enrolment form2.0

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