ACN 002 871 918 Provider Code:1269 CRICOS 02974G STUDENT ENROLMENT APPLICATION FORM PERSONAL DETAILS* (Please read Terms & Conditions) NOTE: You must advise any change of address YOU MUST BE OLDER THAN 18 YEARS OF AGE TO ENROL Attach two passport-sized photographs Family Name Given Names Date of Birth (D/M/Y) / / Place: Gender: Male Female Office Use Only: Aviation Reference No.: MYOB REF: Email: Phone Number: Home Mobile Work Home Country Address: Phone Number: Home Mobile Work Address in Australia: Phone Number: Home Mobile Work Next of Kin: Relationship: Address: Phone Number: Home Mobile Work Email: Level of Education: Name of Institution: School College Technical Institute University Year Completed: COURSE DETAILS ALL STUDENTS Course Name: AVI40108 Certificate IV in Aviation (Commercial Pilot Aeroplane Licence) CRICOS # 02974G Start Date: Duration: 36 Weeks Do you intend to claim recognition of prior learning towards this course? Yes No MEDICAL STATUS ALL STUDENTS Have you had a medical prior to leaving your home country to exclude medical problems that prevent you flying? Do you consider yourself to have a disability, impairment, or long-term condition? Please sign to indicate you have read and understood the contents of this page. Date: Form: 36 Page 1 of 10 Issue Date: 24/03/14
You are required to pass a Class 1 Medical conducted by a Medical practitioner endorsed by the Civil Aviation Safety Authority of Australia prior to commencing flying. This will cost you approximately $130 for the doctor and $75 for the CASA processing fee. Do you have any physical problems that may affect you being accepted into this course? If so, what? EMPLOYMENT DETAILS LOCAL STUDENTS ONLY Full-time Employee Self-Employed Employed Unpaid family worker Part-time Employee Employer Unemployed Seeking f/t work Not employed not seeking employment EDUCATION AND TRAINING DETAILS LOCAL STUDENTS ONLY Unemployed Seeking p/t work Are you attending Secondary School Yes No If yes, please indicate what year you are in: 9 10 11 12 If you have left, what level did you finish: 9 10 11 12 In what year did you complete the level of school indicated above? Since leaving school have you completed any qualification? Yes No If yes, what was the course name and qualification you achieved? LANGUAGE SPOKEN AT HOME LOCAL STUDENTS ONLY Do you speak a language other that English at home? Yes No If yes, what language/ s do you speak? If yes, how well do you speak English? Very Well Well Not well FOR INTERNATIONAL STUDENTS ONLY Nationality Country of Birth Passport No. Issued on Expires on: Type of Australian Visa (if any) Issued on Expires on: I have studied English for years Test Date: My English test score is IELTS Other test Form: 36 Page 2 of 10 Issue Date: 24/03/14
FEES/PAYMENT CALCULATIONS DECLARATION AUD$ Indicative course tuition fee 1 60,000 I have read and accept the conditions of enrolment including the cancellation and refund policy of the College as stated overleaf. Enrolment Fee (non-refundable) 650 Accommodation Booking 0 Agent (if any): Date Airport Pickup 0 OSHC 2 0 Signature Date Other 0 TOTAL payable on enrolment 650 1 Tuition fee is indicative only and is not payable in advance 2 Overseas Student Health Cover is student s responsibility Remember to attach the following documents: Overseas Student Health Cover (evidence e.g. receipt from Medibank) Copy of your passport Two passport-sized photographs IELTS or other English language proficiency evidence Note: Student information may be made available to Commonwealth and State agencies and as required under the ESOS Act 2001. Form: 36 Page 3 of 10 Issue Date: 24/03/14
TERMS AND CONDITIONS An enrolment agreement between Pacific Flight Services and a student or prospective student, and the availability of complaints and appeal processes, does not remove the right of the student to take action under Australia s consumer protection laws. Enrolment fee for Courses All Pacific Flight Services course applicants must pay a non-refundable Enrolment Fee of AUD $650. This fee can be paid together with course fees prior to the issue of the Letter of Offer. Tuition Fees Tuition fees DO cover the charges for tuition. Tuition fees DO NOT cover the charges for registration fee for other vocational courses (e.g. English), accommodation, living expenses, textbooks, uniforms, stationery, equipment, and external examinations. Due date - Tuition fees for vocational courses are payable in advance, in accordance with the Student Handbook. If fees are not paid by the due date, a late fee may be charged and students may lose their place in the course. Transfer of Fees If a student completes their course at Pacific Flight Services earlier than expected and enrols in a vocational course, the remainder of paid fees will be transferred to that course. No fees will be transferred to other external institutions or persons. Fees & Refund Policy The request for refund is made in writing to the Chief Executive Officer using Fee Refund Form (Form 15). Pacific Flight Services does not accept pre-payment of course fees. Pacific Flight Services will only charge course training fees at the completion of each training sortie. Pacific Flight Services operates under a Payment in Arrears agreement. An application fee is payable upon enrolment. The application fee is non-refundable. English Language Proficiency & Minimum Scores To gain admission into course students must demonstrate English language proficiency. Students must show certified proof of their proficiency or proof of having passed an English Language Test in the last two years. IELTS is the preferred test for English proficiency. International English Language Testing System (IELTS) - A total score of 5.5 is required. Some courses require higher English test scores. Results of other testing systems may be accepted subject to availability of current documentation. Certified copies of IELTS certificates are required with this application. Academic Qualifications & Recognition of Prior Learning The College offers courses at different levels. Different academic qualifications are required for each level. For more course information details see the relevant course outline or our web site. Enrolling students can apply for recognition of prior learning (RPL) for whole competencies and up to a limit of 50% of the course they enrol in. Note that a shortening of overall course duration does not change the requirement for students to be enrolled in full-time study. Arrival and Orientation The Training Manager oversees your induction into the course on the first course day, with the issue and discussion of the contents of the student handbook and an acknowledgement signed off by you on the Student Enrolment and Induction form (Form 40). The Admin Manager/Client Support Officer notifies the Department of Immigration and Border Protection (DIBP) of course commencement within 14 days. Form 36 Page 4 of 10 24/03/14
Should you not commence as prescribed in the course timetables, then DIBP will be advised within 7 days of: (a) your name, gender, date of birth, country of birth, nationality (b) CRICOS course code (c) Agreed starting date and completion date (d) office of Visa issue and Visa details (e) Current residential address (f) Course payment records including tuition fees to date, health fund payments (g) Passport details and (h) English language proficiency You may only defer commencement at the agreed date of the course commencement on medical grounds or on exceptional compassionate ground. This is to be assessed by the Chief Flying Officer and judgement is based upon documentation submitted in support of the claim. Non commencement for any other reason will be seen as student default, as defined in our refund policy in the enrolment form and DIBP advised through PRISMS. Attendance/Academic Performance Regular attendance is a requirement for all students. All overseas students must attend a minimum of 80% of classes to qualify for a certificate and meet student visa regulations. If students do not make satisfactory academic progress they may not be allowed to continue or to re-enrol. How to Apply: Review the course and check the course outline for English and academic entry requirements. After reading the terms & conditions complete the enrolment form and student agreement on reverse. Attach all the relevant documents and your application fee. Return all of these to: Pacific Flight Services PO Box CP20 Condell Park NSW 2200 If your application is successful you will receive a Letter of Offer in a nominated course. We will advise you about fee payment, how to apply for your student visa and arrangements for airport pickup and accommodation if required. When we receive your Enrolment Fee, and confirm you have signed our Terms & Conditions on the application form, we will send you a Letter of Offer. This Letter of Offer is used to apply for your student visa. Payment Tuition Fees must be paid by bank draft or bank cheque made payable to Pacific Flight Services Pty Ltd. Direct electronic transfer can be facilitated on request. Pacific Flight Services will not be responsible for any moneys paid to an agent or third party. Form 36 Page 5 of 10 24/03/14
Overseas Student Health Cover (OSHC) All international students are required to pay Overseas Student Health Cover (OHSC). It is the student's responsibility to check the conditions of this health cover. A Medibank brochure is available from the College s office. This fee is not payable to the college but to Medibank Private direct. Application may be made online at http://www.medibank.com.au/oshc/ Fees currently begin at $41/month depending on vida length. Fees are subject to change refer to the above website for current premiums. Below is an indicative price range for OSHC fees. Rates 3 months 6 months 9 months 12 months Single $132 $264 $386 $491 School Aged Dependants Students are advised that any school-aged dependants accompanying them will be required to pay full fees if they are enrolled in either a government or non-government school. Indicative Cost of Living ($AUD) The figures below are estimates only to give an indication of living expenses in the Sydney area for one year (excluding course fees): Rent $250 Food $120 Health Cover $10 Utilities (electricity, gas, water usage) $20 Travel $40 Laundry $10 Entertainment/personal $80 OSHC 10 Weekly $530 Yearly $27560 Consent for use of photograph. I agree to have my photograph used by the Pacific Flight Services for promotional material. I understand that I can withdraw my consent at anytime in writing. Form 36 Page 6 of 10 24/03/14
Enrolment Questionnaire Pacific Flight Services wants to make sure that the course you are enrolling in is the correct course for you. Please submit answers to the following questions so the Principal can make that assessment. 1. Why do you wish to enrol in this course and study in Australia? 2. What are your future employment plans? 3. Give us some detail on your work and study history. 4. What are your interests outside of work (hobbies)? 5. Give details on how you propose to finance your studies, accommodation and stay in Australia? Form 36 Page 7 of 10 24/03/14
For a copy of our student handbook and introduction booklet, fee structure, flying rates, and refund policy z please go to our website at www.pacificflight.com.au Declaration and Authority to view documents (Privacy Act 1998) I declare that the information provided by me on this form is true and correct, and I understand that this information will be treated as private and confidential and will not be divulged without my written consent, except where Pacific Flight Services is legally obliged to do so. When you enrol in a course at Pacific Flight Services you agree that the staff of Pacific Flight Services can access the personal information contained in your student file without written consent being obtained. You also agree that representatives of Government Departments such as the Department of Immigration and Citizenship and the Vocational Education, Training and Accreditation Board can have access to your student file. ALL student information includes all personal detail, contact details, course enrolment details and changes and the circumstances of any suspected breach of any student visa condition. It may also be made available to any Commonwealth and State agencies and as required under the ESOS Act 2000 and the National Code of Practice for providers of Education and Training to Overseas Students. It will also be made available to the Tuition Assurance Fund Manager and ESOS Fund Manager. During your training there may be circumstances that will require a Pacific Flight Services trainer/ assessor to discuss your progress with an appropriate third party. Also there will be the need to examine workplace samples for the purpose of assessment. All discussions will be strictly confidential. I (print name) authorise the training representative from Pacific Flight Services to discuss my training program development, and/or view appropriate evidence with my employer/ supervisor/ trainer. Signed: Date: Form 36 Page 8 of 10 24/03/14
Declaration I, declare that I know of no reason or condition, whether medical, financial, legal, or political, or any other reason, why I may not be accepted as a student at Pacific Flight Services Pty Ltd. I declare that if accepted as a student I will work whole-heartedly and to the very best of my ability towards achieving the qualification. Signed: Date: / / Note: An enrolment agreement between Pacific Flight Services and a student or prospective student, and the availability of complaints and appeal processes, does not remove the right of the student to take action under Australia s consumer protection laws. Form 36 Page 9 of 10 24/03/14
Please list any change of address or contact details below Change of Address Details New Address: Contact Details: Signed: Date: Form 36 Page 10 of 10 24/03/14