Unformatted text preview: International Students APPLICATION FORM We encourage you to use our secure electronic application form and to submit your application: By using the electronic application form you will be able to save and change your application easily and as often as you like before submitting it. You will also be able to save and print your
application and be sure we have received it. You will be able to track the status of your application, save generic information about yourself and your qualifications, which will save you time if you
want to apply for more than one program. In order to submit your online application, you will need to provide scanned copies of qualifications.
1. PREVIOUS ENROLMENT
Have you previously applied to study, or enrolled at the Australian Catholic University (ACU) or one of its predecessor colleges? ✓ No Yes àFamily name on past record: Student ID (if known): 2. PERSONAL DETAILS (As they appear on your passport where applicable)
Family name kunwar Title (Mr, Mrs, other) First name yaster Preferred name Other names Mrs
Esther Previous name (if changed) If your academic records are submitted in another name, please provide certified evidence of change of name. 15/02/2002 Date of birth (dd/mm/yyyy) Gender Nepal
Nepal Country of citizenship
Country of birth Male Passport number Which country do you currently
reside in? Nepal
My country of citizenship _________________ Will you be studying on a student visa? No à Please specify your visa type: ✓Female
10929226 dd / mm / yyyy
Australia à Year arrived in Australia: __________________
05/11/2019 _ Another country à Please specify: Do you speak a language other than English at your permanent home address?
Do you have a disability for which additional assistance may be required? ✓No ✓ Yes
No à Student visas are subject to study-load conditions ✓Yes à Please specify: Yes à Please attach a separate sheet outlining this disability and assistance required. Please indicate the highest level of study attained by each of your parents/guardians by selecting a letter (e.g. “D” = Male completed Year 12 schooling or equivalent) from
the options below. (This information is required for Commonwealth Government reporting – please see )
A B C D E F G H Male postgraduate qualification (e.g. postgraduate diploma, masters, PhD)
Male bachelor degree
Male other post-school qualification
(e.g. VET/TAFE certificate, associate degree or diploma)
Male completed year 12 schooling or equivalent
Male did not complete year 12 schooling or equivalent
Male completed year 10 schooling or equivalent
Male did not complete year 10 schooling or equivalent
Male unknown Parent/Guardian 1: F I J K Female postgraduate qualification (e.g. postgraduate diploma, masters, PhD)
Female bachelor degree
Female other post-school qualification
(e.g. VET/TAFE certificate, associate degree or diploma)
L Female completed year 12 schooling or equivalent
M Female did not complete year 12 schooling or equivalent
N Female completed year 10 schooling or equivalent
O Female did not complete year 10 schooling or equivalent
P Female unknown
Parent/Guardian 2: L 3. CONTACT DETAILS (All applicants must complete this section in full)
Permanent home address Current mailing address 6/83 hopkins street, Footscray, 3011 6/83 hopkins street, Footscray, 3011 Email address 1
(incl. international area code) [email protected] Email address 2
Mobile/cell [email protected] Work (+61) 460 944 899 Other 4. AGENT DETAILS
Are you applying through an ACU authorised agent? Yes Company name Branch name Counsellor Phone number Email address Fax number No à proceed to section 5 ONLINE APPLICATION FORM: ACU APPLICATION FORM - International Students 5. EDUCATION HISTORY
Please list all studies you have undertaken including high school, preparation/bridging courses, university or college, as well as studies undertaken at ACU:
Institution Date Commenced Marigold Secondary English B.S
New Capital College Schooling
Management Date Completed 2016
2018 2016 Please submit transcripts and certificates for all prior studies, along with a certified translation if the original documents are not in English. If you have been awarded
professional qualifications (e.g. hospital training), please provide evidence of completion.
Have you ever been excluded from a course and/or institution? ✓ No Yes à Please attach details including effective dates. 6. EMPLOYMENT HISTORY
Type of Work Employer Date Commenced Date Completed FT/PT Please submit a copy of your résumé and work certificates or statements of employment for all work experience listed, along with a certified translation if the original
documents are not in English.
7. ENGLISH PROFICIENCY
Students who have undertaken their senior high school and/or higher education in English in UK, Ireland, USA, Canada, Australia or New Zealand, or who meet ACU English
language requirements may proceed to section 9, 10, 11 or 12.
How long have you been studying English?
What is your present level of English? Less than 1 year
Elementary Have you taken any English proficiency examinations? 1–3 years ✓ Advanced Intermediate
No ✓Yes Do you intend to take an English proficiency examination in Australia? 3–6 years ✓6+ years à Please attach your results
No ✓Yes à Please indicate which examination: ✓ IELTS TOEFL ACU English Test 8. ENGLISH LANGUAGE PROGRAM: ACU English Language Programs are 20 hours a week. Please indicate your study preference below
Course Name Length of Course Campus Start Date Campus Start Date Campus Start Date 1.
9. DIPLOMA PATHWAY PROGRAM: Please indicate your study preferences below
10. UNDERGRADUATE / POSTGRADUATE DEGREE PROGRAM: Please indicate your study preferences below
Please select your proposed major: [Bachelor of Commerce, Master of Commerce, Master of Commerce/Master of Business Administration only]
Accounting Human Resource Management Accounting and Commercial Law (combined major)* Information Systems Marketing Financial Services* 2. Applicants who have completed section 9 and/or 10 can proceed to section 13. ✓ Management* * Major available for Bachelor of Commerce only Please indicate at least two proposed teaching methods (curriculum study areas) for which you are qualified:
[for Bachelor of Teaching/Bachelor of Arts, Graduate Diploma in Education (Secondary) or Master of Teaching (Secondary) only]
1. Commercial Law* International Business* 3. ONLINE APPLICATION FORM: ACU APPLICATION FORM - International Students 11. EXCHANGE / STUDY ABROAD PROGRAM
Study Abroad applications must be submitted by November 15 for semester one intake, and May 15 for semester two intake.
Period of study Semester one (February–June) Program Study Abroad ACU Campus Brisbane Semester two (July–November) Exchange à My home university is: ✓ Melbourne North Sydney Strathfield (Sydney) Canberra Ballarat Please indicate a minimum of five preferences for the subjects you would like to study:
Unit code Unit title Unit code 1. 5. 2. 6. 3. 7. 4. 8. Unit title Study Abroad applicants only: Please attach a written statement on why you have chosen to study at ACU (300 words or less).
Would you like to apply for a Study Abroad Plus option? No ✓ Yes à Please indicate your preference: ✓ Internship ✓Community Engagement Applicants who have completed section 11 should proceed to section 13.
12. HIGHER DEGREE RESEARCH PROGRAM
Course name Campus and state Start date Expected duration School/Research Institute Discipline area Please complete a 1,000 to 2,000 word research proposal, addressing the following:
++ Provisional title of thesis
++ Description of research problem
++ Aims, theoretical background and hypotheses/research questions
++ Methodology and approach
++ Resources required to conduct the research.
Have you discussed your research intentions with an academic staff member at ACU?
No Yes à Please state the name of the staff member you have been communicating with: If you are currently employed, is there any requirement for support from your current employer association with this application or are you under a bond in any way?
No Yes à Please attach a statement of commitment of you being able to complete studies without interruption by the employer. Have you ever completed research at any stage in your career?
No Yes à Please attach details of thesis, major government or employer report, along with a certified translation if not in English. Have you ever undertaken but not completed a research degree?
No Yes à Please attach details. Have you ever been an author or co-author of any publications resulting from research?
No Yes à Please attach copies of any significant publications, along with a certified translation if not in English. Have you ever received recognition for academic achievement (e.g., medals, prizes etc)?
No Yes à Please attach details of the awards, along with a certified translation if not in English. Confidential Referee Reports
Please ask two people who are familiar with your research ability and research potential to forward a Confidential Referee Report direct to ACU International. Please provide the
names of your academic referees below:
Name 1 Name 2
Applications for Higher Degree Research Candidature will not be considered until two Referee Reports have been received. The Referee Report Form is available at . Your referees will be required to forward the completed reports directly to ACU International.
Are you currently receiving, or have you ever received a postgraduate scholarship?
No Yes à Please attach details of this scholarship, along with a certified translation if not in English. Applicants with 1st Class Honours or equivalent may be eligible for an International Postgraduate Research Scholarship (IPRS). Would you like to apply for an International
Postgraduate Research Scholarship?
No Yes à The IRPS Application Form is available at and must be submitted before 17 October. Have you applied for any other scholarship this year?
No Yes à Please provide details of the institution and program you applied for. ONLINE APPLICATION FORM: ACU APPLICATION FORM - International Students 13. HOW DID YOU FIRST HEAR ABOUT ACU? ✓ ✓ Exhibition / Fair Education Agent ✓ Friends or relative ✓ My school / college / university ✓ Internet Other – please specify: 14. WHAT IS THE MAIN REASON YOU DECIDED TO STUDY AT ACU? ✓ ACU has the best reputation for my course ✓ I wanted to study at a Catholic university ✓ ACU has affordable tuition fees My agent recommended ACU ✓ I know someone who studies at ACU already Other – please specify: 15. AGENT DETAILS 16. DECLARATION If you submit your application through an agent, please provide the following: ACU is committed to ensuring the privacy of all information it collects. Personal
information supplied to the University will only be used for administrative and
educational purposes of the institution. Personal information collected by the
University will only be disclosed to third parties with the written consent of the
person concerned, unless otherwise stated by law. For further information please see
the University’s Statement on Privacy located at . Agency Name: Mentor Education Australia Agency Number: Country: 0410 966 713 Australia I understand that ACU may be required to disclose this information to Australian
Government departments and agencies as required or authorised by law.
I declare that I have visited the University's website and/or read the International
Student Guide, Study Abroad or Exchange Guide and agree to obey the rules and
regulations of the Australian Catholic University. I declare that the information
supplied herein is correct and complete. I acknowledge that the submission of
incorrect or incomplete information may result in a cancellation of enrolment at
any stage. I recognise that it is my responsibility to provide all necessary certified
documentary evidence of my qualifications. I authorise the University to obtain
further information with respect to my application and, if necessary, provide
information to educational institutions and admission centres. Agency stamp Application Deadline
You may apply to the University any time prior to your course commencement date,
except for the following courses which have specific application deadlines:
++ Bachelor of Psychological Science (Honours)
++ Postgraduate Diploma in Psychology
++ Master of Psychology (Clinical)
++ Master of Psychology (Educational & Developmental)
++ Bachelor of Physiotherapy
Master of Clinical Counselling Please note:
You may only appoint an authorized agent to manage your application.
If you appoint an agent you authorise the university to release personal information
and visa documentation relevant to your application to that particular agent.
For a full list of our authorised agents visit: Applicant’s Signature Date 12/1/2020
Applications that are not signed will not be processed. Applications MUST be signed by the applicant personally.
Third parties and/or agents must not sign on behalf of the applicant. Please send this form and certified/attested copies of supporting documents to:
International Admissions, Australian Catholic University, PO Box 968, North Sydney, NSW 2059, Australia
Phone: (61 2) 9739 2437 Fax: (61 2) 9739 2001 Email: [email protected]
Alternatively, we encourage you to submit your application via our secure online system at:
The University reserves the right to close applications for any course once enrolment quotas have been reached. CRICOS 00004G - Oct 2014 ...
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