Level 9, 120 Spencer Street

Melbourne Victoria 3000, Australia

Phone: +61 3 9614 8422
Email: [email protected]
Website: www.melbournecitycollege.edu.au

Application Form - International Student

This application form is to be completed by overseas/ international students who hold or will apply for a student visa.
This form is to collect information about a prospective international student who intends to apply for an enrolment at Melbourne City College Australia (MCCA).
MCCA uses the information and a Pre-Enrolment Assessment Form-International Student to assess the prospective student’s suitability to the course and advise the
student about the training product appropriate to meeting the student’s needs, taking into account each student’s existing skills and competency. MCCA will apply
this form to gain information from each applicant to determine suitability into the qualification/ course. A letter of offer and written agreement will be provided to
the student if the form has been successfully completed and assessed.

• Please fill it in using CAPITAL/BLOCK LETTERS and tick (✓) relevant option.
A. PERSONAL DETAILS
Title:  Miss  Mrs.  Ms.  Mr.  Other _______
Given Names: Date of Birth (dd/mm/yyyy): / /
Family Name: Gender:  Male  Female  Other

1. Have you been enrolled at Melbourne City College Australia (MCCA) previously?  Yes  No Student No. (If known):

2. Are you currently enrolled with any other Education Provider?  Yes  No. If Yes, please include a copy of all eCoes with your application

3. Do you have a Unique Student Identifier Number (USI)?  Yes  No USI No. (if Yes)_______________________________

Note - If No, you can create your own USI at the USI website www.usi.gov.au or fill out the College USI Application Form.
If you are a student undertaking nationally recognised training you must have a Unique Student Identifier (USI)

4. Australian Contact Details (If available) – Place of Residence:

Street Address:
Suburb/ Town: State: Post Code:
Telephone (H): Fax (H):
Telephone (W): Fax (W):
Mobile Phone: Email Address:

5. International Contact Details: (Home Country)

Address (Line1):
Address (Line2):
Suburb: State/Province/Region:
Post Code: Country:
Telephone (H): Telephone (W):
Mobile Phone: Email Address:

6. Nationality Details:
Nationality:
Passport No: Passport Issuing Country:
Passport Expiry Date: Country of Birth:
Do you hold a current Australian Visa?  Yes  No Visa Number: ____________________________ Visa Granted Date: __________________

Visa Type: Visa Expiry Date:

7. Next of Kin in Australia (Emergency Contact Details): Next of Kin Overseas

Relationship: Relationship:
Given Name: Given Name:
Family Name: Family Name:
Address (Line1): Address (Line1):
Address (Line2): Address (Line2):
Suburb: Suburb:
State: State/Province/Region:
Post Code: Post Code:
Telephone: Country:
Mobile Phone: Telephone:
Email Address: Mobile Phone:
Email Address:

Melbourne City College Australia

Application Form
CRICOS: 03592B RTO No: 45140
International Student
ABN: 77 602 164 625
Version 26 Page 1 of 5 Melbourne City College Pty Ltd trading as
Create Date: 27 May 2024
Melbourne City College Australia
 Level 9, 120 Spencer Street
Melbourne Victoria 3000, Australia
Phone: +61 3 9614 8422
Email: [email protected]
Website: www.melbournecitycollege.edu.au

8. Extra/ Special Support Needs

Do you need extra support/ have a disability, medical condition, impairment or long term condition that should be considered which may
interfere with undertaking the course or which requires special assistance from the College? (e.g. Hearing/visual impairment, mobility
requirements)  Yes  No If you require assistance, please contact : +61 3 9614 8422

If yes, please indicate the areas of extra support, disability, medical condition, impairment or long term condition/ provide comments on
details of special support/ assistance required:
 Hearing/Deaf  Physical  Intellectual  Learning  Mental Illness  Aquired Brain Impairment  Vision  Medical Condition
 Other, please specify__________________________

9. OVERSEAS STUDENT HEALTH COVER (OSHC) INSURANCE DETAILS

Do you hold any current Health Insurance?  Yes  No If No, do you want the College to organise this for you?  Yes  No
Single cover Couple Cover  Family Cover 

10. Other Details

In what country were you born?  Australia  Other, please specify ________________________________________________
Do you speak a language other than English at home ? No, English Only  Other, please specify _________________________
How well do you speak English (if you answered Yes above ?  Very Well  Well  Not Well  Not at all

VSN Details
Are you new to the Victorian Education system or do not have your Victorian Student Number (VSN)? To be completed by all students aged up
to 24 years.
 Yes. I am new to the Victorian Education System. I have never attended a Victorian school since 2009, TAFE or other VET training provider
since 2011. (Students who are enrolling for the first time since the VSN was introduced will get a new VSN)
 No:
If you are aged 24 or below at time of enrolment, please provide your Victorian Student Number:

I do not know my VSN  but I have participated in training at a Victorian school since 2009, TAFE or other VET training provider since 2011.
Please list the most recent training ____________________________________________________________________________________

If you require accommodation or airport pick up arranged, please speak to the Student Services Department

B. AGENT DETAILS: Which country are you in when completing this

Please stamp (if applicable) form?
Australian Visa Processing Centre where you
will apply for your visa
Country: City:
Employee’s Name:
Employee’s Email:
Employee’s Migration Agents Registration Number:
(if the employee is a registered migration agent)

Where should we send the notification of your application result?

 My Australian Contact Details  My International Contact Details  Agent

C. COURSE DETAILS
Please indicate the course (s) you are applying for:
Course Start Tuition Fees You
Enrolment
Tuition Material & Services Date Wish to Pay
Course Fee AUD
CRICOS Code Course Fee Fee (If you are not Before
Duration (Non-
AUD AUD sure provide Course
refundable) month/year) Commencement
097787B General 1-52 $300/ $300 $200/level  Only up to 50%
English Weeks Week ___________  More than 50%

Duration:
______ weeks

Melbourne City College Australia

Application Form
CRICOS: 03592B RTO No: 45140
International Student
ABN: 77 602 164 625
Version 26 Page 2 of 5 Melbourne City College Pty Ltd trading as
Create Date: 27 May 2024
Melbourne City College Australia
 Level 9, 120 Spencer Street
Melbourne Victoria 3000, Australia
Phone: +61 3 9614 8422
Email: [email protected]
Website: www.melbournecitycollege.edu.au

097788A English for 5-20 $300/ $300 $200/level

Academic Weeks Week ___________
 Purposes (EAP)
Duration:
______ weeks
113396B CHC33021 52 $10,000 $300 $300  Only up to 50%
Certificate III Weeks  More than 50%

in Individual
Support
 110430G CHC30121 48 $12,000 $300 $300  Only up to 50%
Certificate III Weeks  More than 50%
in Early
Childhood
Education and
Care
 109865A SIT30821 52 $15,000 $300 $1,500 plus  Only up to 50%
Certificate III Weeks $300 Knife Kits Fee &  More than 50%
in Commercial $300 Uniform Fee
Cookery
 109533K SIT40521 78 $22,000 $300 $2,000 plus  Only up to 50%
Certificate IV Weeks $300 Knife Kits Fee &  More than 50%
in Kitchen $300 Uniform Fee
Management
 113397A SIT50422 92 $29,000 $300 $2,000 plus  Only up to 50%
Diploma of Weeks $300 Knife Kits Fee &  More than 50%
Hospitality $300 Uniform Fee
Management
 108269G BSB50120 52 $10,000 $300 $300  Only up to 50%
Diploma of Weeks  More than 50%
Business
 108270C BSB60420 52 $10,000 $300 $300  Only up to 50%
Advanced Weeks  More than 50%
Diploma of
Leadership
and
Management
Note : Overseas Student Health Cover (OSHC) Fees will apply if you do not supply evidence of a current insurance certificate

D. ENTRY REQUIREMENTS, PRIOR LEARNING & CAREER GOALS

1. Why did you choose to enrol at MCCA?

______________________________________________________________________________
2. Why do you wish to undertake the course?
___________________________________________________________________________
3. Do you meet the course entry requirements?  Yes  No. Please provide details below.

ENGLISH PROFICIENCY
Do you hold a current certificate of English profeciency (e.g. IELTS)?  Yes  No
English Test Type (e.g. IELTS) __________________________________ English Test Score: ______________________

If you have not yet sat your exam, please indicate the exam date: ______________________

SCHOOLING
What is your highest COMPLETED school level?  Year 12  Year 11  Year 10  Year 9  Year 8 or lower
In which YEAR did you complete that school level?_Please specify:_______________________________
Are you still ATTENDING secondary school? Yes No

Melbourne City College Australia

Application Form
CRICOS: 03592B RTO No: 45140
International Student
ABN: 77 602 164 625
Version 26 Page 3 of 5 Melbourne City College Pty Ltd trading as
Create Date: 27 May 2024
Melbourne City College Australia
 Level 9, 120 Spencer Street
Melbourne Victoria 3000, Australia
Phone: +61 3 9614 8422
Email: [email protected]
Website: www.melbournecitycollege.edu.au

EDUCATION BACKGROUND – PREVIOUS QUALIFICATIONS ACHIEVED

Qualifications Institution Country Date of Completion

(Highest Qualification First)

WORK HISTORY

Do you have any experience that is relevant to your chosen course?  Yes  No. If yes, please specify your experience.

Company __________________________________________ Years of Service ______________________________________________

Position Title ____________________________________________

Do you intend to apply for a Credit Transfer or Recognition of Prior Learning (RPL)?  Yes  No. If yes, please fill in a Credit Transfer or
Recognition of Prior Learning (RPL) Application Form.This is available from Student Services.

Do you have digital capability to participate in online training?  Yes  No

Do you have access to a laptop or desktop computer, relevant software and technology and understand the minimum IT requirements to
enable you to participate in online training?  Yes  No

4. What do you expect to achieve after completion of the course?

__________________________________________________________
5. What is your career plan?
_________________________________________________________________________________________

E. PAYMENT
A request for payment or tuition and other fees will be made if you receive a letter of offer. Please make your payment by bank cheque,
credit card,telegraphic transfer or direct deposit into our account of Melbourne City College Australia. Melbourne City College Australia
has no obligation until funds are cleared and an official receipt is issued.

1. Tuition fees are fees directly related to provision of a course.

2. A student can pay full fees if the student wishes to, but the student is not required to pay more than 50% of the total tuition fees up
front for the course before the student commences the course that are more than 25 weeks. The College can require 100% of the
total tuition fees for short courses of 25 weeks or less.
Privacy Statement: Declaration:
The information collected in this form is for the purpose of processing your I declare that the information provided by me in this Application
application with Melbourne City College Australia. The information will be held by Form, is correct. I confirm that I have read, fully understand, and
the College in accordance with its Privacy Policy and Procedures and may be accept the College TERMS AND CONDITIONS and Policies and
accessed and used by people employed/ engaged by the College. Procedures available on the College Website, and agree to be bound
The information may be made available to government departments and agencies by them including the Fees and Refund Policy, and that I have the
in relation to the College’s obligations under law including the Education Services financial capacity to meet tuition fees and agree to pay fees as they
to Overseas Students (ESOS) Act 2000(Cth), the National Code 2018 and become due. I acknowledge and agree to the terms described in this
Standards for RTOs 2015 and the Australian Skills Quality Authority (ASQA) privacy statement
reported under the Australian Vocational Education and Training Management
Information Statistical Standards (AVETMISS); and to ensure student compliance Applicant Signature:
with the conditions of their visas and their obligations under Australian
immigration laws through the Department of Home Affairs (DHA). ___________________________________

The Education and Training Reform Act 2006 requires Melbourne City College
Australia to collect and disclose my personal information for a number of Applicant Full Name:
purposes including the allocation to me of a Victorian Student Number, Unique
Student Identifier and updating my personal information on the Victorian Student ___________________________________
Register.You have a right to access and correct your personal information in
accordance with privacy legislation and the College’s Privacy Policy and
Procudures. For more information in relation to how student information may be
used or disclosed please access the Colleges Privacy Policy at: Date: / /_______
https://www.melbournecitycollege.edu.au/pdfs/privacy.pdf

Melbourne City College Australia

Application Form
CRICOS: 03592B RTO No: 45140
International Student
ABN: 77 602 164 625
Version 26 Page 4 of 5 Melbourne City College Pty Ltd trading as
Create Date: 27 May 2024
Melbourne City College Australia
 Level 9, 120 Spencer Street
Melbourne Victoria 3000, Australia
Phone: +61 3 9614 8422
Email: [email protected]
Website: www.melbournecitycollege.edu.au

PROVIDER OFFER (COLLEGE USE ONLY)

1. Applicant’s ID is sighted and the copy is attached:
 Passport  Birth Certificate
2. Applicants Education Certificate is attached (if applicable):  Yes
3. Applicants IELTS or equivalent Certificate is attached (if applicable):  Yes
Note: Documents that are not in English language must be accompanied by their English translations. Copies of documents must be
certified.

Pre-Enrolment Assessment Form

Please:
1. review the student’s comments in Section D.1 , 2, 3, 4 & 5 and Section A.8 of the Application Form; and assess the student’s suitability to the
course and advise the student about the training product appropriate to meeting the student’s needs, taking into account each student’s existing
skills and competency using a Pre-Enrolment Assessment Form-International Student.
2. attach the completed Pre-Enrolment Assessment Form with this form.
Admission Checklist
Please:
1. assess whether the student's English language proficiency, educational qualifications and/ or work experience is sufficient to enable them to enter
the course using an Admission Checklist-International Student.
2. attach the completed Admission Checklist with this form.

Assessment Decision

Enrolment Offered  Yes  No

Indicate course(s) to be offered below
 General English  SIT40521 Certificate IV in Kitchen Management
 English for Academic Purposes (EAP)  SIT50422 Diploma of Hospitality Management
 CHC33021 Certificate III in Individual Support  BSB50120 Diploma of Business
 CHC30121 Certificate III in Early Childhood Education and Care  BSB60420 Advanced Diploma of Leadership and Management
 SIT30821 Certificate III in Commercial Cookery
Comments:

Authorised Staff Name

Authorised Staff Signature Date / /

Melbourne City College Australia

Application Form
CRICOS: 03592B RTO No: 45140
International Student
ABN: 77 602 164 625
Version 26 Page 5 of 5 Melbourne City College Pty Ltd trading as
Create Date: 27 May 2024
Melbourne City College Australia