Queensland Government schools
Student
Application Form
Contact Details
Education Queensland International
Postal Address Telephone (within Australia) 1800 316 540
PO Box 15050 Telephone (outside Australia) +61 7 3513 5301
City East, QLD 4002 Email EQInternational@qed.qld.gov.au
Australia Website eqi.com.au
Queensland Department of Education International
trading as Education Queensland International
CRICOS Provider Code: 00608A
Welcome to EQI’s
International Student Program
For detailed information about our courses and schools, please visit the EQI website: eqi.com.au
Apply
Complete this form electronically - save it to your computer and complete using Adobe Reader (free download available at -
get.adobe.com/reader); or you can print and complete the paper form.
Note: If you complete this form using the ‘Preview’ application on an Apple Macintosh (Mac), you should save the file as a new PDF through the print menu
(Select File -> Print -> PDF -> Save as PDF) to avoid compatibility issues.
Prospective students and their families should refer to https://eqi.com.au/apply-now/information-before-you-apply before
completing this application form.
Submit
Send your completed application form, with the signed ‘declaration and acknowledgement’ and all supporting documents
to your education agent or EQInternational@qed.qld.gov.au. Please note, incomplete applications cannot be assessed. EQI
recommends you read the Standard terms and conditions (https://eqi.com.au/apply-now/terms-and-conditions) and the EQI
policy and procedures (https://eqi.com.au/for-students/policies-procedures) available on our website, before you submit your
application.
You should submit your application at least 3 months prior to your proposed commencement with EQI, please refer to the
EQI application cut-off dates (https://eqi.com.au/apply-now). Visa processing times vary for each country. For further information you
should contact the Department of Home Affairs and the relevant Australian visa processing office, for your country.
Students applying to Queensland Academies (Appendix C) must submit their application to EQI at least 1 week prior to the
Queensland Academies application closing date. Visit https://qa.eq.edu.au/apply/ for application closing dates.
Checklist
All sections of the form completed Please attach these documents if available:
Completed and signed declaration page† Junior High School Graduation Certificate*
†
Please note typed or printed names will not be accepted.
English language test result*
EQI accepts only hand written signatures.
Copy of Australian student visa
Please attach the following documents:
Previous 2 years’ school reports* Copy of Overseas Student Health Cover
Students who are residing in the EU must complete the
Print or digital photograph of student
GDPR data collection and consent disclaimer
Copy of passport or birth certificate
https://eqi.com.au/apply-now
* Certified copies of original documents are required. Documents that are not in English must be accompanied by accredited English translations.
Privacy:
Your personal information is collected on this form to assess your application for enrolment into a Queensland State school. EQI may contact your
previous education provider to verify information provided in this form. If your application is successful, the information you provide will be used to
select an appropriate school for you, to process your enrolment in a Queensland State school, facilitate your ongoing enrolment and for the purposes
of the international student program, generally, including discharging EQI’s duty of care to students. If you request EQI to arrange Overseas Student
Health Cover (OSHC) for you, your personal information will be used, disclosed and exchanged with the OSHC provider for that purpose. If you request
EQI to arrange homestay accommodation for you, your personal information (including ‘Medical’ and ‘Behaviour’) will be used and disclosed for the
purposes of selecting and arranging an appropriate homestay provider and there will be an ongoing exchange of information between homestay
providers and the school/EQI, including through secure online services such as QParents. Some of the information requested on this form will be used
and disclosed by EQI to comply with our obligations under Australian laws (such as Education Services for Overseas Students Act 2000 (‘ESOS Act’) and
National Code of Practice for Providers of Education and Training to Overseas Students 2018 (‘National Code’)). EQI may disclose information about you
to Commonwealth Government agencies including the department responsible for the Migration Act 1958 and the department responsible for the ESOS
Act. EQI may also record, use and disclose your personal information to third parties where authorised or required by law.
Students who are resident in the EU are required to complete a GDPR personal data collection and consent disclaimer which must accompany this
application form. Your information will be stored securely. If you wish to access or correct any of the personal information on this form or discuss how
it has been dealt with, please contact EQI in the first instance. If you have a concern or complaint about the way your personal information has been
collected, used, stored or disclosed, please also contact EQI in the first instance.
All information contained in this publication is correct at the time of printing. Please ensure you complete the current version of EQI’s Student Application
Form, available at www.eqi.com.au. EQI reserves the right to alter programs offered, entry requirements, policies and fees without prior notice. Please check
EQI’s website for the most current information or contact us by telephone or email. © The State of Queensland (Department of Education) 2019
CRICOS Provider Code: 00608A | 2
1. Student details
Full Name
as per passport
Preferred name Date of Birth / /
DD / MM / YYYY
Gender Male Female Country of birth Home phone
Home address Mobile phone
City State/Province Postcode/Zip
Country Email
Language/s other No, English only
than English spoken
at home Yes, other - please specify
2. Parent/Legal Custodian details
Parent/Legal Custodian 1
Full Name
Mobile phone Home phone
If applicable
Home Address
If different to student details above
City State/Province Postcode/Zip
Country Email
Relationship to
Mother Father Legal custodian
student
Parent/Legal Custodian 2
Full Name
Mobile phone Home phone
If applicable
Home Address
If different to student details above
City State/Province Postcode/Zip
Country Email
Relationship to
Mother Father Legal custodian
student
3. Alternate contact details (to be used in the event that the parents/legal custodians are not contactable)
Relationship
Full Name to student
Mobile phone Home phone
If applicable
Home Address
City State/Province Postcode/Zip
Country Email
4. Do you have other children in your immediate family who are already enrolled or are applying to
be enrolled in a Queensland Government school?
No
Yes, please give details below
Full Name of sibling Date of Birth / /
DD / MM / YYYY
School Year level
CRICOS Provider Code: 00608A | 3
5. Visa And Overseas Student Health Cover
Students are required to obtain a valid Australian student visa for the duration of their EQI program.#
Passport number Nationality on passport
Do you have a current Australian student visa? Yes No If yes, please provide a copy of your current visa and evidence of your OSHC.
# If Australian law does not require that you hold a student visa in order to undertake the course (e.g. children under 6 years of age), the requirement to
hold a student visa does not apply until: Australian law requires you to hold a student visa; or you obtain a student visa (whichever happens first).
IMPORTANT: As a condition of your student visa you must have Overseas Student Health Cover (OSHC) while you are in Australia*.
If your application is successful, do you want EQI to arrange OSHC for you? Yes No
If yes, EQI will arrange OSHC for you, at your expense, and this will involve an exchange of your personal information between EQI and the OSHC provider.
If no, satisfactory evidence of OSHC, for the duration of your visa, must be provided to EQI before a Confirmation of Enrolment (CoE) will be issued.
*Please note: Belgian, Norwegian and Swedish students may not be required to purchase OSHC as part of their visa requirements.
Visit https://www.privatehealth.gov.au/health_insurance/overseas/overseas_student_health_cover.htm for further information.
6. Entry and course requirements
Refer to the EQI Entry and course requirements (https://eqi.com.au/for-students/policies-procedures/enrolment) standard which
outlines the entry requirements for all applicants.
Please provide your school reports for the previous two years.*
Current school Current year level
Country Language of Instruction
* Applicants for Prep or Year 1 should provide all available school reports.
If Yes*, please state the number of
Have you studied English at school? Yes No Years Months
months/years English has been studied.
Have you undertaken an IELTS or other approved English language test? Yes* No
* Please attach a copy of your result. Certified copies of original documents are required. Documents that are not in English must be accompanied by
accredited English language translations.
CRICOS Provider Code: 00608A | 4
Are there any subjects, including language studies,
Yes No If Yes, please list them below
that you MUST study in Australia?
Language name Subject name
Do you require your school academic reports from Queensland to be validated by your consulate? Yes No
If Yes, mark country Brazil Chile Italy Mexico Spain Other (please list):
If Yes*, please provide the name and the
Are you transferring from another Australian education provider? No Yes*
CRICOS Provider Number of your current school:
School name CRICOS Provider Number
When did you commence your studies at this school?†
†
Please attach a letter of reference from your current education provider outlining dates of enrolment, end of welfare date (if applicable) and any significant
medical and behavioural history.
* Please read the EQI guidelines on transferring to an EQI school from another registered provider, available at https://eqi.com.au/for-students/policies-
procedures/transfers, before submitting your application. More information is also available at https://internationaleducation.gov.au/Regulatory-Information/
Pages/Regulatoryinformation.aspx The school of your choice may not have availability in all the subjects listed, particularly for students who do not start
in Term 1. Information in relation to available subjects can be accessed at https://eqi.com.au/find-a-school/eqi-school-list or individual school websites
linked to the EQI website.
For Queensland Academies’ subject offerings please see https://qa.eq.edu.au/
Schools may offer specialist programs which may incur additional costs. There is a wide variety of programs available including
Aerospace, Biology, Business, Creative Industries, Engineering, IT, Mathematics, Music, Science and Sports
If you are planning to enrol in a specialist program, please contact the school directly in relation to entry requirements (e.g. eligibility/
audition/qualification).
Please indicate below the specialist program/s you are interested in applying for:
1.
2.
3.
CRICOS Provider Code: 00608A | 5
7. Accommodation and welfare
Students studying in an EQI Primary School must live with a parent, legal custodian or approved relative - please select OPTION 2
below.
Students in an EQI High School program must have adequate arrangements in place for their accommodation and general welfare for
the duration of their enrolment with EQI – please select OPTION 1, OPTION 2 or OPTION 3 below.
Please select one option only:
Option 1: I request EQI to arrange homestay accommodation.
Do you have any dietary requests or needs? (for example vegetarian, Halal, gluten free). Yes No
If Yes, please provide details
Are there any foods you do not like to eat? Yes No
If Yes, please provide details
Do you have any religious or spiritual requirements? Yes No
If Yes, please provide details
Would you prefer to live in a non-smoking homestay? Please list your hobbies and interests:
Yes Don’t mind
Would you prefer to live in a house with pets?
Without pets Don’t mind
Option 2: I nominate a parent, legal custodian or relative approved by the Commonwealth Government department responsible
for immigration. Please provide details below.
Complete the details below if you selected OPTION 2 above:
Name of Nominee Relationship to student
Home Address
Suburb / Town / City Postcode
Mobile phone Home phone Email
Option 3: I nominate a person over 25 years of age residing in Queensland to provide accommodation.
I request that EQI assess and approve these arrangements, initially and for duration of the arrangement. Please provide details below.
Complete the details below if you selected OPTION 3 above:
Name of Nominee Relationship to student
Home Address
Suburb / Town / City Postcode
Mobile phone Home phone Email
Religious instruction
Religion No Religion
From Year 1, your child will be placed in a religious instruction class, for the religion you have nominated, if it is available. If this
section is marked ‘no religion’ or a response is provided that is not represented within the school’s religious instruction program,
your child will receive non-religious instruction in a separate location during the religious instruction class. Parents may change
these arrangements at any time by notifying the school principal in writing.
CRICOS Provider Code: 00608A | 6
8. Medical
If your application is successful, the medical information you provide will be given to your school and your homestay family (if you will
not be living with your parent or approved relative), so that any medical conditions can be appropriately managed at school (including
school excursions, school camps, sports and other school activities), and at home (if you are in a homestay), and in the event of
an emergency, this information can be promptly provided to the medical practitioners treating you. This information will be treated
confidentially, where possible, but EQI’s main priority is your health and safety. It is essential that you provide all relevant information
to EQI. If your application is successful and you are enrolled in a school, you will be required to inform the school as soon as you are
aware of any new medical conditions or a change to medical conditions. Should you need to take medication during school hours, an
Individual Health Plan, including Emergency Health Plan if relevant, or an Authority to Administer Medication Form must be completed
each year and retained at the school office.
Do you have a medical condition? Yes No (e.g.: asthma, diabetes, epilepsy, depression, allergies/sensitivities, psychiatric illness)
*Refer to the Queensland State schools standardised medical condition category list below.
If Yes, please provide details
Do you require any medical aids Yes No (e.g. glasses, contact lenses, prosthetics or orthotics)
or devices?
If Yes, please provide details
Is ongoing treatment required? Yes No (e.g. by a doctor, or by medication)
If Yes, please provide details
Do you have a mental health condition, impairment or disability which may result
Yes No
in the need for additional support or assistance at school or in a homestay?
If Yes, please provide details
Use the notes field below if you need to provide additional details. Please provide medical reports to support your application.
Medical condition categories list
Acquired brain injury Autism spectrum disorder (ASD) Ear/hearing disorders – otitis media Muscle/bone/musculoskeletal
Allergies/sensitivities Bladder and bowel – urinary wetting, (middle ear infection) disorders – spasticity (Baclofen pump)
Anaphylaxis incontinence Ear/hearing disorders – hearing loss Muscle/bone/musculoskeletal
Airway/lung/breathing – oxygen Bladder and bowel – faecal soiling, Ear/hearing disorders – other disorders – other
required (continuously/periodically) constipation, incontinence Epilepsy – seizure Skin disorders - eczema
Airway/lung/breathing - suctioning Bladder and bowel – catheterisation Eye/vision disorders Skin disorders - psoriasis
Airway/lung/breathing - tracheostomy (continuous, clean intermittent) Endocrine disorder – adrenal Swallowing/dysphagia – requiring
Airway/lung/breathing – other Bladder and bowel – stoma site, hypoplasia, pituitary, thyroid modified foods
Artificial feeding – gastrostomy device urostomy, Mitrofanoff, MACE, chair Heart/cardiac conditions – heart valve Swallowing/dysphagia – requiring
(tube or button) Bladder and bowel - other disorders artificial feeding
Artificial feeding – nasogastric tube Blood disorders - haemophilia Heart/cardiac conditions – heart genetic Transfer and positioning difficulties
Artificial feeding – jejunostomy tube Blood disorders - thalassaemia malformations Travel/motion sickness
Artificial feeding - other Blood disorders – other Heart/cardiac conditions – other Other
Asthma Cancer/oncology Mental health – depression
Asthma – student self-administers Coeliac disease Mental health – anxiety
medication Cystic fibrosis Mental health – oppositional defiant
Attention-deficit/hyperactivity disorder Diabetes – type one disorder
(ADHD) Diabetes – type two Mental health - other
Notes
continues next page
CRICOS Provider Code: 00608A | 7
Please list all current vaccinations.
Vaccination Date Vaccination Date
If you have a current medical practitioner, please provide their contact details below. If you have multiple practitioners, please provide
all their details in the ‘notes’ box below.
Doctor’s name
Name of medical
practice
Address
Phone Number After hours phone number
Email Does the doctor speak English? Yes No
9. Behaviour
Have you ever been suspended, excluded, expelled or asked to leave a school? Yes No Dates
If Yes, please provide details
IMPORTANT: Students are not permitted to smoke, consume alcohol, misuse prescription medication or use illicit drugs while enrolled
in an EQI program. Students must comply with all Australian laws and the conditions of their student visa.
Failure to abide by these conditions may result in cancellation of enrolment. Refer to EQI website:
Do you agree to abide by these conditions? Yes https://eqi.com.au/apply-now/terms-and-conditions
10. Term dates
Queensland State schools have four terms (approximately 10 weeks) each year, and the school year commences in late January.
Queensland school term dates can be found at: https://education.qld.gov.au/about-us/calendar/term-dates
11. Program selection
International Student Program (go to Appendix A)
Regional Study Abroad (go to Appendix B)
Queensland Academies (go to Appendix C)
CRICOS Provider Code: 00608A | 8
APPENDIX A – International Student Program
A1. Course selection
In which year would you like to start your studies? (e.g. 2020)
Please select the course/s you wish to join and indicate the proposed duration of study and year level:
Primary school course#
Entry Year level Prep Year 1 Year 2 Year 3 Year 4 Year 5 Year 6
Starting Term Term 1 Term 2 Term 3 Term 4
Duration 6 months 9 months Number of years:
#
Please note the Commonwealth Department responsible for immigration will only issue a student visa for primary school applicants for a maximum of
2 years.
High School Preparation course
Starting Term Term 1 Term 2 Term 3 Term 4 Term 5
Duration Number of weeks:
Note: A term is approximately 10 weeks.
High School course
Entry Year level Year 7 Year 8 Year 9 Year 10 Year 11*
Starting Term Term 1 Term 2 Term 3 Term 4
Duration Number of years:
*Students can only commence Year 11 at the beginning of Term 1
High School (Study Abroad) course
Entry Year level Year 7 Year 8 Year 9 Year 10 Year 11 Year 12
Starting Term Term 1 Term 2 Term 3 Term 4
Duration 3 months 6 months 9 months 12 months
*Students cannot be enrolled in only Term 3 and/or 4 of Year 12 in this course.
International Baccalaureate Diploma course
Entry Year level Year 11 Year 12
Starting Term Term 1
Duration: number of years
A2. School selection
To review EQI’s school offerings and subject availability go to https://eqi.com.au/find-a-school
Please list 3 to 5 schools in order of preference. (1 being your first preference school).
1
2
3
4
5
CRICOS Provider Code: 00608A | 9
APPENDIX B – Regional Study Abroad
B1. Course selection
In which year would you like to start your studies?
Please indicate the proposed duration of study and year level:
Regional High School (Study Abroad) course
Entry Year level Year 7 Year 8 Year 9 Year 10 Year 11 Year 12*
Starting Term Term 1 Term 2 Term 3 Term 4
Duration 3 months 6 months 9 months 12 months
*Students cannot be enrolled in only Term 3 and/or 4 of Year 12 in this program.
B2. School selection
To review EQI’s school offerings and subject availability go to https://eqi.com.au/find-a-school
Please list 3 to 5 schools in order of preference. (1 being your first preference school).
1
2
3
4
5
CRICOS Provider Code: 00608A | 10
APPENDIX C – Queensland Academies
C1. Course selection
In which year would you like to start your studies?
Entry Year level Year 10
Starting Term Term 1
The Queensland Academies have a single point of entry into the Academy program, which is the start of year 10. There is no mid-course
entry, unless covered by the conditions outlined at: https://qa.eq.edu.au/apply/year-10-admissions-policy/.
Please contact the Academies for further information.
C2. Campus selection
Which Academy would you like to study at? (Select one campus only)
Queensland Academy for Health Sciences - (Gold Coast)
Queensland Academy for Science, Mathematics and Technology - Toowong (Brisbane)
Queensland Academy for Creative Industries - Kelvin Grove (Brisbane)
C3. Queensland Academy testing arrangements
Entry to the Queensland Academies is via a selective entry process.
The Queensland Academies Admissions Office will invite eligible EQI applicants to submit a Queensland Academies application and
also register for an Entrance Test designed by Edutest. Application fees apply.
Applicants can sit the Entrance Test at their selected Queensland Academies Campus. Alternatively, applicants can arrange to sit the
Entrance Test remotely for an additional remote testing fee.
Based on the academic data provided and Entrance Test results, applicants may be short listed for an interview. Applicants are
required to submit a sample of past work and Statement of Academic Journey at the student interview.
Please refer to the QA website https://qa.eq.edu.au/apply for application cut off dates, fees, contact details and more information.
C4. Student/Parent comment (optional)
Please use this space to provide any relevant information that the Queensland Academies should consider when evaluating this
application.
CRICOS Provider Code: 00608A | 11
12. How did you find out about EQI schools?
Agent Exhibition Family friend Website Study Tour Other (please list):
13. Registered Agent details
Name Address
Representative name Country
Business phone Email
AGENT DECLARATION
I declare that I have briefed the applicant and his/her parent/legal custodian in relation to EQI’s Standard Terms and Conditions and have provided the
applicant with relevant information on EQI schools, consistent with the ESOS Act and the National Code. I have read and explained the privacy statement
(see page 2) and the declaration, below, to the student and parent/legal custodian.
Representative
signature Date / /
14. Declaration, acknowledgement and consent
I have read and understood the information provided by EQI at https://eqi.com.au/apply-now/information-before-you-apply.
I understand that this application cannot be assessed unless all the relevant sections of this form have been completed and all the required
documents are attached.
I declare that the information given in this application form is complete, true and correct.
I understand that providing false or misleading information, or non-disclosure of relevant information, may result in cancellation of the
student’s enrolment.
I agree that if any of the information on this form changes, I will provide updated information to EQI as soon as possible and within 7 days.
I understand that EQI cannot guarantee that a place will be available in my preferred schools and there is no guarantee that this
application will be successful.
I consent to all communication regarding the student’s enrolment to be sent to the education agent, nominated in section 12 above, if any.
I consent to all written communication (including agreements, notices, invoices and other documents) being sent by email to the email
addresses provided in sections 1 and 2.
I agree to EQI and the school sending me SMS text messages where my permission is requested in relation to the student.
I understand that if this application form is lodged through an EQI registered education agent, EQI will pay commission to the agent after
the student commences their EQI program.
Student’s signature
Date / /
Parent/Legal Custodian 1
Parent/legal custodian
signature
Parent/legal custodian full name Date / /
Parent/Legal Custodian 2
Parent/legal custodian
signature
Parent/legal custodian full name Date / /
Note: Primary school applicants are not required to sign this form. Printed or typed names will not be accepted as signatures.
Hand written signatures must be provided.
ISP004_20 ISP Application V1 CRICOS Provider Code: 00608A | 12
