Mackintosh | Courses | International Short Course Application Form
 

INTERNATIONAL STUDENTS SHORT COURSE APPLICATION FORM

  • Please complete the form below in full and check it for accuracy
  • We will reply to you very shortly
  • We will request that you send further supporting documentation where required


Course Selection
  View Course Fees and Details
Course
Start Date
 
   
Personal Details
Title *
Given Name *
Family Name *
Gender *


Date of Birth *
Nationality *
Country of Birth *
   
Contact Details
Mailing Address in Australia or Overseas
Street Address *
Suburb / City *
State / Postcode *
Country *
Home Phone *
Mobile Phone
Fax
Email Address *
   
Educational Background
Highest Level of Education Completed
Name of Qualification
School / Institution Attended
Name of Current Institute
(if currently studying)
When do you expect to finish
   
English Language Proficiency
IELTS / TOEFL Score
Other (please give details)
   
Passport and Visa Information
What type of visa do you require?






(if other please specify)
Do you have Overseas Student Health Cover (OSHC)? *

If you have OSHC please provide details
Do you require Mackintosh to arrange OSHC cover for you?

If you require OSHC cover how long will you need it for?
Passport Number *
Passport Expiry Date *
   
Accommodation
Do you need help finding accommodation? *


If you need accommodation what type of accommodation would you like?
Homestay



Length of Stay weeks
Do you Smoke?


Do you have any ongoing medical conditions, or dietary requirements?



(If yes please provide details)
 
Airport Reception
View Airport Reception Prices Here
Do you require airport pickup? *


If you do require an airport pickup please fill in the details below
Flight Date
Flight Time
Airport
Flight Number
   
Payment Method
For information on Mackintosh College Refund Policy Click Here
How will you be Paying *
   
Employment Assist
For Information on Employment Assist Click Here
Do You Require Employment Assist Yes No
   
How did you hear about Mackintosh College
Agent
Exhibition
Family / Friend 		School / Seminar
Newspaper
Internet
   
Additional Comments
   
Application Agreement


I have read and understood the student handbook and refund policy of Mackintosh International College Australia. I understand that by agreeing to this document I am bound by the rules and regulations set by Mackintosh International College Australia.

* I (being the student of 18 years or older) herby declare that the information being submitted in this application form is true and correct and I have read and understood the student handbook and refund policy.


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National Provider No: 31286, CRICOS Provider Code 02116E