Student Enrolment

Application Type

Application Type *

Personal Details

Title *

Title (Other)

Gender *

Given Name *

Middle Name

Family Name *

Date of Birth *

Birthplace

Email *

Country of Birth

Nationality *

Passport Number *

Passport Expiry Date *

Do you hold a current Australian Visa? *

Visa Type

Visa Number

Visa Expiry Date

Unique Student Identifier (USI)

Unique Student Identifier (USI) Enter your valid USI here

Contact Details - In Australia

Unit/Street Number

Street Name

City/Town/Suburb

State

Post Code

Home Phone

Work Phone

Mobile Phone

Contact Details - Home Country

Unit/Street Number

Street Name

City/Town/Suburb

State

Post Code

Home Phone

Work Phone

Mobile Phone

Language and Cultural Diversity

Are you of Aboriginal or Torres Strait Islander origin?

Do you speak a language other than English at home?

Other Language

English Test

Have you completed a test of English Language Proficiency? *

English Proficiency Test Type

Overall Test Score

Test Date

Schooling

What is your highest COMPLETED school level? *

Year Completed

Are you still enrolled in secondary or senior secondary education?

Previous Qualification Studied

Have you successfully completed any of the qualifications listed below? *

Year Completed

Qualification Type(s)

Bachelor's degree or higher degree Advanced diploma or associate degree Diploma (or associate diploma) Certificate IV (or advanced certificate/technician) Certificate III (or trade certificate) Certificate II Certificate I Other education

Education Agent Details

Are you using an education agent? *

Agency Name

Contact Person

Contact Number

Email

Employment

Current Employment Status *

Study Reason

Main reason for undertaking this course *

Recognition of Prior Learning (RPL) or Credit Transfer

Are you applying for RPL or Credit Transfer from your previous studies? *

Course Details - Fusion English College

Course you wish to enrol in (Fusion English College)

Number of Weeks

Intake Month

Course Details - Fusion College of Technology

Do you want to enrol for courses of Fusion College of Technology? *

Select Course

Intake Year

Intake Month

Overseas Student Health Cover (OSHC)

Do you require Fusion College of Technology to arrange OSHC for you? *

Disability

Do you consider yourself to have a disability? *

Disability Type(s)

Hearing/deaf Physical Intellectual Learning Mental illness Acquired brain impairment Vision Medical condition Other

Emergency Contact Details

Name *

Relationship *

Unit/Street Address

City/Town/Suburb

Postcode

State

Country

Phone/Mobile *

Contact Person

Document Upload

Passport Copy * Accepted formats: PDF, JPEG, PNG only Accepted formats: PDF, JPEG, PNG (Max 10MB)

High School Certificate Accepted formats: PDF, JPEG, PNG only Accepted formats: PDF, JPEG, PNG (Max 10MB)

Proof of English Language Proficiency Accepted formats: PDF, JPEG, PNG only Accepted formats: PDF, JPEG, PNG (Max 10MB)

Visa Copy (if applicable) Accepted formats: PDF, JPEG, PNG only Accepted formats: PDF, JPEG, PNG (Max 10MB)

Other Supporting Documents Accepted formats: PDF, JPEG, PNG only Accepted formats: PDF, JPEG, PNG (Max 10MB)

Student Declaration

I agree and declare that the information provided is true, correct and complete *

I agree and declare that the information provided is true, correct and complete

Student Signature *

Draw your signature above