UNIVERSITY of BALLARAT

international application for admission for a full fee place

This form is to be completed by international students seeking to enrol in a course at the University of Ballarat

INSTRUCTIOS:

1.　Complete this form in full.

2.　Attach certified copies documenting all relevant qualifications, including all passes and failures in the courses attempted.

3.　Include an application fee of A$50 (by bank draft of bank cheque payable to the University of Ballarat).

4.　Return this application to:

　　International Office　　　　　　　　　　　　　 Telephone: +61 3 53 278132

　　University of Ballarat　　　　　　　　　　　　 Facsimile: +61 3 53 278013

　　PO Box 668　　　　　　　　　　　　　　　　　　 Email: international@ballarat.edu.au

　　Ballarat Vic 3353　　　　　　　　　　　　　　　Website: www.ballarat.edu.au

　　Australia

PERSONAL DETAILS

1.　Family Name

2.　Other Names

3.　Title (Mr, Mrs, Ms, Miss)

4.　Date of Birth　　　　　　　Day　　　　　　　　 Month　　　　　　　Year

5.　Sex　　　　　　　　　　　　Male □　　　　　　 Female □

6.　Address for notification of the result of this application:

　　　　　　　　　　　　　　　　　　　　　　　　　 Country

　　Phone No. 　　　　　　　　　　　　　　　　　　 Fax No.

7.　Permanent address in home country (if different from the address above):

　　　　　　　　　　　　　　　　　　　　　　　　　 Country

　　Phone No. 　　　　　　　　　　　　　　　　　　 Fax No.

8.　Country of birth

9.　Citizenship

10.　Disabilities: Do you have a disability for which additional assistance may be required?　　□Yes　　□No

　　If 'Yes', please attach a separate sheet outlining this disability.

11.　I am applying for a place as a: (please tick one box only)

　　　　　　　　　　　　　　　 □　an English Language (ELICOS) course of ________ (number of weeks)

　　　　　　　　　　　　　　　 □a TAFE course 　　□a University course

　　Name of Course/s

Year Level of entry sought to: (please tick one box only)

　　Postgraduate course 　　□ Certificate 　　　□ Graduate Diploma　　□ Masters

　　Undergraduate course　 □ 1st year 　　　　 □ 2nd year 　　　　　 □ 3rd year

　　TAFE course 　　　　　　 □ 1st year　　　　　□ 2nd year　　　　　　□ 3rd year

INTERNATIONAL FULL FEE PLACE CONTINUED

ACADEMIC/EMPLOYMENT BACKGROUND

12. English Language Proficiency

　　□ I have completed my secondary studies in a country where English is the official language and gained a satisfactory pass in final year English. Documentary evidence is attached.

　　□ I have satisfactorily completed at least the first year of a tertiary course taught and examined in the English Language in a country where English is the official language. Documentary evidence is attached.

　　□ I have obtained a score of ________ in the American Test of English as a Foreign Language (TOEFL) or a score of ______ in the International Language Testing System (IELTS) at a sitting in the last 12 months. Documentary evidence is attached.

13. Final Secondary School Level Education

　　a. Name of School

　　b. Name of Award studies (e.g. Year 12, STPM, GCE "A" level)

　　c. Name of State and Country in which I studied:

　　　 State　　　　　　　　　　　　　　　　　　　　　　　　　　 Country

　　d. Year in which the final year was completed (eg. 1992)

　　e. I have attached full documentation of all subjects attempted including all passes and failures.

　　f. I have attached the Tertiary Entrance Score (TES) associated with my final year examinations.

14. Secondary School Level Education Immediately Prior to the Level Listed in 1 Above

　　a. Name of School

　　b. Name of Award studies (e.g. Year 11, SPM, GCE "O" level)

　　c. Name of State Country in which I studied:

　　　 State　　　　　　　　　　　　　　　　　　　　　　　　　　Country

　　d. Year in which the final year was completed (eg. 1992)

　　e. I have attached full documentation of all subjects attempted including all passes and failures.

15. Post Secondary Education

　　a. Name of Institution

　　b. Name of Award studied

　　c. Name of State and Country in which I studied:

　　　 State　　　　　　　　　　　　　　　　　　　　　　　　　 Country

　　d. Years of study (eg. 1992 to 1995) to

　　e. The Award was　　　　　　　□ completed not 　　　　　　□ completed

　　f. □ I have attached full documentation of all subjects attempted including all passes and failures.

16. Employment

　　a. □ I have attached full details of my employment history since completing secondary school, showing employers name, position held, details of position and years of service.

　　b. □ I have not been employed since completing my secondary education.

DECLARATION AGREEMENT

　　·I hereby certify that the information provided on this form is complete and correct.

　　·I certify that, if I am accepted for a full-fee place, I undertake to observe all the regulations and procedures of the University of Ballarat while I am a student there.

　　·I believe that I have met the minimum entry and English language requirements of UB/SMB and declare that I can meet the financial obligations to undertake the course of study and associated living costs.

　　Signature 　　　　　　　　　　　　　　　　　　　　　　　　Date

UNIVERSITY of BALLARAT

application for exchange or study abroad

Application for Study Abroad or Exchange Programs Only (This form does not need to be completed by full fee place applicants)

INSTRUCTIONS

　1. Complete this form in full.

　2. Attach certified copies documenting all relevant qualifications, including all passes and failures in courses attempted.

　3. Return this application to

　　 International Office　　　　　　　　　　　　　　　Telephone　 + 61 3 53 278132

　　 University of Ballarat　　　　　　　　　　　　　　Facsimile　 + 61 3 53 278013

　　 PO Box 668　　　　　　　　　　　　　　　　　　　　Email　　　 international@ballarate.edu.au

　　 Ballarat Vic 3353　　　　　　　　　　　　　　　　 Website　　 www.ballarat.edu.au

　　 Australia

PERSONAL DETAILS

1. Family Name

2. Other Names

3. Title (Mr, Mrs, Ms, Miss)

4. Date of Birth 　　　　　　　Day　　　　　　　　　 Month 　　　　　　　　Year

5. Sex　　　　　　　　　　　　 Male□　　　　　　　 Female□

6. Address for notification of the result of this application:

　　　　　　　　　　　　　　　　　　　　　　　　　　 Country

　 Phone No. 　　　　　　　　　　　　　　　　　　　　Fax No.

7. Permanent address in home country (if different from the address above):

　　　　　　　　　　　　　　　　　　　　　　　　　　 Country

　 Phone No.　　　　　　　　　　　　　　　　　　　　 Fax No.

8. Country of birth

9. Citizenship

10. Disabilities: Do you have a disability for which for which additional assistance may be required? 　□ Yes 　　□ No

　　If 'Yes', please attach a separate sheet outlining this disability.

11. I am applying for a place as a: (please tick one box only) 　　　　□ Study Abroad Student (Semester fee applies)

　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　□ Exchange Student

　　Name of approved Exchange Program:

12. I wish to study at the University of Ballarat: (please tick all relevant boxes)

　　a. for a total period of 　　　　　　　□One semester 　　　　　　 □two semesters

　　b. commencing in 　　　　　　　　　　　□February/March 200　　　　□ July 2000

　　c. major field of study

　　d. minor field of study

EXCHANGE OR STUDY ABROAD CONTINUED

ACADMIC / EMPLOYMENT BACKGROUND

13. English Language Proficiency

　　□ I have satisfactorily completed at least the first year of a tertiary course taught and examined in the English language in a country where English is the official language. Documentary evidence is attached.

　　□ I have obtained a score of _________ in the American Test of English as a Foreign Language(TOEFL) or a score of ________ in the International Language Testing System (IELTS) at a sitting in the last 12 months. Documentary evidence is attached.

14. Post-Secondary Education

　　a. Name of School

　　b. Name of Award studies (e.g. Year 11, SPM, GCE "O" level)

　　c. Name of State and Country in which I studied:

　　　State　　　　　　　　　　　　　　　　　　　　　 Country

　　d. Year in which the final year was completed (eg. 1992 to 1995)

　　Documentary evidence of all my post-secondary education is attached.

15. Unit Approval

　　Please Provide at least 8 choices in the event you are not able to secure your courses of preference.

University of Ballarat Units	Credit Hours	Home University Equivalent	Course Transfers as		Home Advisor's Initials/Date
Title		Title	LOWER DIV. CREDIT	UPPER DIV. CREDIT

Home Advisor's Signature　　　　　　　　　　　　　　　　　　　 Date

C. Declaration Agreement

　 · I hereby certify that the information provided on this form, and on all documents submitted in support of this application, is complete and correct.

　 · I certify that, if I am accepted for a study abroad place, I undertake to observe all the regulations and procedures of the University of Ballarat while I am a student there.

　 · I declare that I can meet the financial obligations to undertake the course of Study and associated living costs.

　 · I understand that, in the event that I change any of the courses in Section C above, I must obtain additional approval from my home advisor.

　 Signature 　　　　　　　　　　　　　　　　　　　　　　　　　Date