Enrolment Form

Enrolment Form

(** means that you must answer this part of the form)

I confirm that I have read, understood and agree to abide by the SELC Conditions of Enrolment.**
Yes, I agree No, I don't agree

Personal Information

Family Name**

Other Names**

Address

City

Post Code

Country**

Telephone

Fax

Your Email**

Date of Birth**
/ / (dd/mm/yyyy)

Sex
Male Female

Country of birth

Nationality**

Type of Visa**

Do you suffer from any known medical condition?
Yes No

if Yes, please specify

Study Information

Note: SELC terms are 4 weeks long. For General English it is possible to start on any Monday but we recommend you start on a term start date. For all other courses we cannot guarantee a place in the course except on term start dates.

Information about Cambridge, TESOL and General English term start dates is shown in the list below.

When do you want to start?**

How many weeks do you want to study for?**

What courses do you want to study at SELC?**
General English English for Academic Purposes IELTS Preperation English for Business Communication Cambridge Test Preparation Certificate IV in TESOL English for Customer Service Communication (Barista) English for Customer Service Communication (Bar&Cocktail)

What is your English level?

Do you want to study in Australia after you complete your English course?
Yes No

If yes, where will you study? (If your institution isn't on the list please select 'other'.)

If you selected 'other', please give institution name

How did you hear about SELC?
Advertisement Agent (Study abroad or travel) Friend Family member Study fair SELC Student Search engine Facebook Another website Other

Will you be using an agency to assist with your application?
Yes No

If yes, please give agency name

General comments about your study

Accommodation

Note: If you do not require accommodation select NO below and go to the Send button at the bottom of the page.
If you do require accommodation select YES and answer the following questions:

Do you want SELC to arrange accommodation for you?
Yes No

How many weeks do you need accommodation?

Start date for Accommodation:
/ / (dd/mm/yyyy)

End date for Accommodation:
/ / (dd/mm/yyyy)

Type of accommodation?

Smoker?
Yes No

If yes, I accept that I may have to smoke outside?
Yes No

Do you have any allergies to pets, food etc?
Yes No

If yes, please state

General comments about accommodation?

Airport Transfer

Airport transfer is only provided if you are staying in an accommodation organised by SELC.

Do you require airport transfer on arrival?
Yes No

If yes, please answer the following questions:

Arrival date in Sydney (dd/mm/yy)

/ / (dd/mm/yyyy)

Arrival time in Sydney (e.g. 13:30)

Airline and your flight number:

SELC Conditions of Enrolment