Auscare Training Organisation is part of the Auscare Group – WA’s most diverse health care provider since 2009.
Title —Please choose an option—MrMrsMsMissOther
Gender —Please choose an option—MaleFemale
Date of Birth
Surname
Given Names
Nationality
In which country were you born —Please choose an option—ArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, Democratic Republic of theCongoCook IslandsColombiaComorosCabo VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzechiaGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesia, Federated States ofGabonUnited Kingdom of Great Britain and Northern IrelandGeorgiaGuernseyGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIsle of ManIndiaBritish Indian Ocean TerritoryIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJerseyJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMacaoSaint Martin (French part)MoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsNorth MacedoniaMaliMaltaMyanmarMontenegroMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlands, Kingdom of theNorwayNepalNauruNew ZealandOmanPakistanPanamaPitcairnPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofFrench PolynesiaQatarRéunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSouth Georgia and the South Sandwich IslandsSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSaint Pierre and MiquelonSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenEswatiniSint Maarten (Dutch part)SeychellesSyrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTürkiyeTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUnited States Minor Outlying IslandsUruguayUnited States of AmericaUzbekistanHoly SeeSaint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe
Are you of Aboriginal or Torres Strait Islander origin —Please choose an option—YesNo
Address
Country —Please choose an option—ArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, Democratic Republic of theCongoCook IslandsColombiaComorosCabo VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzechiaGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesia, Federated States ofGabonUnited Kingdom of Great Britain and Northern IrelandGeorgiaGuernseyGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIsle of ManIndiaBritish Indian Ocean TerritoryIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJerseyJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMacaoSaint Martin (French part)MoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsNorth MacedoniaMaliMaltaMyanmarMontenegroMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlands, Kingdom of theNorwayNepalNauruNew ZealandOmanPakistanPanamaPitcairnPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofFrench PolynesiaQatarRéunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSouth Georgia and the South Sandwich IslandsSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSaint Pierre and MiquelonSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenEswatiniSint Maarten (Dutch part)SeychellesSyrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTürkiyeTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUnited States Minor Outlying IslandsUruguayUnited States of AmericaUzbekistanHoly SeeSaint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe
Phone
Fax
Email
[honeypot email-address move-inline-css:true]
Postcode
USI
Suburb
State
Phone(Home)
Phone(Work)
Mobile
Passport Status —Please choose an option—IssuedPending
Passport Issued By
Passport Number
Passport Expiry Date
A certified true copy of your original documents must be provided as part of your application
Verified By (Print Name):
Date
Signature
VISA Type (If held) —Please choose an option—StudentWorkingVisitorBridging
VISA Status —Please choose an option—IssuedPending
VISA Number
VISA Expiry Date
Are you in Australia now? —Please choose an option—YesNo
Location of Lodgement —Please choose an option—ArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, Democratic Republic of theCongoCook IslandsColombiaComorosCabo VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzechiaGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesia, Federated States ofGabonUnited Kingdom of Great Britain and Northern IrelandGeorgiaGuernseyGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIsle of ManIndiaBritish Indian Ocean TerritoryIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJerseyJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMacaoSaint Martin (French part)MoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsNorth MacedoniaMaliMaltaMyanmarMontenegroMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlands, Kingdom of theNorwayNepalNauruNew ZealandOmanPakistanPanamaPitcairnPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofFrench PolynesiaQatarRéunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSouth Georgia and the South Sandwich IslandsSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSaint Pierre and MiquelonSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenEswatiniSint Maarten (Dutch part)SeychellesSyrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTürkiyeTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUnited States Minor Outlying IslandsUruguayUnited States of AmericaUzbekistanHoly SeeSaint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe
City
Date of Intended Application
Education Agent —Please choose an option—YesNo
Name
I have accessed the applicant as a Genuine Temporary Entrant and a Genuine Student as defined by Australian Department of Immigration and Border Protection (DIBP).The applicant is genuine in making the application and has every intention of completing all programs listed in the application.I have made all effort to verify the authenticity and validity of the documents of the application.
Signature of Agent
OSHC Arranged —Please choose an option—Yes (Part A)No (Part B)
Name of Insurer
Member Number
Date of Expiry
Cover Type —Please choose an option—SingleCoupleFamily
Duration
1. The Australian Government requires all persons entering Australia on a Student Visa to have Overseas Student Health Cover (OSHC).
2.The length of your OSHC MUST cover the total length of your course(s).
Assessment Type —Please choose an option—IELTSTOEFLPTEOther
Overall Score
Date Achieved
Not Required.English is my first language —Please choose an option—YesNo
Do you need any additional support? —Please choose an option—YesNo
Specify
What is your first language?
Attach certified true copies of your English Proficiency
Do you suffer from any physical / mental disability that may affect your participation in the course? —Please choose an option—YesNo – Go to Question 9
If yes, then please indicate the areas of Disability, Impairment or Long-Term Condition
Hearing / Deafness —Please choose an option—YesNo
Acquired Brain Impairment —Please choose an option—YesNo
Physical —Please choose an option—YesNo
Vision —Please choose an option—YesNo
Intellectual —Please choose an option—YesNo
Medical condition —Please choose an option—YesNo
Learning —Please choose an option—YesNo
Mental —Please choose an option—YesNo
Other —Please choose an option—YesNo
Not Specified —Please choose an option—YesNo
CRICOS 111051K (Certificate III in Individual Support (Ageing, Home and Community))CRICOS 111052J (CHC52021 Diploma of Community Sector Management)CRICOS 112345K (CHC62015 Advanced Diploma of Community Services)CRICOS 112344H (BSB50420 Diploma of Leadership and Management)CRICOS 112344H (BSB50420 Diploma of Leadership and Management)CRICOS 112347H (BSB60420 Advanced Diploma of Leadership and Management)CRICOS 112346J (BSB80120 Graduate Diploma of Management (Learning))
Would you like to make an application for RPL / Credit: —Please choose an option—YesNo
Name of Qualification
School / Institute
Years Completed
What is your highest COMPLETED school level: (Please tick ONE box below) Year 8 or belowYear 9 or equivalentYear 10 or equivalentYear 11 or equivalentYear 12 or equivalent
In which YEAR did you complete your school level?
Attach certified true copies of your qualifications
Do you require Auscare Training Organisation to arrange accommodation? —Please choose an option—YesNo
What type of accommodation arrangements would you like? —Please choose an option—SharedPrivate
Do you require Auscare Training Organisation to arrange for Airport pickup? —Please choose an option—YesNo
Any other additional information
Applications submitted to Auscare Training Organisation must be accompanied by a NON-REFUNDABLE Application Fee of AUD200.
This fee applies to all applications directly to Auscare Training Organisation or through Auscare Training Organisation’s agents. Payment details must be included with this application form.
Card Type —Please choose an option—VISAMaster CardAMEXDinersOther
Credit Card Number
Cardholder Name
Cardholder Signature
Expiry Date
Bank Cheque for AUD200 made payable to Auscare Training Organisation
Bank Transfer for AUD200 made payable to Auscare Training Organisation
Account Name
Account Number
Bank Name
Branch
Bank Address
SWIFT Code
Attach Payment Details
I understand the Terms and Conditions, the Privacy Policy and the Cancellation and Refund Policy of Auscare Training Organisation and confirm that I have been fully advised of the fees, cancellation and refund conditions and conditions of enrolment and I agree to be a student at Auscare Training Organisation.I declare that to the best of my knowledge, the information I have supplied is accurate and complete in every detail.
Attach COVID-19 Certificate
Attach your GTE statement
Completed all sections of this application? —Please choose an option—YesNo
Attached certified true copies of your English Proficiency —Please choose an option—YesNo
Attached certified true copies of your COVID-19 Certificate —Please choose an option—YesNo
Attached your GTE statement —Please choose an option—YesNo
Attached certified true copies of your Passport —Please choose an option—YesNo
Completed the payment details —Please choose an option—YesNo
Attached certified true copies of your qualifications —Please choose an option—YesNo
Read and signed the declaration —Please choose an option—YesNo
Δ
Fees and Charges
Refunds
Table of Refunds
Complaints and Appeals
Visa Requirements
Deferral, Suspension or Cancellation of Course
Credit Transfer / Recognition of Prior Learning
Students are encouraged to apply for Credit Transfer or RPL prior to enrolment and to request an application kit where necessary:
Students are required to submit the Credit Transfer or RPL Application Kit in order to have the Credit Transfer or RPL formerly assessed.
Privacy
RTO No: 52578 / CRICOS No: 04055H | Copyright 2024 Auscare Training Organisation. All Rights Reserved. Designed and Developed by Abit Private Limited