Application Form For office use only:

for admission as an international student

Student No:_________________

Reference No _______________
All fields must be completed for the application to be processed.

Section 1 Personal information Please tick ( ) if you have

previously submitted an
Family name application to RMIT
Title (Mr, Mrs, Ms) as stated in your passport
(if available)

Given name(s)
as stated in your passport How to apply
(if available) 1. Complete in BLOCK letters
Day/month/year using a black or blue pen.
Date of birth Gender Male Female
2. Attach the AU$100
Will you be under 18 years of age at the time of program commencement? If yes, please refer to www.rmit.edu.au/programs/applications/guardianship for further application fee. See page
information. 4 for payment methods.
Number & street name City/Suburb Your application will not be
Address in
processed without this fee.
home country
Exemptions apply for the
State/province Country Postcode following applications:
- English-only programs
- Current or returning RMIT
Mailing address Number & street name City/Suburb
(Please complete if students
different from above) - Research programs
State/province Country Postcode - Applications sighted/
assessed by RMIT staff at
approved recruitment events.
Area code Tel Fax
Contact details 3. Attach one certified A4 copy
(do not include originals)
Mobile Email
of supporting documents
(refer to list on page 3).
Are you applying through an RMIT representative? Yes No 4. Return the completed form
to RMIT International
Representative’s Agent Office or to your RMIT-
name number number accredited representative.
Where to submit application
Representative’s email address
RMIT University
Section 2 Residency and other information Postal address:
RMIT International
Passport No. GPO Box 2476
Country of birth Citizenship (If available) Melbourne VIC 3001 Australia
By courier:
Are you currently living in Australia? Yes No If no, which country are you applying from:
RMIT International
Are you a permanent resident of Australia? Yes No If yes, you are completing an incorrect form. You must complete another form Level 4, RMIT Building 22
available on www.rmit.edu.au/programs/applications . 330 Swanston Street
Melbourne VIC 3000 Australia
If you have a current Australian visa, please provide
Expiry date
number as shown in your visa label In person:
International desk at Info Corner
Type: Student Visitor Spouse Other Subclass number
Level 1, RMIT Building 22
If you hold a current passport and/or an Australian visa, you MUST include a copy with this application. 330 Swanston Street
Melbourne VIC 3000 Australia
It is an Australian Government requirement that all international students on a student visa are covered by Overseas Student Health
Cover (OSHC) (exemptions apply). Payment of OSHC needs to occur when you accept your offer. If you are accompanied by family Tel. +61 3 9925 5156
and children, you require the compulsory family policy for OSHC. RMIT will arrange visa-length cover with our preferred OSHC Fax: +61 3 9663 6925
provider, Medibank Private www.medibank.com.au/overseas-students/about-oshc.aspx Email: [email protected]
www.rmit.edu.au/international
Are you currently covered by Overseas Student Health Cover (OSHC)? Yes No
OSHC provider company name Membership number Expiry date
If yes, please provide:

Have you been awarded a scholarship or sponsorship? Yes No If yes, please provide a letter from your sponsor(s). Representative’s
stamp
Tel
Scholarship/Sponsor provider name

Section 3 Program information Office use only

Interviewed by:
English only General English English for Academic Purposes Start date: Number of weeks:
Please note RMIT will advise number of weeks required for English for Academic Purposes (EAP), depending on your English
language proficiency level. Date:
English as English as part of a pathway to RMIT University programs (tick here):
a pathway RMIT will advise the number of weeks required, depending on your English language proficiency level. Form submitted at:

RMIT pathway Complete to apply for a pathway (e.g. VCE (Year 11/12), Foundation Studies) leading into a higher award: Exhibition/Interview

Program code Program plan Intake date (month, year; i.e., February 2013) International desk
Info Corner
Name of program Representative office visit

CRICOS Provider code: 00122A

Issue date: July 2014. Ref: CRL03.1
Page 1/4
RMIT program Complete in order of preference to apply for an RMIT program (e.g., diploma, bachelor degree, postgraduate):
1. Program code Program plan Intake date (month, year; i.e., February 2013)

Name of program

2. Program code Program plan Intake date (month, year; i.e., February 2013)

Name of program

3. Program code Program plan Intake date (month, year; i.e., February 2013)

Name of program

Are you applying for credit exemptions? Yes No If yes, please provide a certified copy of an official syllabus, including detailed subject descriptions.

Section 4 English language proficiency

English skill Is English your first language? Yes No
Have you studied at secondary or post-secondary level with English as the medium of instruction and assessment? Yes No
If yes, please provide evidence.
English studies Are you planning to enrol, or are you enrolled in English Language Studies? Yes No
Expected start date Expected duration Expected completion date

Level Institution

English test score Have you taken an English test in the last 2 years? Yes No If yes, please complete details below.
(CAE, CPE, IELTS,
PTE(A), REW, or If no, do you plan to take a test? Yes No
TOEFL)
Test date Test name

Test report form number Result

If not known, please submit results as soon as they are available

Section 5 Educational background and qualifications

1. Secondary List details of the secondary studies you have completed:
school studies Month and year enrolled (e.g., February 2013 )
From (month/year) To (month/year) Country

Institution Name of qualification

2. Completed List details of the post-secondary studies you have completed (from lowest qualification gained to highest):
post-secondary
(tertiary studies) Years enrolled Years enrolled
From (month/year) To (month/year) From (month/year) To (month/year)
(e.g., Diploma,
Bachelors, Masters)
Country Country

Institution Institution

Name of qualification (including main field of study): Name of qualification (including main field of study):

3. Current studies: List details of current studies:

Month and year enrolled (e.g., February 2009)
Name of qualification Country Institution

From (month/year) To (month/year)

(Month/year)
The date your results will be available

Will you complete your current studies prior to the commencement of your proposed RMIT program? Yes No

CRICOS Provider code: 00122A

Issue date: July 2014. Ref: CRL03.1
Page 2/4
4. Research Have you ever been enrolled in a masters by research or PhD program? Yes No
background
If yes,
(To be completed
by students Institution Name
applying for
Masters by
Department Name
Research or
PhD programs)
Period of candidature: from (day/month/year) to (day/month/year)

Topic

Reason for withdrawal (if applicable)

Research Proposal
Have you contacted an RMIT academic staff about your research proposal? Yes No
If yes,
Academic’s name Academic position

Section 6 Work experience

Have you undertaken any work experience relevant to your application? Yes No

If yes, list details of employment:

From (month/year) To (month/year) From (month/year) To (month/year)

Country Country

Employer Employer

Position Position

Duties Duties

Section 7 Special consideration

Do you have a disability, impairment or long-term medical condition that may affect your studies? Yes No
If yes, you need to provide documentation and additional information so that RMIT can assist you during your studies.
More information about RMIT support services is available on www.rmit.edu.au/disability.

Section 8 Supporting documents

The following supporting documents must be included when you submit your application. Please refer to program requirements in the relevant RMIT
program guide available on www.rmit.edu.au/programs/international/brochures.
(Applications that are submitted without necessary supporting documents will be delayed in processing. Where requested, original or certified copies
of documentation must be provided. RMIT does not recommend sending originals as they will not be returned.)
Compulsory attachments

Certified academic transcripts Evidence of English proficiency

Certified copies of graduation certificates Certified copies of passport and current Australian visa (if applicable)

Submit these attachments if applicable (please do not include originals as they will not be returned):

Folio (File size should not exceed 10 MB) Certified English translations

Supplementary documents/forms Research proposal including expected outcomes

Personal statement Letter from scholarship provider or sponsor

Curriculum Vitae (resume) Disability support details

References from employers

CRICOS Provider code: 00122A

Issue date: July 2014. Ref: CRL03.1
Page 3/4
Section 9 How did you first hear about RMIT University?
Friends/relatives Education fair/exhibition

Education representative Other

Internet

Media (magazine, newspaper or television)

Section 10 Declaration
I understand and accept that:
» RMIT University reserves the right to discontinue or alter any program, course/subject, fee, admissions requirement, staffing or other arrangement without
prior notice.
» Information I have provided on this form and during enrolment may be made available to the Australian Government, State Agencies and other designated
authorities under the ESOS Act 2000, ESOS Regulations 2001 and the National Code. Information about me can be disclosed without my consent where
authorised or required by law.
» RMIT University reserves the right to annually adjust program fees to take into account increases in University and program delivery costs. Changes to
program tuition fees will be applied at the beginning of each calendar year. RMIT will ensure that any future fee increase will be maintained below 7.5%
(subject to rounding). In the event of a variation between the fees on my offer letter and the approved RMIT schedule of fees and charges, the approved
schedule will prevail.
» Any application fee paid is non-refundable by RMIT University.
» Quoted tuition fees are an estimate based on standard full time loads and will vary depending on program and plan (i.e. the actual enrolled load). Tuition
fees will increase if courses need to be repeated or additional electives that will exceed the minimum requirement need to be undertaken.
» Tuition fees do not include the Overseas Student Health Cover (OSHC), administrative services charges, books, equipment and other materials required
to undertake the program or compulsory activities where relevant, such as fieldwork, excursions or laboratory practicals. Details on additional costs can
be found in the program descriptions on the RMIT website (www.rmit.edu.au) and at the RMIT fee website (www.rmit.edu.au/programs/fees/other).
» RMIT University collects, uses and destroys my information in accordance with the university’s Privacy Policy (refer www.rmit.edu.au/privacy).
» RMIT University places restrictions on program and institution transfers and that I may not be permitted to change my program or institution without
permission.
I authorise the university to disclose information relevant to my application and enrolment to the university’s preferred OSHC provider and other third parties
for the purposes of arranging my OSHC, progressing my application and enrolment, and administering my course.
I give RMIT University permission to check my visa status using the Department of Immigration and Border Protection (DIBP) Visa Electronic Verification
Online (VEVO) system.
I declare to the best of my knowledge that the information supplied on this application form and all supporting documentation is correct and complete, and
that any folio, personal statement or additional requirements supplied are my own work.
I acknowledge that the withholding of information or provision of incorrect or fraudulent documentation relating to my application may result in the
cancellation of any offer or enrolment by RMIT University, and the university may inform others, including government agencies, of this information.

If sponsored by a government body or private institution, I give RMIT permission to provide my sponsor with information about my application, enrolment and
academic progress.

I have completed all sections of the application form.

Student signature Date

Day/month/year

Please refer to www.rmit.edu.au/policies/refunds for RMIT’s refund policy for international students.

Application A non-refundable application fee of AU$100 must be submitted with this application.
fee payment These payment methods are accepted:
Bank draft Credit card (Visa or Mastercard) Telegraphic transfer
Draft should be payable to Please complete details below: Paid in accordance with the following details:
‘RMIT University’ in Australian Payee: RMIT University
dollars and to an Australian Please tick one Visa Mastercard Bank: Commonwealth Bank of Australia
bank. Write your student Name on credit card: Branch: RMIT University
number (if known) on the 360 Swanston Street, Melbourne 3000
back of the draft. Account no: 1000-6953 (for application fee only)
Card number: BSB no: 063-262
A copy of the telegraphic transfer, including your full
name and contact details, must be attached to your
CCV number:
application form.

Expiry date:

Signature:

CRICOS Provider code: 00122A

Issue date: July 2014. Ref: CRL03.1
Page 4/4