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Staff Profiles

Online Application

Personal Details

Title (Mr/Mrs/Miss/Ms)
Family Name *
Given Names *
Date of Birth (dd/mm/yyyy) *
Sex * Male Female
Do you have a disability? * Yes   No
If yes, please specify

Citizenship

Country of Birth *
Nationality (On Passport) *
Passport Number *
Do you hold an Australian Visa? * Yes   No
If yes, what type of visa? Student Visa Working Holiday/Tourist
Other - Please specify
Visa Expiry Date
If no, what type of visa will you apply for? Student Visa Working Holiday/Tourist
Other - Please specify
Do you have current Overseas Student Health Cover (OHSC)? * Yes   No
OHSC Provider Name
OHSC No. (if available)
OHSC Expiry Date

Contact Details

Telephone *
Mobile Phone
Fax
Email Address *
Postal Address

General English Course Enrolment

Number of Weeks
Start Date

IELTS Preparation Course Enrolment (General Training)

Number of Weeks
Start Date

IELTS Preparation Course Enrolment (Academic Training)

Number of Weeks
Start Date

Language

What language do you speak at home?
Please tick any English Tests taken TOEFL IELTS
Test Results
Date of Result

Education History

Name of School
Year
Country
Name of Course
Period of Study
Have you studied at another college/university in Australia? Yes   No
If yes:
Name of School
Name of Course
Year
Period of Study

How did you hear about ASEL?

Agent
Internet
Friend/Colleague/Relative
School/College
Other

Declaration

I agree to be bound by the ASEL General Terms and Conditions and Refund Policy, and further agree to abide by the ASEL rules and regulations.

Signature of Applicant (Please type your name here) *