Registered agent’s stamp and postal address.

Application form – for international students Indicate which event application was collected at (office use only):

HOW TO COMPLETE THIS FORM

> Please write clearly in black ink using capital letters in English.
> Include one set of supporting documents with this application, including certified English translated copies.
> A non-refundable application fee of A$100 must be paid when you submit this form
> All supporting documents for this application must be certified as true copies of originals.
> Ensure that you sign the declaration at the back of this form.
> Please note that delays may occur in the processing of this application if the application is incomplete.

Which course do you wish to apply for? English Language course (packaged) Foundation Year Diploma
Are you a citizen or permanent resident of Australia, or citizen of New Zealand? Yes No If Yes, please use the domestic students application form.
Note: Only international students are eligible to enrol in the Foundation Year program. A change of visa status to become an Australian permanent resident during the Foundation Year
or a Diploma program may invalidate the degree pathway guarantee.

1 P E R S O N A L D E TA I L S

Family name: Given name(s):

Date of birth: D D / M M / Y Y Y Y Gender: Male Female X Please submit a certified copy of your passport if available.

Permanent address
in home country (required):

Telephone (with country code): Mobile:

Fax:

Email (mandatory):

Address for correspondence

(only if different from your
permanent address in your home
country – not including agent’s
address):
Telephone (with country code): Mobile:

Fax:

Email (mandatory):

Monash Registered Agents

If you apply through an agent please ensure that your agent is registered with Monash University or you may experience delays in your application.
For details of registered agents in your country please go to monash.edu/agents.
Agency name: Country:

Agent staff name: Telephone:

Email (for correspondence):

2 C I T I Z E N S H I P A N D OT H E R I N F O R M AT I O N

Country of citizenship (as stated in passport): Country of birth:

You must submit a translated, certified true copy of the personal details page of your passport or birth certificate.
Have you applied for OR do you hold any type of Australian visa: Yes No

Visa type: Expiry date (if applicable) D D / M M / Y Y Y Y

Have you been refused an entry visa to any country: Yes No If yes, please attach evidence.
Which Australian Immigration Office issued your visa?

Have you breached any visa conditions in any country: Yes No If yes, please explain:
Do you have any medical or health issues that may prevent you from obtaining your visa?
In answering this question go to border.gov.au that lists medical and health conditions of concern to the Australian Government.
Also note that health insurance in Australia will not extend to a pre-existing medical condition. Yes No If yes, please explain or attach relevant documentation.

Do you have any physical or mental health condition or other issue which may prevent you to undertake full-time study? Yes No

Have you been issued a protection visa in any country to date? Yes No If yes, please attach evidence. Translated into English (if required) and certified.

Have you been convicted of any crime or offence in any country? Yes No If yes, please provide ALL relevant details. Translated into English (if required) and certified.
 3 STUDENTS WITH DISABILITIES

Do you have a disability, mental health or ongoing medical condition that may affect your studies? Yes No
If yes, Monash will require further information from a relevant health professional outlining the potential impact of your condition on your intended study program.
Disability Support Services can provide a range of study supports for students with disability. For more information, visit monash.edu/disability
Are you currently studying/residing in Australia? Yes No
If yes, please complete the following questions:
a) Have you previously registered for disability services at your Australian tertiary education provider? Yes No
b) Are you currently living in Australia and intend to stay in Australia until the commencement of your study at Monash? Yes No

4 E N G L I S H L A N G UAG E C O U R S E S – PAC K AG E D

Please select your preferred Monash University English Language Centre course: Monash English (ME) Monash English Bridging (MEB)
The duration of the English Language course will be based on your IELTS/TOEFL/Pearsons Test of English (Academic) results and will be advised in your offer letter. If you
do not have an IELTS/TOEFL/Pearsons Test of English (Academic) score, you should take the Monash English Placement Test available through all Monash registered agents.

5 F O U N DAT I O N Y E A R

Please note that your offer will be packaged with your preferred Monash University degree and/or English program. For more information about the course structure of the Monash University
Foundation Year (MUFY) all streams, please refer to monashcollege.edu.au/courses/foundation-year/subjects

Year: Y Y Intake: January (Standard) March (Intensive) March (Extended)

July (Standard) August (Intensive) August (Extended)
The undergraduate course I would like to study at Monash University is (list in order of preference):
Refer to study.monash/courses for guidance.
Course name Course code Commencement year Semester Campus

Campus codes: Caulfield CA. Clayton CL, Parkville PA, Peninsula PE

6 MONASH COLLEGE DIPLOMAS

Please note that your offer will be packaged with your preferred Monash University degree and/or English program.

Year: Y Y Intake: February June October Fast-track Engineering T3 program (October only)

Diploma: Part 1 Part 2

Art and Design Arts Business Engineering Engineering (Information Technology) Science
Diploma of arts, business and science offer the option of an education specialisation. For more information visit monashcollege.edu.au/education-studies
Please note that your offer will be packaged with your preferred Monash University degree and/or English program.
Have you lodged an application with VTAC? (applicable to February intake only): Yes No If Yes, date of application: D D / M M / Y Y Y Y

Destination courses
Diploma of Art and Design
￭ Bachelor of Communication Design ￭ Bachelor of Architectural Design ￭ Bachelor of Industrial Design
￭ Bachelor of Fine Art ￭ Bachelor of Interior Architecture (Honours)
Diploma of Arts
￭ Bachelor of Arts (please select campus): ￭ Caulfield ￭ Clayton ￭ Bachelor of Education (Honours) and Arts
Diploma of Business
￭ Bachelor of Accounting ￭ Bachelor of Business and Arts ￭ Bachelor of Commerce and Finance
￭ Bachelor of Banking and Finance ￭ Bachelor of Education (Honours) and Business ￭ Bachelor of Commerce and Computer Science
￭ Bachelor of Business ￭ Bachelor of Business and International Business ￭ Bachelor of Commerce and Global Studies
￭ Bachelor of Commerce ￭ Bachelor of International Business and Arts ￭ Bachelor of Commerce and Biomedical Science
￭ Bachelor of Economics ￭ Bachelor of Business and Marketing ￭ Bachelor of Commerce and Music
￭ Bachelor of Finance ￭ Bachelor of Business and Information Technology ￭ Bachelor of Commerce and Information Technology
￭ Bachelor of International Business ￭ Bachelor of Business Specialist and Arts ￭ Bachelor of Commerce and Science
￭ Bachelor of Marketing ￭ Bachelor of Business Specialist and IT ￭ Bachelor of Commerce Specialist and Computer Science
￭ Bachelor of Actuarial Science ￭ Bachelor of Commerce and Arts ￭ Bachelor of Commerce Specialist and Science
￭ Bachelor of Business Administration – Peninsula Campus ￭ Bachelor of Commerce and Actuarial Science ￭ Bachelor of Commerce Specialist and Arts
￭ Bachelor of Business and Banking and Finance ￭ Bachelor of Commerce and Economics ￭ Bachelor of Commerce Specialist and Information Technology
￭ Bachelor of Business and Accounting ￭ Bachelor of Education (Honours) and Commerce
Diploma of Engineering (Engineering stream)
￭ Bachelor of Engineering (Honours) specialising in aerospace, chemical, civil, electrical and computer systems, environmental, materials, mechanical or mining
Diploma of Engineering (Information Technology stream)
￭ Bachelor of Information Technology ￭ Bachelor of Computer Science
Diploma of Science
￭ Bachelor of Science ￭ Bachlor of Education (Honours) and Science
Note: Students wishing to complete their degree in Malaysia or South Africa need to apply directly to Monash University Malaysia or Monash South Africa.
Destination degrees listed above are available to students entering year one Monash University in 2018 or year two in 2019 but course offerings are subject to change.
7 P R E V I O U S E D U C AT I O N

Are you currently a Monash student? Yes No If yes, please enter your Student Number:

Have you previously applied to Monash University/Monash College? Yes No

Have you been excluded from Monash or other tertiary institutions for academic reasons? Yes No

If YES, please provide details of the course(s), year and reasons for exclusion:

Please attach certified copies of all academic qualifications you have previously undertaken to this application, including academic transcripts, graduation certificates and grading systems, indicating
the pass mark. If the qualifications are in a language other than English, please also supply certified translated copies.
The documents submitted with your application remain the property of Monash University.

If your final year of study was completed more than six months ago, please provide a detailed account of work or activities undertaken since then.

Secondary qualifications

Name of qualification:

Date commenced: D D / M M / Y Y Y Y Date completed (or expected to be completed): D D / M M / Y Y Y Y

Name of institution:

Country/state:

Highest post-secondary qualification

Name of qualification:

Date commenced: D D / M M / Y Y Y Y Date completed (or expected to be completed): D D / M M / Y Y Y Y

Name of institution:

Country/state:

Work experience
Work experience/activities (please explain):

Start date: D D / M M / Y Y Y Y Country: End date: D D / M M / Y Y Y Y

8 ENGLISH PROFICIENCY

Please tick the appropriate box and attach certified copies of all original results.
￭ English was the language of instruction in my previous studies (documentary evidence must be provided if institution is located in a non-English speaking country).
￭ I have achieved a satisfactory level of performance in English as a subject in an Australian Year 11 or Year 12 equivalent course.
￭ I will sit/have sat for an English language proficiency test. IELTS TOEFL Pearsons Test of English (Academic)

Result (if known): Overall Listening Reading Writing/TWE Speaking

Please note, only test results taken two years prior to commencement will be accepted.

￭ I have completed the Monash English Placement Test through a registered Monash agent. Test result (office use only)
Date taken: D D / M M / Y Y Y Y
If you do not meet the English language entry requirements for your chosen course, you may receive a Conditional Offer for an English language program.

9 A P P L I C A T I O N F E E P AY M E N T

You can pay the A$100 application fee by credit card, money order or bank draft payable to Monash University.
Bank drafts/money orders will need to be mailed or delivered in person to Monash Connect.
Please ensure you include your full name and date of birth on the back of the bank draft/money order.
Credit card payments can be made at the following link: monash.edu.au/fees/payment/payment-options.html.
If you have made payment using the online credit card service (from the above link), please print a copy of the payment confirmation email and attach to this application form upon submission.
If your A$100 application fee has been waived by Monash recruitment staff please insert the valid fee waiver promotion code or obtain the recruitment staff signature here:

Staff signature: Waiver promotion code:

10 A P P L I C A T I O N C H E C K L I S T

This application is for Diplomas and the Foundation Year in Australia only. For other locations contact the provider.
Note: Incomplete applications will cause delays in processing. Please ensure all relevant documents are translated and certified (where required). Check that you have:
￭ Completed all sections of the application form
￭ Paid the A$100 application fee (non-refundable)
￭ Read and understood the terms and conditions, privacy, cancellation, refund and grievance policies
(monashcollege.edu.au/policy)
￭ Provided certified proof of English proficiency
￭ Provided certified and translated copies of academic records/transcripts/grading scales. For detailed information about certification requirements please visit
monashcollege.edu.au/how-to-apply
￭ Read the additional information on your destination degree at study.monash/courses
￭ Provided a folio of 10 – 15 slides of artwork combined in one PDF file (size limit under 5MB) if applying for Diploma of Art and Design studies Part 2.
For folio requirements, please refer to monashcollege.edu.au/courses/diplomas/art-and-design
￭ Completed and signed the declaration (or your parent if you are under 18)
￭ Provided a copy of official scholarship/sponsorship offer letter if applicable
￭ Provided a copy of the personal details page of the student’s passport or a copy of birth certificate
Send your application to: by post: Central Admissions, Monash Connect, 21 Chancellors Walk, Campus Centre, Monash University, VIC 3800, Australia or by email: [email protected]

11 P A R E N T / G U A R D I A N D E T A I L S F O R A P P L I C A N T S U N D E R 1 8 Y E A R S O F A G E

If you are under 18 year of age, by law, you must have acceptable arrangements for your guardianship and accommodation for the duration of your student visa or until you turn 18, whichever occurs first. Your parents
and/or legal custodian can give their permission by completing this section of the Application form. For more information visit monashcollege.edu.au/live-and-study-in-australia/information-for-students-under-18

Name (Parent or Guardian):

Relationship to student: Signature:

Telephone
Mobile:
(with country code):
Email:

12 D E C L A R A T I O N

This application form is submitted by: ￭ Self (direct applicant) ￭ Monash registered agent ￭ Other (e.g. sponsor, Australia Awards).

Name of sponsor
(if applicable):

Agent and agent’s

address
(if applicable): Code:

Country:

I warrant that the information on this form, or provided in support of my application, is correct, complete and up-to-date in every detail. I acknowledge that the provision of incorrect information or the withholding
of relevant information relating to my application, including academic transcript(s), might invalidate my application and that Monash College Pty Ltd or Monash University may refuse to assess my application and
withdraw an offer of a place or cancel my enrolment in consequence. Should Monash University determine that I have submitted a false document, I consent to Monash College Pty Ltd or Monash University
disclosing this information to other relevant tertiary institutions.
I consent to any educational institution at which I have previously been a student and/or my current or any past employer, providing Monash College Pty Ltd or Monash University with information which that
institution or employer holds about me for the purpose of Monash verifying my grades and/or qualifications or experience. I declare that I am a Genuine Temporary Entrant (GTE) and a Genuine Student and
that I have read and understood conditions in relation to these requirements as defined on the following website: www.border.gov.au/Trav/Stud/More/Genuine-Temporary-Entrant
I am aware of the estimated total course fees at Monash College and Monash University and living costs for my stay in Australia. I understand that the total course fees do not cover the cost of books, materials,
field trips or any additional cost related to my course, unless otherwise specified. I declare that I have sufficient funds to support myself and my family unit members (if applicable) for the total period of my stay
in Australia (including proposed course fees for myself and any school-age family members, Overseas Students Health Cover, living costs and travel costs, regardless of whether my dependants intend to
accompany me in Australia). I agree to abide by the statutes, regulations and policies of Monash College and Monash University.
I have read and understood the above conditions and accept them in full.

Date: D D / M M / Y Y Y Y

Signed as passport (student)

Date: D D / M M / Y Y Y Y

Signed (parent or legal guardian if applicant is under the age of 18)

C O L L E C T I O N O F P E R S O N A L I N F O R M AT I O N

The information collected by us, or on our behalf, during the admissions process and any subsequent candidature as a student at Monash College Pty Ltd (including digital images) is collected for the primary
purpose of considering your application for admission to Monash College courses and, if you are successful, administering your course. For information relating to other purposes of collection and the type of
organisations your personal information may be disclosed refer to monashcollege.edu.au/privacy.html
All documents provided to Monash College Pty Ltd become the property of the College and will not be returned to you. You have a right to access personal information that Monash College Pty Ltd holds about
you, subject to any exceptions in relevant legislation. For information about how to seek access to your personal information or about the handling of your personal information including how a complaint will be
handled, please refer to the privacy policy at monashcollege.edu.au/privacy.html. For enquiries please contact the Monash College Pty Ltd Privacy Officer by email at [email protected]
Monash College reserves the right to revise student fees from time to time. Applicable refund policies are accessible online at monash.edu/fees/resources/policy/refunds#7.5
By submitting this application, you warrant that you have read, understood and agree to the refund policies.

16P-1687. November 2016. Produced by Strategic Marketing and Communications, Monash University
CRICOS provider: Monash University 00008C, Monash College Pty Ltd 01857J. ABN 64 064 031 714