Coursework Programs Application Form
International student application for admission to coursework
programs. To apply for a course at our Sydney Campus, fill out
the application form at: latrobe.edu.au/sydney/apply
Read this application carefully. Complete all sections and ensure that supporting (certified)
documents are attached. Write in BLOCK LETTERS using a blue or black pen. Tick where applicable.
Personal details as shown on your passport
Have you previously enrolled at La Trobe University? Yes No If yes, please provide your student number
Male Female Mrs Ms Miss Mr Dr Date of birth d d | m m | y y y y
Family name Given name(s)
Student’s current personal address
Number and Street
Suburb / Town City / State
Country Post / Zip code
Telephone | | Mobile / Cell phone | |
Country code Area code Number Country code Area code Number
Student’s email (compulsory)
Residency information
Country of birth
Citizenship Passport number (if applicable)
Are you currently living in Australia? Yes No If no, country where you are living
Agent details (if applicable)
Agency name Email
Branch address and country
Declaration by agent:
Agent stamp
• I have assessed the applicant as a Genuine Temporary Entrant and a Genuine Student as defined
by the Department of Home Affairs (DoHA).
• T
he applicant is genuine in making this application and has every intention of completing all
programs listed in the application.
• I have made every effort to verify the authenticity and validity of the documents which form
part of this application.
Tick to confirm
Agency signature
Course preferences
List the course/s that you would like to study at La Trobe University in order of preference.
Preference 1 Name of course
y y y y
Campus MEL BEN AW MIL SHP C Preferred start date* S1* S2* Other Year
Preference 2 Name of course
y y y y
Campus MEL BEN AW MIL SHP C Preferred start date* S1* S2* Other Year
Preference 3 Name of course
y y y y
Campus MEL BEN AW MIL SHP C Preferred start date* S1* S2* Other Year
Campus: MEL = Melbourne (Bundoora), BEN = Bendigo, AW = Albury‑Wodonga, MIL = Mildura, SHP = Shepparton, C = City *Preferred start date: S1 = Semester 1 (March), S2 = Semester 2 (July)
NOTE: Depending on demand and availability, you may be offered a place at a different campus. Places will be allocated as soon as your application is received. You can change your course preference
without incurring a fee only once. After a course offer has been issued, subsequent changes incur a non-refundable A$80 fee.
1
Advanced Standing (credit) transfer
Are you seeking Advanced Standing (credit) for previous studies? Yes No
If yes, you must attach detailed syllabus or curriculum for Advanced Standing (credit) to be assessed. This must include course content, assessment mode,
contact hours, prescribed texts, etc.
Visa information
Are you a permanent resident of Australia? Yes No
If yes, you will be required to apply as a domestic student. See: latrobe.edu.au/study/apply
Current Australian visa number as shown on your visa label (if applicable)
Visa type Student Visitor Spouse Subclass number Expiry date d d | m m | y y y y
Other visa type (please specify):
If you hold a current passport and/or an Australian visa, you must include a copy with this application.
Have you previously visited or studied in Australia? Yes No If yes, please provide details:
Have you previously breached any visa conditions? Yes No If yes, please provide details:
Have you ever been refused a visa for entry into Australia or a country other than Australia? Yes No If yes, please provide details:
Have you ever been convicted of a crime or offence? Yes No If yes, please provide details:
Please note your family immigration history:
Are you married? Yes No Date of marriage d d | m m | y y y y
If yes, is your spouse currently in Australia? Yes No
If yes, what visa type does your spouse have? Visa expiry date d d | m m | y y y y
Will your spouse/dependants (children) accompany you during your education in Australia? Tick all that apply: Spouse Dependants No
Please provide details of all your dependants including their date of birth:
Full name Date of birth d d | m m | y y y y
Full name Date of birth d d | m m | y y y y
Full name Date of birth d d | m m | y y y y
If you have more than three dependants, attach a separate sheet with any remaining dependants’ details.
Do you have adequate funds to support your own education and your dependants’ living expenses? Yes No
Do you have relatives living in Australia? Yes No If yes, please provide details (please use an extra sheet if required).
Name City / State Relationship Occupation
English language proficiency
Is English your first language? Yes No If no, what is your first language?
Was English the language of instruction during the final year of your secondary studies? Yes No Year completed y y y y
Was English the language of instruction during your post-secondary studies? Yes No Year completed y y y y
Have you taken OR will you be taking an English Test? Yes No
Name of test (if completed) Date of test d d | m m | y y y y
Location (city and country) Result
Test Reference Number (if known)
Are you enrolling for an ELICOS program? Yes No What is the duration of this program?
NOTE: Some courses have higher English language requirements. La Trobe University also accepts other English language tests. See: latrobe.edu.au/international/how-to-apply
2
Educational background and qualifications
Documentary evidence of qualifications claimed must be attached, including a full academic transcript (statement of results and evidence of successful completion).
Documents not in English must be accompanied by certified translations. Also describe any current studies you are undertaking. Please note that documents
submitted with your application become the property of La Trobe University and are not returnable.
1 CURRENT STUDIES – List details of current studies
Date enrolled (month/year) Date your results will be available (month/year)
d d | m m | y y y y d d | m m | y y y y
Name of qualification (including main field of study)
Institution Country
Will you complete your current studies prior to the commencement of your proposed La Trobe University program? Yes No
Have you ever been excluded from an academic institution? Yes No If yes, provide details below:
2 PREVIOUS STUDIES – List details of the secondary school or foundation studies you have completed
Date enrolled (month/year) Name of qualification (including main field of study)
d d | m m | y y y y
Institution Country
3 COMPLETED POST-SECONDARY (TERTIARY STUDIES) – List details of the post-secondary studies you have completed, from lowest to highest
qualification gained (e.g. Certificate, Diploma, Bachelor, Master’s)
Date enrolled (month/year) Name of qualification (including main field of study)
d d | m m | y y y y
Institution Country
Date enrolled (month/year) Name of qualification (including main field of study)
d d | m m | y y y y
Institution Country
Date enrolled (month/year) Name of qualification (including main field of study)
d d | m m | y y y y
Institution Country
4 Do you have a gap in education that is more than 6 months? Yes No If yes, please explain the purpose of the gap
5 EMPLOYMENT HISTORY – You must attach a CV (curriculum vitae) or resumé with relevant work experience (if applicable to the program you are applying for)
Employer’s name From To Position and type of work
Living costs
For a guide to living costs, visit: latrobe.edu.au/international/living/costs
Do you understand the costs associated with studying in Australia (including costs of tuition, living expenses, OSHC, return airfares, etc.)? Yes No
How are you funding your study and living costs? (choose more than one if applicable):
self-funded sponsored by government / organisation / company
family-funded bank loan (please provide proof of employment and income, bank statements and loan letters)
other (please specify)
3
Check list
1 Have you read the La Trobe University 5 Please state the reasons for your course and 10 Do you understand that your visa application
International Course Guide and researched the La campus selection. may be rejected if the Department of Home Affairs
Trobe International website? Visit: latrobe.edu.au/ (DoHA) is not satisfied that you are a genuine
international student, and if you do not pass the DoHA health
Yes No and character checks?
Yes No
2 Please explain how your course selection
is related to your previous education and/or 11 Do you understand that the DoHA may
professional background. How will it satisfy your 6 What suburbs are you considering living in for cancel your visa if you do not abide by your visa
career aspirations? the duration of your studies? How much time will it conditions? Visit: latrobe.edu.au/students/new-
take to travel from these locations to your chosen students/international/visa
La Trobe University campus? Yes No
12 Are you aware that you may be required to
undergo a Genuine Temporary Entrant (GTE)
telephone interview during this application process?
3 Why have you chosen La Trobe University Yes No
among other providers in Australia and overseas?
Why have you chosen to study in Victoria? 7 Have you provided us with all of your education 13 Have you answered all questions?
and employment history? Yes No
Yes No
14 Have you attached original or certified copies
8 Do you understand that La Trobe University of all necessary documents?
and/or an authorised packaging partner institution Yes No
will not pay your tuition fees or living expenses
4 What do you know about the course structure if you are unable to fund your stay in Australia, 15 If applying for Advanced Standing (credit), have
and delivery mode? What subjects are you and that La Trobe University may cancel your you attached the syllabus and curriculum details?
intending to study in your course selection? enrolment and CoE (Confirmation of Enrolment), Yes No
which may change your student visa status?
Yes No
16 Have you signed and dated the application?
Yes No
9 Are you aware of your work rights and restrictions
while studying in Australia on a student visa? 17 Have you kept a personal copy of all documents?
Yes No Yes No
Declaration and agreement
§§ I am not a permanent resident or citizen of Australia, information about my enrolment and my contact Details on any additional costs can be found within
nor a citizen of New Zealand. details in Australia to the Department of Home course descriptions on the La Trobe University website:
§§ I am aware of the conditions relating to my Affairs (DoHA) upon request. I understand that latrobe.edu.au/courses
admission into La Trobe University. the University reserves the right to inform other §§ I acknowledge that tuition and other fees are subject
tertiary institutions and regulatory agencies if to change each year. The University reserves the
§§ I declare to the best of my knowledge that the any of the material presented to support my
information supplied on this application form right to vary fees on an annual basis. In the event
application is found to be false. If sponsored by a of a fee increase, the University will issue me with a
and all supporting documentation is correct and government body or private institution, I give La Trobe
complete, and that any supplementary application Statement of Account after enrolment for my Actual
University permission to provide my sponsor with Tuition Fees, which will indicate the specified due
documents (personal statement, folio or additional information about my application, enrolment and
requirements) are my own work. I acknowledge that date for payment of each subject. If I am enrolled in
academic progress. a greater than standard 60 credit point load in any
La Trobe University reserves the right at any stage
to vary or reverse any decision regarding admission §§ If I am unsuccessful in getting direct entry into my semester, I may be required to pay additional fees in
or enrolment which has been made on the basis of degree program, La Trobe University will refer my that semester.
incorrect, fraudulent or incomplete information. application to the University’s preferred pathway §§ I understand that if I have any school-aged children
I also acknowledge that failure to disclose my full providers for an alternative Foundation, Diploma or or dependants accompanying me to Australia, they
academic record may result in the University revoking Postgraduate Enabling Program that may lead to my must attend school and I will be required to pay
an offer or terminating my studies at any stage. chosen La Trobe University degree. a full fee if they are enrolled either in a government
I authorise the University to seek verification of my §§ I authorise the University to disclose information or non‑government school. However, if I am
academic and professional qualifications, and relevant to my application and enrolment to the sponsored by the Department of Foreign Affairs
work experience. University’s preferred OSHC provider and other third and Trade or the Department of Defence or
§§ The University also reserves the right to vary parties for the purposes of arranging my OSHC, receive an eligible scholarship from the Australian
courses, subjects, the mode of delivery, assessment progressing my application and enrolment, and Government, I may be exempt from paying fees for
and admission requirements at any time at its administering my course. I also authorise La Trobe my dependants at a government school.
discretion. University to access the Department of Home §§ I have completed all sections of the application
Affairs (DoHA) to obtain information on my form.
§§ I acknowledge La Trobe University places visa status.
restrictions on program and institution transfers and §§ I accept that this application and supporting
that I may not be permitted to change my program §§ I understand the fees listed in this publication are documentation become the property of La Trobe
or institution without permission. an estimate only, based on the subjects in which I University and are not returnable.
enrol, and will vary depending on the subject and
§§ I consent to the University using and disclosing my the actual subject enrolment load. I agree to pay all §§ I understand this agreement does not remove
personal information under the conditions relating fees for which I am liable. I acknowledge that the my right to take further action under Australia’s
to the Refund Policy as set out at: tuition fee is exclusive of the cost of text books, consumer protection laws.
latrobe.edu.au/international/fees-and-scholarships/ health insurance or living expenses such as food, §§ I have read and I understand the declaration above.
tuition-fees accommodation, transport and medical costs.
§§ Information I have provided on this form and during
enrolment may be made available to the Australian Applicant’s (student’s) signature:
Government, state agencies and other designated
authorities under the ESOS Act 2000 and the National
Code 2007. Information about me can be disclosed
without my consent where authorised or required by
law. I further understand that La Trobe University,
as an education provider, is required to provide Date d d | m m | y y y y
Contact details
La Trobe International | La Trobe University, Victoria 3086, Australia | T +61 3 9479 1199 F +61 3 9479 3660 E intapplication@latrobe.edu.au
