International Student Application for Enrolment
STUDENT DETAILS Family name
(BLOCK LETTERS PLEASE)
Given Name (s)
Preferred English Name
Date of birth
DD / MM / YYYY
Religious Affiliation (If any)
Country of birth
Student Email
Student Mobile
Present School
Present Year Level
Month and Year of Entry
Level of Entry (e.g. Year 9)
Under which Visa/Status will the student be coming to Australia to study?
Visa number (If known)
Issue Date DD / MM / YYYY
Expiry Date DD / MM / YYYY
Passport number (If known)
Issue Date DD / MM / YYYY
Expiry Date DD / MM / YYYY
Nationality
ENGLISH PROFICIENCY Students applying for entry into Fahan’s Senior School (Year 9-12) are required to have an intermediate level of English proficiency before commencing at Fahan. Major Language Spoken at home
The Student has been studying English at School for
Years DD / MM / YYYY
Date of English Assessment Testing (AEAS/IELTS Test)
Years DD / MM / YYYY
Test Results Enclosed
n Yes
n No
If ‘No’, why
P lease note that entry to the University of Tasmania is dependent on your final Year 11 and Year 12 TCE results. Students enrolling directly into Year 12 will need to have completed the following qualifications in order to be considered for University entry. Japan: Kotogakko Singapore: GCE “O” Level Examination Thailand: Matayom 6 Malaysia: Senior High School Diploma Hong Kong: GCE “O” Level Examination
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International Student Application for Enrolment
PARENTS’ DETAILS
(BLOCK LETTERS PLEASE)
n Both Parents n Mother n Father n Other (Specify)
Student Resides with Is there a court order in relation to this student?
n Yes
n No
If yes, Please attach a copy (Translated into English)
Father
Family Name
Title
Given Name (s)
Address
Mother
Family Name
Title
Given Name (s)
Address
Postcode
Telephone (H)
Telephone (H)
Telephone (M)
Telephone (M)
Telephone (W)
Telephone (W)
Email
Email
Occupation
Occupation
AGENT DETAILS
Postcode
(IF AN APPLICANT IS BEING INTRODUCED BY AN APPROVED AGENT, PLEASE COMPLETE THE FOLLOWING)
Name of Agency
Contact Name
Agency Address
Postcode
Telephone (W)
Telephone (M)
Agency Fax
Email
OFFICE STAMP OF AGENT
CONNECTIONS WITH FAHAN SCHOOL
(If yes, Please provide their name)
Are any members of the student’s family a current or past student of Fahan School?
Name
n Yes
n No
Current year level or year of graduation
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International Student Application for Enrolment
ACCOMMODATION AND GUARDIANSHIP ARRANGEMENTS
Guardian Arrangements All international students (regardless of age) must live with a parent or have a Tasmanian based guardian (approved by Fahan School) during their entire enrolment period at the School. Families must organise a guardian to be in place before a student commence at Fahan School. If families do not have any contacts in Tasmania that would qualify as guardians, the School can recommend a suitable Guardianship Service at the families expense.
Unless the student is living with a parent or a relative or guardian deemed suitable by Fahan School, it is expected that all international students (regardless of age) will reside in the Fahan Boarding House.
Guardian Details Family Name
Title
Given Name (s) Home Address
Telephone (H)
Email
Occupation
Field of work (e.g. Finance)
Employer’s Name
Employment Address
Telephone (W)
Language (s) Spoken
Language (s) Read
___________________________________
Telephone (W) ______________________________
___________________________________
Facsimile (H) _______________________________
Accommodation Arrangements
(WHILST IN HOBART, THE STUDENT WILL RESIDE WITH)
Fahan Boarding House
Postcode
n Yes n No
Parent
n Yes Homestay n Yes n No n No
If homestay, please complete the following:
Proposed Homestay Address
Family Name
Given Name (s)
Relationship to Student
Address
Telephone (H)
Email
Title
___________________________________
Postcode
Telephone (W) ______________________________
All Homestay arrangement must be approved by Fahan School prior to Confirmation of Enrolment being issued to the student.
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International Student Application for Enrolment
BILLING INFORMATION School Account to be sent to
n Father n Mother n Guardian n Student n Other (Specify)
Name (s) Address
Signature of person responsible for payment of fees
Postcode Date
DECLARATION BY PARENTS/GUARDIANS I/We request that the above-named child be registered for admission to Fahan School. I/We have read the Policies and Procedures relating to International Students found on the Fahan website and I/We agree to be bound by them. I/We also agree to cooperate with Fahan School authorities in any other matters, which may occur in relation to the conduct of the School or the discipline of the student. I/We further agree that we are personally liable for the payment of all fees and charges in respect of the child enrolled. By signing this application I/We also agree to the Guardianship and Accommodation requirements. I/We approve of Fahan School acting on our behalf where indicated to do so. Signature of Both Parents
Signature (Father/Guardian)
Date
Signature (Mother/Guardian)
Date
FOR THIS APPLICATION TO BE COMPLETE, PLEASE RETURN:
CRICOS 00476G
• A copy of birth certificate or passport with date of birth (translated into English) • Copies of recent school reports – two years (translated into English) • English Language Test results (if available) • This completed Application for Enrolment Form
MAIL TO The Principal, Fahan School, Fisher Avenue, Sandy Bay, Tasmania, Australia 7005 or PO Box 2090, Lower Sandy Bay, Tasmania, Australia 7005 CONTACT
International telephone +61 3 6225 1064 International Facsimile + 61 3 6225 1263 Web www.fahan.tas.edu.au Email
[email protected] All information collected will be used and stored in accordance with the Fahan School Privacy Policy. A copy of this can be viewed on the School’s website.
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