ENROLMENT FORM

ENROLMENT FORM

1.PERSONAL DETAILS

Gender *
MaleFemaleOther

outside Australia, please also complete GTE Form online

OR GTE Form download

YOUR ADDRESS

2.ENGLISH PROFICIENCY


Yes, I have taken a recognised English language test in the past 2 years (e.g. IELTS, TOEFL, PTE)

Type of test:

Date of Test (dd/mm/yyyy):

Overall Score:

Please provide documentary evidence

No, I have completed my English with Liberty College’s pathway partner.

Institution Name:

Course Name:

Course Start Date:

Course End Date:

No, I would like to take a Liberty International College placement test. Please complete your online test via Liberty College’s website: online placement test:

https://libertycollege.edu.au/placement-test/

3.EDUCATION HISTORY

Yes

Which institute :

Program:

Expected Date of Completion (mm/dd/yyyy):

Is a Release Letter Required:

No

Which institute :

Qualification:

Starting Date(mm/dd/yyyy):

Date of Completion (mm/dd/yyyy):

4.REQUEST FOR DISABILITY SUPPORT

Do you require disability support? *
YesNo

If you are requesting disability support, and have a disability that may affect your learning (e.g. hearing, or vision impairment, health, mobility, etc.) please provide official supporting documentation (in English) about the nature of your disability and the impact it will have for your education in Australia

5.COURSE SELECTION

Please indicate what course(s) you are interested in. Please select all that apply*.

6.PAYMENT OPTIONS AND INFORMATION

Pay in Full (I confirm the student or the person responsible for paying the fees has chosen to pay more than 50 % of the total tuition fee).
Payment Plan ($100 Service Fee)

Please note: once the offer is accepted, requesting to change the payment plan will be subject to a $100 administration fee.

Electronic Transfer or Direct Deposit (please email proof of payment to info@libertycollege.edu.au)

Account Name: Australia Liberty College Pty Ltd

BSB: 034-070 Account Number: 565731

Swift Code: WPACAU2S

Reference: Please write down your Liberty College’s student ID number.

EMERGENCY CONTACT

7.Checklist of Supporting Documentation: (please make sure all the documents are in English)

A CoE cannot be created until all the below documents are received


YesNo

YesNo

YesNo

YesNo

STUDENT DECLARATION

How did you hear about us(please specify)?

InternetSeminarOtherAgent

I have read Terms and Conditions *
YesNo

I have reviewed the Refund Policy*
YesNo

Name *
Name
Gender *

Date of Birth *
Date of Birth
Contact Number
Contact Number
Address *
Address
TRAVEL DOCUMENTS

Are you in Australia on a Visa *

If Applicable

ENGLISH PROFICIENCY LEVEL

Do you have proof of English proficiency? (IELTS, PTE, University study, etc.) *

ACCOMMODATION

Do you require assistance with accommodation? *

If yes, do you require a single (private) room or share room?

OVERSEAS STUDENT HEALTH COVER (OSHC)
It is a requirement for all international students arriving in australia on a student visa to have oshc cover for the duration of their visa

Do you need Liberty International College to arrange your OSHC for you? *

If choosing for more than a single person, please provide passport copies to info@libertycollege.edu.au

REQUEST FOR DISABILITY SUPPORT
If you are requesting disability support, and have a disability that may affect your learning (e.g. hearing, or vision impairment, health, mobility, etc.) please provide official supporting documentation (in English) about the nature of your disability and the impact it will have for your education in Australia

Do you require disability support? *

COURSE SELECTION

Please indicate what course(s) you are interested in *
Course you are interested in applying. Please select all that apply.

EDUCATION DETAILS

What is your highest level of education? *

Are you still attending secondary school? *

EMERGENCY CONTACT DETAILS

Phone Number *
Phone Number

Address *
Address
INFORMATION CONCERNING YOUR CHOSEN COURSE

Have you read about the requirements for completing this course in the International Student Handbook? *

Which of the following forms the basis for your belief that you are capable of completing this course?

How did you find out about us? *

STUDENT DECLARATION

Terms and Conditions *

Refund Policy *
Our refund policy is available at https://libertycollege.edu.au