attainment when you complete your course if you do not have a Unique Student Identifier (USI). Also, we are required to include your USI in the data we submit to NCVER. If you have not yet obtained a USI, you can apply for it directly at http://www.usi.gov.au/create-your-USI/ on computer or mobile device. Please note that if you would like to specify your gender as ‘other’ you will need to contact the USI Office for assistance

USI

I do not have USI Yet, I will apply for USI Via HIC

Overseas Residential Address

Address

Suburb

Province/State:

Postcode

Country

Emergency Contact Address

Name

Relationship

Address

Email *

Home Phone:

Mobile Phone:

Language and Cultural Diversity

Country of birth

Citizenship

Is English your first language?

If not, please indicate the English test you completed. IELTS/ PTE or other forms of English Test?

Registration number/ TRF No:

Date / Time

Average score:

Do you speak a language other than English at home? If more than one language indicates the one that is spoken most often.

No, English only
Yes other; please specify:

Are you of Aboriginal or Torres Strait Islander origin? For persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes.

No
Yes, Aboriginal.
Yes, Torres Strait Islander

Disability

Do you consider yourself to have a disability?

Yes
No – go the question about schooling

If you indicated the presence of a disability, impairment, or long-term condition, please select the area(s) in the following list. Review the disability supplement to help you select the right area(s).

Schooling

What is your highest COMPLETED school level? Tick ONE box only

Are you still enrolled in secondary or senior secondary education?

Previous Qualification *If you have more than two qualification, please attach details with application in a plain paper with verified or color scanned copy.

Qualification 1

Qualification name:

Name of institution:

Country:

Any other name:

Qualification 2

Qualification name:

Name of institution:

Country:

Any other name:

Employment Information

Of the following categories, which BEST describes your current employment status? (Tick ONE box only)

Full-time employee
Part-time employee
Self-employed – employing others
Employed – unpaid worker in a family business
unemployed – seeking Part time Work
Not employed – not seeking employment

Study Reason

RPL and Credit Transfer

Please complete this section if you believe you are eligible to apply for Recognition of Prior (RPL) or for credit transfer. Please note, applying for this will impact your course duration so bear in mind that if this is approved then your course duration will be less than the time outlined on the course brochure. Depending on the amount that your course is reduced your fees may also be reduced. I want to apply for a credit transfer for the following unit/s: I want to apply for RPL for the following unit/s: If applying for a credit transfer, please attach a certified copy of the Statement of Attainment or Record of Results and Qualification for each unit.

Recruitment Agent Details

Agent’s Organisation Name:

Address:

Email *

Phone

Agent ID:

Agent’s Migration Agents Registration Number (if applicable):

Advanced Tuition Fees Information

Under the Tuition Protection Service (TPS) framework, HIC Does not require students to pay more than 50% of the course tuition fee in advance. If student wish to pay more than 50% of the tuition fee to HIC in the advance student must notify the HIC via this application so HIC can include this information in the letter of offer (student agreement).

Do you wish to pay more than a 50% tuition fee for your first course with HIC?

Privacy Notice

Why we collect your personal information.
As a registered training organisation (RTO), we collect your personal information so we can process and manage your enrolment in a vocational education and training (VET) course with us. If you do not provide this information, we will be unable to process your enrolment.

How we use your personal information
We use your personal information to enable us to deliver VET courses to you, and otherwise, as needed, to comply with our obligations as an RTO.

How we disclose your personal information
We are required by law (under the National Vocational Education and Training Regulator Act 2011 (Cth) (NVETR Act)) to disclose the personal information we collect about you to the National VET Data Collection kept by the National Centre for Vocational Education Research Ltd (NCVER). The NCVER is responsible for collecting, managing, analysing and communicating research and statistics about the Australian VET sector. We are also authorised by law (under the NVETR Act) to disclose your personal information to the relevant state or territory training authority.

How the NCVER and other bodies handle your personal information.
The NCVER will collect, hold, use and disclose your personal information in accordance with the law, including the Privacy Act 1988 (Cth) (Privacy Act) and the NVETR Act. Your personal information may be used and disclosed by NCVER for purposes that include populating authenticated VET transcripts; administration of VET; facilitation of statistics and research relating to education, including surveys and data linkage; and understanding the VET market.
The NCVER is authorised to disclose information to the Australian Government Department of Education, Skills and Employment (DESE), Commonwealth authorities, State and Territory authorities (other than registered training organisations) that deal with matters relating to VET and VET regulators for the purposes of those bodies, including to enable:
• administration of VET, including program
administration, regulation, monitoring and evaluation
• facilitation of statistics and research relating to education, including surveys and data linkage
• understanding how the VET market operates, for policy, workforce planning and consumer
• information.

The NCVER may also disclose personal information to persons engaged by NCVER to conduct research on NCVER’s behalf.
The NCVER does not intend to disclose your personal information to any overseas recipients. For more information about how the NCVER will handle your personal information please refer to the NCVER’s Privacy Policy at www.ncver. edu.au/privacy
If you would like to seek access to or correct your information, in the first instance, please contact us using the contact details listed below.
DESE is authorised by law, including the Privacy Act and the NVETR Act, to collect, use and disclose your personal information to fulfil specified functions and activities. For more information about how DESE will handle your personal information, please refer to the DESE VET Privacy Notice at https://www.dese.gov.au/national-vet-data/vet-privacy-notice

Surveys
You may receive a student survey which may be run by a government department or an NCVER employee, agent, third-party contractor or another authorised agency. Please note you may opt out of the survey at the time of being contacted.

Contact information
At any time, you may contact HIC to:
• request access to your personal information
• correct your personal information
• make a complaint about how your personal information has been handled • ask a question about this Privacy Notice
[Email: [email protected] and please see student handbook for our privacy policy at www.hillshire.edu.au ]

Admission Contact

Hillshire International College
Admission Department
Suite 1, Level 2, 16-18 Wentworth Street
Parramatta, NSW 2150, Australia
Email: [email protected]

Student Declaration and Signature

Signature (सही छाप )

Document Checklist

International Student Offshore

HIC will request further Genuine Temporary Entrant Document after assessment by the eligibility of students in the course.

Disability Supplement Information (DISABILITY SUPPLEMENT)

The purpose of the Disability supplement is to provide additional information to assist with answering the disability question. If you indicated the presence of a disability, impairment, or long-term condition, please select the area(s) in the following list: Disability in this context does not include short-term disabling health conditions such as a fractured leg, influenza, or corrected physical conditions such as impaired vision managed by wearing glasses or lenses.
‘11 — Hearing/deaf’
Hearing impairment is used to refer to a person who has an acquired mild, moderate, severe, or profound hearing loss after learning to speak, communicates orally and maximises residual hearing with the assistance of amplification. A person who is deaf has a severe or profound hearing loss from, at, or near birth and mainly relies upon the vision to communicate, whether through lip reading, gestures, cued speech, fingerspelling, and/or sign language.
‘12 — Physical’
A physical disability affects the mobility or dexterity of a person and may include a total or partial loss of a part of the body. A physical disability may have existed since birth or maybe the result of an accident, illness, or injury suffered later in life, for example, amputation, arthritis, cerebral palsy, multiple sclerosis, muscular dystrophy, paraplegia, quadriplegia or post-polio syndrome.
‘13 — Intellectual’
In general, the term ‘intellectual disability’ is used to refer to low general intellectual functioning and difficulties in adaptive behavior, both of which conditions were manifested before the person reached the age of 18. It may result from infection before or after birth, trauma during birth, or illness.
‘14 — Learning’
A general term that refers to a heterogeneous group of disorders manifested by significant difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning, or mathematical abilities. These disorders are intrinsic to the individual, presumed to be due to central nervous system dysfunction, and may occur across the life span. Problems in self-regulatory behaviors, social perception, and social interaction may exist with learning disabilities but do not by themselves constitute a learning disability.
‘15 — Mental illness’
Mental illness refers to a cluster of psychological and physiological symptoms that cause a person suffering or distress and which represent a departure from a person’s usual pattern and level of functioning.
‘16 — Acquired brain impairment’
Acquired brain impairment is an injury to the brain that results in deterioration in cognitive, physical, emotional, or independent functioning. Acquired brain impairment can occur because of trauma, hypoxia, infection, tumor, accidents, violence, substance abuse, degenerative neurological diseases, or stroke. These impairments may be either temporary or permanent and cause partial or total disability or psychosocial maladjustment.
‘17 — Vision’
This covers a partial loss of sight causing difficulties in seeing, up to and including blindness. This may be present from birth or acquired because of disease, illness, or injury.
‘18 — Medical condition’
The medical condition is a temporary or permanent condition that may be hereditary, genetically acquired, or of unknown origin. The condition may not be obvious or readily identifiable yet may be mildly or severely debilitating and result in fluctuating levels of wellness and sickness, and/or periods of hospitalisation; for example, HIV/AIDS, cancer, chronic fatigue syndrome, Crohn’s disease, cystic fibrosis, asthma, or diabetes.
‘19 — Other ‘A disability, impairment, or long-term condition which is not suitably described by one or several disability types in combination. Autism spectrum disorders are reported under this category.

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