ENROLMENT FORM

TERMS AND CONDITIONS OF ENROLMENT

Click here to see our Terms and Conditions of Enrolment

Yes, I have read Terms and Conditions of Enrolment.

PERSONAL INFORMATION

*Please make sure that you complete all sections of this form
Title: Mr Mrs Ms Miss    
Date of birth*:    Nationality*:
Family name*: First name*:
Mailing address*:

Country: Post code:
Email*: Telephone:
Passport number: Expiry date:
Visa Type: Visitor Working Holiday Other:
* NOTE: Minimum age - 18

PPROGRAM INFORMATION

 *Please select your program
General English IELTS/Further Study Preparation Business English
TESOL/ TKT Cambridge FCE Barista / Cafe English
Course starting date: / / Number of weeks:
Current English level: Elementary Pre-Intermediate Intermediate Upper-Intermediate Advanced
Have you ever taken a recognised English Proficiency Exam? Yes No
TOEFL Score:   IELTS Score:   TOEIC Score:   Other:
Do you want Impact English College to arrange an airport pick-up? Yes No
* If you want the airport pick-up service, please let us know your flight details 5 days before you arrive in Melbourne

Do you want Impact English College to arrange homestay accommodation? Yes No
If yes, please select the following options:

I can’t eat

I want a family
with students from other countries with students from my own country without pets
with children over 6 years old without any children with pets

Declaration
  • I declare that the information contained in this application is true.
  • I confirm that I have received and read a copy of Impact English College’s current brochure and fully understand the Terms and Conditions of Enrolment.
  • I understand that this agreement, and the availability of Impact English College’s complaint and appeals processes, does not remove my right to take action under Australia’s consumer protection laws.
  • I understand that there is an English Only rule at all times in the College, and agree to abide by this rule.