1. Personal Details Have you previously enrolled at USQ? YesNo Please provide your student number Address Information Address in Home Country Mailing Address Same as home address If you are currently in Australia please attach a copy of your current visa, relevant COE’s and the date you arrived in Australia: Do you have a disability, impairment or long term medical condition which may affect your studies? YesNo Please specify 2. Preferred Study Location/Mode (Please note that not all academic programs are available at all campuses.) ToowoombaSpringfieldIpswichOnline/ExternalUSQ Education Partner (USQ Sydney) USQ Agent / Education Partner 3. Your Academic Selection (Please list your first and second choice) Program Code Program Name Major/Specialisation Semester Start Year Not all academic programs are available for commencement every semester. Please refer to the USQ Handbook for detailed program information 4. Academic Qualifications Please include all secondary and post-secondary programs in which you have been enrolled, along with certified copies of full official academic transcripts and award certificates. Name of Qualification Start Date Completion Date School or Institution Country Language of Instruction Do you wish to apply for credits for previous study undertaken? YesNo Please ensure to provide certified copies of your transcripts with a comprehensive syllabus which details course descriptions, learning hours and assessment methods for each relevant unit that you wish to gain credit for. Have you been excluded, or are liable for exclusion from another tertiary institution in relation to a previous enrolment? YesNo Please, move to section 6. 5. English Language Proficiency Is English your first language? (If yes, please move to section 6.) YesNo Have you undertaken any of the following English tests? TOEFLIELTSPTEOther Please specify Please ensure to provide a certified copy of any test received. Do you wish to study an English program before commencing your program? YesNo 6. Employment Experience Some programs (refer to the USQ Handbook) will require evidence of employment experience to be provided. This is also a requirement if you are applying to study on-campus. Where applicable please ensure to attach a detailed Curriculum Vitae (CV)/Resume with letters of reference or other relevant documentary evidence of your employment experience. Start Date Finish Date Occupation Title Main Tasks of Duties Employer SECTION 7 - 11 TO BE COMPLETED BY ON-CAMPUS APPLICANTS ONLY 7. Immigration History Have you or your partner ever had a visa application rejected (from any country)? YesNo Please provide the country, date of rejection and reason (copy of refusal letter to be attached) 8. Relevant Qualification & Future Expectation for the Proposed Program Does the Program advance and directly relate to your previous studies/work experience? YesNo Please explain in detail your reason to study the proposed program: What is your future plan and what benefit will this program be to you in the future? 9. Study Gap Please explain all gaps in your history of study and/or work experience (including how long and why): 10. Dependant Background Are you married? YesNo Please state Date of Marriage. Are you and your spouse living together? YesNo Is your spouse currently employed? YesNo Do you have any children? YesNo Please list number of children. Please list children ages. Will your spouse and/or children join you as dependants in Australia? YesNo 11. Finances Have you researched studying in Australia before applying to USQ? YesNo How do you intend to pay for your tuition fees? (Please note that USQ Scholarships are generally NOT available to new students) How do you intend to pay for your cost of living and general expenses whilst studying with USQ in Australia? (Please indicate specific amount you have allocated for this) Please indicate where you intend to live whilst studying with USQ, if accepted: Do you intend to live with friends/family already residing in Australia? If so, who? If you intend to be a sponsored student, then who is expected to pay for your tuition costs and living expenses: 12. How did you hear about USQ? Recommended by friend/relativeExhibition/SeminarIDP Education AustraliaI met a USQ representativeInternet/Social MediaNewspaperMagazineOther Please specify 13. Terms & Conditions I declare that the information supplied by me in this form and relevant attachments are true and correct. I understand that the University may vary or terminate its offer of a place at USQ or any subsequent agreement regarding study at USQ if any of the information provided by me is shown to be incorrect. I have read and accept the University’s fees, charges and refund policy (http://www.usq.edu.au/ international). I understand that there are limited places available and that early submission of this application will give me a better chance of obtaining a place in the program of my choice. I am aware of the applicable tuition fees and understand that I do not have to pay until I return the Acceptance of Offer Form included in the letter of offer from the University. USQ collects personal information for university purposes of providing tertiary education and related ancillary services and associated functions pursuant to the University of Southern Queensland Act 1998 and the information on this form for the purposes of assessing your application and if applicable, processing your enrolment. USQ collects this information in accordance with the Commonwealth Higher Education Funding Act 1988, Higher Education Support Act 2003, the Education Services for Overseas Students Act 2000 (ESOS Act), ESOS Regulations 2001 and the National Code of Practice for Providers of Education and Training to Overseas Students 2018. Where relevant USQ may give all or some of this information to other education providers to administer cross institution enrolments; Commonwealth and state government departments, agencies or their authorised agents or contracted service providers and to USQ approved Representatives (agents and partners) and to other organisations (including international entities) who provide sponsorship or funding for your studies to seek verification of information or provide information regarding your studies (and visas and overseas student health cover if applicable) or to enable surveys concerning your education to be undertaken, and other students enrolled in the same courses as you or as may be required by a Faculty to facilitate USQ’s provision of tertiary education services to you and other students including in the future. Other than as set out above, personal information will not be disclosed without your consent unless required or authorised by law. Please refer to USQ’s Privacy Policy and USQ’s Privacy Plan. To facilitate USQ’s provision of tertiary education and related ancillary services and associated functions, you acknowledge and consent to the disclosures set out above and to the transfer of your personal information outside of Australia and communication via any available electronic means. In handling any personal information disclosed to you by the university, you agree to use this information for purposes of your study at USQ only and to abide by USQ’s ICT Information Management and Security Policy and the ICT Standard for Use of ICT Resources Policy. 14. Lodging Your Application To ensure your application is processed without delay, please attach certified colour photocopies of academic transcripts and certificates (i.e. signed by a teacher, lawyer, your local USQ representative or other person in authority). If your documents are not in English, please attach certified English translated versions of your documents. Do not send original documents. Failure to include attachments may delay the processing of your application. Please note: USQ does not charge an application fee. Lodge this application with your local USQ Sydney Agent or USQ Sydney: USQ Sydney Level 1, 29-37 Bellevue St Surry Hills NSW 2010, Australia Ph: +61 2 9280 3733 E-mail: admissions@usqsydney.nsw.edu.au Attach certified copies of your academic transcripts Attach a personal statement University of Southern Queensland is a registered provider of education with the Australian Government CRICOS QLD 00244B NSW 02225M TEQSA: PRV12081