Student Enrolment Form 2024

Student Enrolment Form 2024

Entrepreneur Education
Please select your preferred title:

MissMrMrsMsOther
Single name only

Tick this box if you have one name only that cannot be written in the following format
Full name*
Name:*

First NameMiddle NameLast Name
Gender
Date of Birth

DayMonthYear
Date
Place of birth - as per passport
Current age
Citizenship
First language*
Nationality
Current occupation
I do not give Entrepreneur Education permission to contact me by e-mail or SMS for marketing purposes
Visa Details
Are you an Australian resident or citizen?*

YesNo
Are you living in Australia?

YesNo
Contact Details
E-mail*
example@example.com
Phone Number

Area CodePhone Number
What is your address of your usual residence?

Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you resife for training, work or other purposes before returning to your home.

If you are from a rural area use the address from your state or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.

Building/property name is the official place name or common usage name for an address site, including the name of a building, homestead, building complex, agricultural property, park or unbounded address site.
Building/property name
Flat/unit details
Street or lot number*
Street name*
Suburb, locality or town*
State/territory*
Postcode*
Do you have a postal address different from above?

YesNo
Building/property name
Flat/unit details
Street or lot number*
Street name*
Suburb, locality or town*
State/territory*
Postcode*
Next of Kin
Who we should contact in case of emergency

This is the legal person for Entrepreneur Education to contact in the event of an emergency. This person must be legally responsible for your welfare,
i.e. a family member.
Contact's full name
Contact's relationship to you
Contact's telephone
Contact's email
Unique Student Identifier (USI)
Do you have a Unique Student Identifier (USI)?

YesNo
If Yes, please provide USI number
Passport
Passport Number
Expiry Date

DayMonthYear
Date
Academic Proficiency
What is your highest qualification achieved?

Year 10Year 12CertificateDiplomaDegreeOther
Course Selection
Please select any courses here. Please ensure any start dates are on a Monday only.*
First Course Start Date*

DayMonthYear
Date
Course Payment Plan
Please select:

MonthlyTermlyPay in full
Disability
Do you consider yourself to have a disability, impairment or long-term condition or require any adjustments to accommodate you in the course?

YesNo
If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list

Hearing/deafIntellectualMental illnessVisionPhysicalLearningAcquired brain impairmentMedical conditionOther
Prior Learning
Do you wish to apply for Recognition of Prior Learning or Credit Transfer?

Yes (please upload a copy of your academic transcripts or other evidence of your studies or work experience at the end of this application form. Please also include a completed copy of the Application for Recognition Form which can be requested from Student Services. If any documents are not in English, please include a certified transition)No
Agent
Do you have an agent?*

YesNo
Agent Organisation*
Agent email address
Name of representative
Overseas Student Health Cover (OSHC)

It is not mandatory that your Overseas Health Cover (OSHC) is organised by your Education Provider (Entrepreneur Education). You may choose to arrange your own OSHC.
Do you require Entrepreneur Education to organise OSHC for you?

YesNo
Please select (if applicable)
* The OSHC start date is your expected arrival date into Australia. It is your responsibility to advise Imagine Education in writing if your expected entry date into Australia/Visa start date changes so that your OSHC can be re-quoted and revised. Immigration requirements state that it is the student’s responsibility to make sure they do not enter Australia before their OSHC begins, and that they maintain OSHC until they leave Australia.
Document Collection
Passport photo

Cancelof
Statement of Attainment/transcript

Cancelof
Summary Checklist
Please ensure that you submit the following (if applicable)

Copy of your passport (or photo of applicant if no passport at time of application)Financial evidenceCopy of your school resultsProof of other studies or employmentIELTS test results
Declaration
1. I declare that all the information provided in this application is accurate and complete and that Entrepreneur Education Pty Ltd may
refuse my enrolment application or cancel my enrolment if any of the above provided information is found to be incorrect or
misleading
2. I declare and understand that if I have provided any fraudulent information, with respect to financials and/or visa history, I forfeit any
refund of fees paid to Entrepreneur Education Pty Ltd
3. I understand that by completing my enrolment application and Genuine Temporary Entry (GTE) Questionnaire, I am giving my
written consent to Entrepreneur Education Pty Ltd to independently verify the information provided by me and to request further
documentation as required
4. I declare that I am a Genuine Temporary Entrant and a genuine student. Please refer to the Department of Home Affairs (DHA)
website for further details: https://www.homeaffairs.gov.au/trav/stud/more/genuine-temporary-entrant
5. I understand living costs in Australia may be higher than my home country
6. I understand that by signing this application form, I may be sent a formal Letter of Offer from Entrepreneur Education Pty Ltd if all of
the admission requirements are met
7. I authorise Entrepreneur Education Pty Ltd to contact me by SMS, email or phone
8. I give Entrepreneur Education Pty Ltd permission to obtain official records/confirm details from a previous educational institution
attended by me listed on this form
9. I am aware of my obligation to pay outstanding fees, and understand non-payment of fees can lead to payment default fees applied
and cancellation of my course enrolment by Entrepreneur Education Pty Ltd
10. I am aware I must abide by visa conditions throughout my enrolment period in Australia including maintaining regular attendance
and course progress
11. I have been provided with pre-enrolment information including the Entrepreneur Education Pty Ltd International Student
Handbook & marketing information
12. I acknowledge that prior to commencement of my course I must provide a Unique Student Identifier Number (USI). If I do not have
a USI number, I authorise Entrepreneur Education Pty Ltd to enquire and apply for a USI number on my behalf
13. I have been provided with relevant currency information such as whether a qualification has been superseded or removed from a
training package
14. I am aware I can obtain additional copies of the International Student Handbook, policies, procedures and marketing information
from the Entrepreneur Education Pty Ltd website – www.entrepreneur.edu.au
15. I acknowledge that information collected on this form and during my enrolment in order to meet Entrepreneur Education’s
obligations under the ESOS Act 2000 as amended and the National Code 2018; to ensure student compliance with the conditions of
my visa and my obligations under Australian Immigration Laws generally. The authority to collect this information is contained in
the Education Services for Overseas Students Act 2000 as amended, the Education Services for Overseas Students Regulations 2001
and the National Code of Practice and Providers of Education and Training to Overseas Students 2018. Information collected about
me on this form and during my enrolment can be provided, in certain circumstances, to the Australian Government and designated
authorities and, if relevant, the Tuition Protection Service Administrator. In other instances, information collected on this form or
during my enrolment can be disclosed without my consent where authorised or required by law
16. I have read and understood all of the information on this form
Student signature*

Clear
Date

DayMonthYear
Date
Parental/legal guardian name
For applicants under 18 years of age, this form must be signed by a parent or legal guardian
Parent/legal guardian signature

Clear
If applicant is under 18
Date

DayMonthYear
Date
Additional details
Please provide any additional details relating to your application here
Should be Empty:

Student Enrolment Form 2024

Visa Details

Contact Details

Next of Kin

Unique Student Identifier (USI)

Passport

Academic Proficiency

Course Selection

Course Payment Plan

Disability

Prior Learning

Agent

Overseas Student Health Cover (OSHC)

Document Collection

Summary Checklist

Declaration