Orientation Form Step 1 of 8 12% Student DetailsStudent Number(Required) Name(Required) Given Name(s) Surname Course(Required) New Student Arrival FormPersonal DetailsDate of Birth(Required) DD slash MM slash YYYY Sex(Required) Male Female Indeterminate Email Address(Required) Phone Number USI(Required) Address in Australia (PLEASE WRITE IN CAPITAL LETTERS)Address(Required) Street Address Suburb State Postcode Emergency Contact (Must be someone in Australia)Full Name(Required) Relationship to you(Required) Phone Number(Required) Email(Required) Home Country Address (please write in CAPITAL LETTERS and fill out carefully for immigration purpose)Address(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country AVETMISS Data FormBackground InformationCountry of Birth(Required) If born in Australia are you?(Required) Aboriginal/Torres Strait Islander Non-Indigenous Do you speak a language other than English at home?(Required) Yes No please specify How well do you speak English?(Required) Very well Well Not well Not at all Do you consider yourself to have a disability, impairment or long-term condition?(Required) Yes No please specify Education and Reason for StudyWhat is your highest COMPLETED school level?(Required) Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or equivalent Year 8 or below Never attended school In which year did you complete the above level?(Required) Are you still enrolled in secondary or senior secondary education?(Required) Yes No please specify Have you SUCCESSFULLY COMPLETED and other qualifications?(Required) Bachelor degree or higher degree Advanced diploma or associate degree Diploma (or associate diploma) Certificate IV (or advanced certificate/technician) Certificate III (or trade certificate) Certificate II Certificate I Other education (including certificates or overseas qualifications not listed above) None of the above Which BEST describes your current employment status?(Required) Full-time employee Part-time employee Self employed – not employing others Self employed – employing others Employed – unpaid worker in a family business Unemployed – seeking full-time work Unemployed – seeking part-time work Not employed – not seeking employment Which BEST describes your main reasons for undertaking this course?(Required) To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion It was a requirement of my job I wanted extra skills for my job To get into another course of study For personal interest or self-development Other reasons Student Enrolment Declaration & Learner ContractI hereby accept a place in the below named course offered by WIN.Full Name(Required) Student Number(Required) Course (full name)(Required) Course Start Date(Required) Day Month Year Course End Date(Required) Day Month Year I hereby Accept the offer of enrolment in the course/s as outlined in the Letter of Offer (Written agreement). Acknowledge the Conditions of the Offer outlined in the Letter of Offer (Written agreement) and confirmed in the Student Handbook. Acknowledge that the details outlined in the Orientation information and Declaration are correct. Acknowledge that I have read the Refund Policy (below). I am aware of the Complaints, Grievances, Disputes and Appeals Policy & Procedures. Acknowledge that I am responsible for keeping a copy of the written agreement as supplied by the WIN, and receipts of any payments of tuition fees or non-tuition fees.(Required) I hereby Accept the offer of enrolment in the course/s as outlined in the Letter of Offer (Written agreement). Acknowledge the Conditions of the Offer outlined in the Letter of Offer (Written agreement) and confirmed in the Student Handbook. Acknowledge that the details outlined in the Orientation information and Declaration are correct. Acknowledge that I have read the Refund Policy (below). I am aware of the Complaints, Grievances, Disputes and Appeals Policy & Procedures. Acknowledge that I am responsible for keeping a copy of the written agreement as supplied by the WIN, and receipts of any payments of tuition fees or non-tuition fees. I confirm(Required) I confirm that the above information is correct and/or I have indicated the necessary changes. REFUND POLICYWIN English Centre fully complies with the ESOS Act 2000 and its amendments including the Tuition Protection Scheme (TPS). Under Section 47D, the written agreement with the student outlines the various circumstances under which a refund can be made and the amount due.I understand(Required) 1. The application fee and accommodation placement fee are non-refundable. 2. There is no refund if the student defaults (NB i. all internal and external appeals processes must be exhausted and ii. the TPS director and DHA must be informed within 5 days). A student defaults by: • Not starting on the agreed day and location (and has not previously withdrawn) • Failing to pay an amount payable to WIN • Breaching a condition of his/her visa • Misbehaving (Note: the student is entitled to natural justice under subsection 47A (3)). 3. If a student’s visa is refused prior to commencement (through no fault of their own) (Section 47A of the ESOS Act), then WIN will refund tuition fees paid LESS the following amount: The lesser of: • 5% of the total amount of pre-paid fees that WIN received in respect of the student for the course before the default day or • The sum of $500. 4. Refunds will be paid: • Within 4 weeks after the day of default in the case of visa refusal (or where WIN has not entered into a written agreement with the student (Section 47E) or • Within 4 weeks from when WIN receives a written claim form from the student (Section 47D). Refunds must be paid either to the student or the person specified in the agreement between WIN and the student. 5. In the event of a student withdrawing from a course, an application for a refund must be made in writing to WIN. • If the notice is received by WIN at least 28 days before the course starts, a refund of 80% of tuition fees will be made. • If the notice is received by WIN prior to, but less than 28 days before the course starts, a refund of 50% of tuition fees will be made. • If the notice is received by WIN on or after the course starts, no refund will be made. If an exceptional circumstance exists, a refund will be given on a case-by-case basis. 6. In the event of WIN defaulting*, WIN will advise the student in writing of their default, how they intend to fulfil their obligations under the ESOS Act. Within 14 days of the day of default, the: • Total unexpended tuition fee may be refunded to students Or • WIN may offer an alternative (replacement) course or part of a course in accordance with subsection 46D (4). The student must advise in writing within fourteen days whether he or she accepts this arrangement. * If a provider ceases to offer a course or courses before the student has finished the course, this is ‘provider default’ under the Education Services for Overseas Students Act 2000. The default date is the date the Institute stopped providing the course. Provider defaults can include the course not starting on the agreed starting day; the course ceasing before it is completed, or the course not being provided in full to the student, and the student having not withdrawn before the default day. 7. In circumstances where a default has occurred and WIN cannot satisfy their obligations, the TPS Director will be advised. The TPS Director will then invite relevant providers to participate in a placement round. The fees refund policy does not remove students’ rights to take further action under Australian Consumer Protection laws. • Students enrolling into a “package” course which involves an English course followed by a High School / Vocational College/ University course, are deemed to have two start dates and two enrolment fees. No refund will be granted on the second course after commencement of the first course in the event of cancellation or withdrawal. • In the event of WIN defaulting, the total tuition fee will be refunded students within 2 weeks. • Alternatively, if WIN English Centre defaults, the school may offer an alternative (replacement) course or part of a course. The student must advise in writing within fourteen days whether he or she accepts the alternative arrangement. • The WIN dispute resolution processes do not circumscribe a student’s right to pursue other legal remedies 8. I understand the cost of my stay in Australia is my responsibility. 9. I understand I can’t smoke, drink alcohol or take drugs inside the college premises. 10. I understand WIN may cancel the course if there are not enough students in the class. 11. I understand once I start course I cannot defer the course. 12. On My arrival I will meet my administration officer to finalise my enrolment, it is my responsibility to ensure I enrolled correctly. 13. I hereby undertake to abide by the by-laws and the rules documented in the student handbook. Consent for Release of InformationI hereby consent to WIN English Centre using any of its items that I have indicated below for the purposes of promotion, marketing or advertising the institute:(Please TICK in the box if consent to the term)(Required) Testimonials written by me about WIN English Centre Photographs of me taken whilst a student at WIN English Centre Examples or photographs of work completed by me whilst a student at WIN English Centre Authorising WIN to apply USI (Unique Student Identifier) for me I agree(Required) give this consent freely and willingly without duress. Orientation DeclarationConsent(Required) I understand about the role and tuition of the Student Support Officer and other Student Service Staff who are designed to assist me.(Required)Consent(Required) I know how to contact them.(Required)Consent(Required) I have attended the Orientation Program and Lecture and have been introducing to staff and facilities.(Required)Consent(Required) I understand that I have access to support services and these services have been explained to me:(Required)• English and academic support services. • Tutoring support. • Study skills centres. • Counselling and mental health support. • Career services. • Housing and tenancy services. • Financial support services; and • Health and disability services. Date(Required) Day Month Year 48267