Learn English in Australia » English Language School Australia » English Courses in Melbourne, Australia!

English

Français

Italiano

Deutsch

Español

日本語

Português

中文

한국말

ภาษาไทย

Make an Enquiry

or

Apply Now!

Application to study on a Student Visa

Personal Details:

Family Name	:
Given Name(s)	:
Date of birth	:	(dd/mm/yyyy)
Gender	:	Male Female
Address in your country	:
Country	:
Postcode	:
Nationality	:
Email	:
Phone 1 in your country	:
Phone 2 in your country	:
Phone 1 in Australia	:
Phone 2 in Australia	:
Mobile	:
Address in Australia (if known)	:
Country of Birth	:
Passport Number	:
Emergency Contact Details	:
First Language	:
Other Language(s)	:
Occupation	:
Do you require OSHC ? For more information on Overseas Student Health Cover) please see the Student Health Insurance page	:	yes no
How did you hear about this school?	:	(if other) (agent contact details if applicable)

Educational Background:

Name of Highest Qualification	:
Intended Further Studies	:

English Proficiency:

What is your present level of English?	:	Elementary
		Pre-Intermediate
		Intermediate
		Upper-Intermediate
		Advanced
If you have completed an English proficiency test (eg. IELTS, TOEFL, Cambridge), what is your English Language Proficiency score? (Please specify the test type.)	:

Application Details:

Application submitted by	:	Self Agent
Agent's contact details	:

Which level of General English will you begin with?	:	Elementary
		Pre-Intermediate
		Intermediate
		Upper-Intermediate
		Advanced

Course Start Date (Must commence on a Monday)	:	(dd/mm/yyyy)
Course Finish Date (Must finish on a Friday)	:	(dd/mm/yyyy)

Other:

What will you do when you finish this course?

Further study
(please specify if further study)
Travel
Return Home
Work
Other

Click here for Lyceum's Terms and conditions of enrolment, cancellation and refund policies

All students must read and agree to the conditions of enrolment, cancellation and refund as stated by Lyceum English Language Australia. I have read, understood and agree to the terms and conditions of enrolment, cancellation and refund policies as stated by Lyceum English Language Australia.

Date of Agreement

(dd/mm/yyyy)

Payment Details

All payments must be received 30 days before your course start date.

When we receive your application we will confirm your place. You can then send us your full fees in Australian dollars by sending a Bank Draft/Bank Cheque/International Money Order. Or you can deposit directly into our bank account, as described in the how to enrol page.

If you are already in Australia payment can be made by credit card, debit card or cash.

Important Documents

You will need to send to us proof that you have finished High School, a copy of your passport showing your personal details, and information about the level of English you have achieved to date.

Please email these documents to info@lyceumenglish.com shortly after submitting your application.

Thank you for choosing Lyceum English Language Australia.

© 2009
Lyceum English Language Australia is a division of Lyceum Education Centre Pty Ltd
ABN 72070984002 - RTO 5493 - CRICOS Code 02919C