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Application For Admission For New Students

Section A - Personal Details

* Indicates required field
1.
Title:
First name: *
Other name:
Family name: *
Previous names:
Preferred name:
2. Date of birth: *
3. Gender: Male Female
4.
Tel (home): *
Tel (other):
Mobile:
5.
Fax:
6.
Email: *
7.
Permanent home address: *
Suburb: *
State: *
Postcode: *
Country: *
8.
Postal address:
(if different)
Suburb:
State:
Postcode:
Country:
9.
Term address:
(if different to
permanent home address)
Suburb:
State:
Postcode:
Country:

Section B - Ethnicity

10. Are you of Aboriginal or Torres Strait Islander Origin? *
No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, both Aboriginal and Torres Strait Islander
11. Were you born in Australia?*
Yes
No
No - In which country were you born?
What is your year of arrival in Australia?

Section C Citizenship/Visa

12. Are you an Australian Citizen? *
Yes
No
No - Are you the holder of a permanent humanitarian visa?
Yes
No
No - Are you an Australian Permanent Resident or New Zealand Citizen?
Yes
No
No - Please provide your visa details below:
VISA TYPE:
VISA NO:
VISA EXPIRY DATE:

Section D - Language

13. Is English the language spoken at your permanent home
residence?*
Yes
No
No - Please specify the language spoken at your permanent home residence:
14. Will you need help with English during the course of your studies?*
Yes
No
15. If your secondary and/or tertiary education was undertaken in a language other than English, please enter your IELTS ** score:


(Please provide a certified ** copy of your IELTS certificate or a certified copy of your transcripts from the Australian Centre for Language or the Universal English College)
  ** IELTS: International English Language Testing System. Certified: An authorised person must sign on your copies that they are true and correct, print their name and position and if possible affix an official stamp.

Section E - Disability

16. Do you have a disability, impairment or long term medical condition which may affect your studies?*
No
Yes
Yes - Please indicate the area/s of impairment:
Hearing
Learning
Mobility
Vision
Medical
Other (please specify):
17. Would you like to receive advice on support services, equipment and facilities which may assist you?
Yes
No

Section F - Education, Qualifications & Employment

18. What is your highest completed secondary school level?
  Year 10 or lower Year 11 Year 12
Last year attended
(Eg 2004)
Name of school/college
State/Country
Student ID Number
(if available)
N/A
N/A
Academic Result
(if available)
N/A
N/A
19. Have you attempted any further qualifications?
No
Yes
Yes - Please provide details in the following table:
Qualification Institution Completed? Last Year Attended
Advanced/Tech Certificate Yes No
Trade Certificate Yes No
Certificate (other than above) Yes No
Diploma/Advanced Diploma Yes No
Undergraduate Degree Yes No
Postgraduate Certificate
/Diploma		 Yes No
Masters Yes No
PhD or Doctorate Yes No
20. What is your current occupation?
21. Which of the following best describes your current employment status? (choose one only)*
Full-time employee
Employed unpaid worker in a family business
Part-time employee
Unemployed seeking full-time work
Self-employed not employing others
Unemployed seeking part-time work
Employer
Not employed not seeking employment

Section G - Course & Module Preferences

22. Course and Mode*
Certifcate IV in Community Services Work
Diploma in Community Services (Case Management)
Bachelor of Applied Social Science
Bachelor of Applied Social Science (Counselling)
Bachelor of Applied Social Science (Management)
Graduate Certificate (Counselling)
Graduate Diploma (Counselling)
Single Module (Undergraduate)
Single Module (Postgraduate)
Master of Applied Social Science
Master of Applied Social Science (Counselling)
Master of Applied Social Science (Management)

Term Study Load
Term 1 1 Module
Term 2 2 Modules
Term 3 3 Modules
Summer School 4 Modules

Location Delivery Mode(s)
Sydney Campus On Campus
Brisbane Campus Distance Education
Melbourne Campus Online Learning

* Please note not all courses are available at all campuses. Please check www.acap.edu.au/Courses for the latest course information.
23.
Module name (select up to three
modules for your first term):		 Delivery mode:
1.
2.
3.
24. Are you applying to study under Mature Age Special Entry Provisions (21 years or over)?*
Yes No
25. Are you applying for Recognition of Prior Learning ** (Advanced Standing)?
Yes - A separate RPL application is required- please contact ACAP for more information.
No
** Recognition of Prior Learning: For People who have developed competencies through previous experience of study.Download the RPL application form.
26. In order to assess your application, please write a brief statement (at least 150 words) describing how your interest in the course relates to your career aspirations.*
27. How did you hear about ACAP? *
Other:
28. Have you spoken with an ACAP Course Advisor? Yes No

Section H - Payment Options

  I would like to defer my fees through FEE-HELP **.
Please send me a "Request for FEE-HELP Assistance" form.
My completed "Request for FEE-HELP Assistance" form has been posted to ACAP in Sydney.
I will fill or have filled it in online.

I would like to defer a portion of my fees through FEE-HELP and pay a portion upfront.
Please send me a "Request for FEE-HELP Assistance" form.
My completed "Request for FEE-HELP Assistance" form has been posted to ACAP in Sydney.

I would like to pay my Term fees up front. You will receive an invoice for your Term fees.
  ** FEE-HELP: An Australian Federal Government Loan given to eligible fee paying students to help pay part or all of their tuition fees.

Section I - Application Checklist

  To complete your application for admission, please ensure that the following items are posted to the address below:
  • Completed request for FEE-HELP Assistance form (if applicable).
  • Certified copy of qualifications attained, including English translation if applicable (postgraduate course applicants only).
  • Proof of age (undergraduate course applicants only).
  • Certified copy of your IELTS results or a certified transcript from Australian Centre for Languages or Universal English College (if English is not spoken at your permanent home residence).
  • An up-to-date CV (if applying for the Master of Applied Social Science)
  • If you are applying for Recognition of Prior Learning, a separate application is required (download the RPL application form). Please contact student administration for more details.

Section J - Declaration

I declare that to the best of my knowledge the information provided in this form is correct and complete. I authorise the Australian College of Applied Psychology (ACAP) to store information with respect to my application and to obtain or verify any other details about my academic record or history from any school, higher education institution or educational authority to enable my application to be assessed.

ACAP is collecting the information on this form for statistical data collection purposes. Some information on this form is collected under the AVETMISS Data Specifications as requested by the Australian Government. ACAP will also use the information on this form for the purpose of assessing your entitlement to Commonwealth Assistance under the Higher Education Support Act 2003 and allocation of a Commonwealth Higher Education Student Support Number (CHESSN). ACAP will disclose this information to the Commonwealth Department of Education, Science and Training (DEST) for those purposes. DEST will store the information securely in the Higher Education Information Management System. DEST may disclose this information to the Australian Taxation Office. ACAP and DEST will not otherwise disclose the information without your consent unless required or authorised by law. By checking the following option button "yes" you agree with this statement.

Refund policy
Please note students may be liable for tuition fees if withdrawing from study after enrolment and prior to course completion. For full details please view ACAP's refund policy. By signing this form you acknowledge that you have read and understood ACAP's refund policy.

I AGREE Yes No *

POST OR FAX ANY ADDITIONAL DOCUMENTS TO:

For Sydney Campus, International, Distance & Online Applications:
ACAP Admissions
Locked Bag 11
Strawberry Hills NSW 2012
Phone: 02 9964 6300 or 1800 061 199 (National Freecall)
International: + 61 2 9964 6300
Fax: +61 (0)2 9964 6370

For Brisbane Campus Applications:
ACAP Admissions
PO Box 10469 Adelaide Street
Brisbane QLD 4000
Phone: +61 (0)7 3234 4400
Fax: +61 (0)7 3236 0037

For Melbourne Campus Applications:
ACAP Admissions
PO Box 1455
Melbourne VIC 3000
Phone: +61 (0)3 8613 0600
Fax: +61 (0)3 9614 0531
Please contact ACAP Admissions if you require further forms or help completing your application.
If I were to say anything to those thinking about studying at ACAP, it would be this: of all the colleges and institutions that promise you the world, when it comes to learning, ACAP offers comprehensive programs, experienced, professional trainers, flexibility and excellent resources.

I shopped around for a good learning institution and the more I looked, the more ACAP came out on top.
Michael Adamantidis
Registered Psychologist
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