SEA Online Application Form

Please carefully complete all required questions (*) and submit the form along with your supporting documents.

Your application will be processed within 3 business days.

SEA English Academy | CRICOS 02353C | ABN 68 095 476 029

Personal Information

First Name *

Middle Name

Last Name *

Gender *

FemaleMaleIndeterminate

Date of Birth *

Contact Details

Are you currently in Australia? *

YesNo

Residential Address - Onshore *

Street address *

City *

State *

Postcode *

Mobile Number - Onshore *

Email Address - Onshore *

Residential Address - Offshore *

Street address *

City *

State *

Postcode *

Country *

Mobile Number - Offshore *

Email Address - Offshore *

Your Passport

Your Nationality *

Place of Birth *

Passport No. *

Passport Type *

Date of Issue *

Date of Expiry *

Australian Visa

Do you hold a valid Australian Visa? *

YesNo

What is your current visa? *

Do you need an eCoE for your enrolments at SEA? *

YesNo

Emergency Contacts

Emergency Contact Name *

Relationship *

Emergency Contact Number/Email *

Enrolments

Course Enrolment 1 *

Enrolment 1 Intake Date *

DuratIon of Study (by weeks) *

Preferred Session *

Do you need another course enrolment? *

NoYes

Course Enrolment 2 *

Enrolment 2 Intake Date *

Duration of Study (by weeks) *

Preferred Session *

Do you need an instalment plan? *

NoYes

Scheduled holiday required? *

YesNo

Do you need a CoE? *

YesNo

Delivery Location *

MELBOURNE - 117 Lonsdale St

Agent

Are you applying through an Education Agent? *

NoYes

Agent Name (Business Name) *

Agent Consultant Name

Agent Email Address *** *Please make sure you enter the correct email address used by your agent, as we will send all correspondence to this email address.

Additional Agent Email 1

Additional Agent Email 2

I nominate this agent to be my agent for the entire duration of my enrolment at SEA English Academy. *

OSHC

Do you need SEA English Academy to organise the OSHC on your behalf? *

NoYes

Type of Your OSHC Cover *

OSHC Start Date *

OSHC End Date *

Language and Cultural Diversity

Do you speak a language other than English at home? *

NoYes

Which language you speak at home? *

Are you of Aboriginal or Torres Strait Islander origin? *

NoYes

Schooling

Please specify the year your completed of your highest completed school level. *

Study Reason

Previous Qualifications

Have you successfully completed any of the qualifications listed under “Schooling”? *

YesNo

Employment

Of the following categories, which best describes your current employment status? *

Full-time employeePart-time employeeSelf-employed - not employing othersSelf-employed - employing othersEmployed - unpaid worker in a family businessUnemployed - seeking full-time/part-time jobNot employed - not seeking employment

Disability

Privacy Notice

Why do we collect your personal information?

As a CRICOS provider, we collect your personal information so wecan process and manage your enrolment. Failure to provide your personal information, SEA English Academy will not be able to enrol you as a student.

How we use your personal information?

We use your personal information to enable us to deliver courses toyou, and otherwise, as needed, to comply with our obligations as a CRICOS provider.

Contact information

At any time, you may contact SEA English Academy to:

• request access to your personal information

• correct your personal information

• make a complaint about how your personal information has been handled

• ask a question about this Privacy Notice

SEA English Academy

Address: Level 1/117 Lonsdale St, Melbourne VIC 3000

Email: admissions@sea-english.edu.au

Phone: 03 9041 6887 | 0432 868 348

Applicant Declaration

By signing this form, I acknowledge that I have read and understood the information provided above. I also confirm that I have reviewed the entry requirements for the course(s), including English language proficiency, educational qualifications, and/or relevant work experience.

I confirm that I have read the SEA English Academy website and marketing materials, and that I am aware of all relevant information regarding the course(s), including content, mode of study, duration, scheduled holidays, campus location and facilities, work-based training or placement (if applicable), training arrangements, and assessment methods.

I agree to abide by the above terms and conditions and consent to the collection, use, and disclosure of my personal information in accordance with the Privacy Notice. I confirm that the information and documents I have provided are true and correct in all respects.

Student Name: {{first name}} {{last name}}

Signature *

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Date *

Passport *

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Australian Visa (IMMI Grant Notice/VEVO Check)

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PTE or IELTS Test Report

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