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Student details
Family Name
Given Name
Student ID
Date of Birth
Country of Birth
Select Country
Canada
United States of America
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Virgin Islands, U.S.
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Congo, The Democratic Republic of the Congo
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Citizenship
Agent Name
Agent Code
Agent Email
Course(s) selected:
Current Address
1. Please provide current address.
2. Please tell us about your marital status.
Single
Married
Divorced
3. Are you bringing family to Australia? If YES, please provide details: (Spouse, children, etc.)
Yes
No
4. Do you have any medical or health condition that may prevent a visa from being issued?
Yes
No
5. Have you or your spouse (if you have) ever been refused a visa to Australia?
Yes
No
Please attach documentation for evidence. (if any)
Details
6. Have you or your spouse (if you have) ever been refused a student visa to other countries?
Yes
No
7. Have you or your spouse (if you have) ever visited Australia and breached any visa conditions?
Yes
No
Please attach documentation for evidence. (if any)
Details
8. Have you previously applied or currently are applying for admission at other Australian education providers?
Yes
No
9. Have you previously studied or lived in Australia, United States of America, Canada, United Kingdom or New Zealand?
Yes
No
10. Do you have any relatives in Australia? If so what is the relationship?
Yes
No
11. Are you planning to stay with the relative? If No, then what is your accommodation plan while you study in Australia?
Yes
No
12. Do you have any criminal record / police record? If so, please specify
Yes
No
13. Please tell us your academic history (Including Year 12)
Course
Institution
Year
14. Are there any gaps in the education and work history since leaving school?
Yes
No
15. Have you undertaken an IELTS or similar English test?
Yes
No
(Please attach the score sheet along with your application)
Details
16. Have you been employed? Give a brief information of your job description.
Position
Company
Year
17. Please specify your plans/intention after completing your studies in Australia.
18. What type of job you are planning to do after completion of the course?
19. Please specify your short term (6-18 months) and long term (5 years) goals (at least 2 each).
20. What do you expect to learn from the courses?
21. Why have you decided to study in Australia instead of taking the course in your home country?
22. Have you considered other course options or schools apart from NORTWEST Institute?
23. Why have you chosen NORTWEST Institute instead of other providers?
24. Do you know the living expenses in Australia? How much? How will you pay for your tuition, living expenses and travel arrangements to Australia?
Yes
No
25. In your past learning experiences, have you encountered any barriers or difficulties to learning? If yes, Please list the ones you are aware of.
Yes
No
26. How is your chosen course relevant to your future career and educational plans?
27. Are you changing your area of study from previous studies or work experience? If yes, please explain why you have chosen to change your career path.
28. Are you aware of the work restriction while studying in Australia?
Yes
No
29. Are you planning to work while studying? What type of job?
30. Have you read the terms and conditions of enrolment including refund and transfer between education provider policies?
Yes
No
Applicant’s Declaration
Please check all the checkboxes before submitting the form.
I declare that all information I have provided in this form is accurate and complete, and that NORTWEST Institute may refuse my application or cancel my enrolment if any information is found to be incorrect, false, or misleading.
I understand that, by completing this form, I am giving Nortwest College written consent to verify the information I have supplied in this form and to request further supporting documentation.
I declare that I have a genuine intention to undertake the course(s) for which I have applied
STUDENT SIGNATURE
Date
Nortwest Pty Ltd
Online
Nortwest - George Street, Sydney
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Nortwest - York Street, Sydney
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Nortwest - Melbourne
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Nortwest - Adelaide
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