Melbourne Language Centre

Personal Information

Agent Name:
Family Name:
Given Names:
Date of Birth:		Male	Female

Country of Citizenship:	Phone:

	Email:

Your Current Address:	Fax:

Type of Visa (Student/tourist/workingholiday):
How did you hear about MLC:

English Courses at Melbourne Language Centre

			Tuition Fees
	General English (City Campus)	weeks	AU $290 per week
	General English Part-Time (City Campus)	weeks	AU $240 per week
	English for Academic Purposes (City Campus)	weeks	AU $340 per week
	English for Health Professionals (City Campus)	weeks	AU $340 per week
	Cambridge Preparation (City Campus)	weeks	AU $300 per week
	High School Preparation (Carlton)	weeks	AU $360 per week
	Other Costs:
	Uniform ( 3 shirts & tie):		AU $132*
	Academic Counselling & High School Liaison:		AU $200

	Proposed Start Date:

Indicate your interest in the following Electives:
	TOEIC
	IELTS/TOEFL
	Executive Business English
	Occupational English Test Preparation

Educational Background

Level of education completed:
Present level of English (if known):

Further Study in Australia after MLC

Will you continue to study after your course?
		Yes	No
If YES - where will you study?
	High School
	University/TAFE: (Field of study/institution if known)


	Stott's College
	Stott's offers courses in the following areas:
	VCE / VCAL
	Secondary Years 10 - 12
	Diploma of Business (University Pathway)
	Diploma of Information Technology (University Pathway)
	Certificate IV in Business
	Certificate IV in Information Technology
	Certificate III in Business (Vocational Course)
	Certificate II in Business (Vocational Course)

	Visit the Stott's College website

Payment	Please complete below

Compulsory Fees

Enrolment Fees-High School Preparation Program

$200

Enrolment Fees-All other Programs

$150

Tuition Fees

See prices above to calculate your Tuition Fees. For example, 10 weeks of General English is 10 x $290 = $2,900.00

Study Materials / Internet Access

$120

Overseas Student Health Cover ***

Academic Couns./High School Liaison **

$200

Keyboard Skills Training **

$250

Uniform **

$132*

** High School Preparation Program only

Additional Service Fees

Airport Meeting & Transfer - One Way - Tullamarine

$99*

Airport Meeting & Transfer - Both Ways - Tullamarine

$170*

Airport Meeting & Transfer - One Way - Avalon

$170*

Airport Meeting & Transfer - Both Ways - Avalon

$300*

Guardianship Australia - Full Service Fee per year

$3000* + GST

Guardianship Australia - Short Term Registration Fee

$300*

Guardianship Australia - Short Term Fee per week

$80* + GST

Guardianship Approval & Transfer

$250*

Homestay Placement fee

$200*

Homestay - under 18yrs ($250 per week)

Homestay - over 18yrs ($220 per week)

*incl. 10% GST

*** Overseas Student Health Cover (compulsory for Student Visa holders; optional for Visitor Visa holders )

up to 3 months

$87.00

up to 6 months

$174.00

up to 12 months

$348.00

Fees payable in $AUD to Melbourne Language Centre P/L by:

1. International Bank Draft payable in Australia; or
2. Telegraphic Transfer to National Australia Bank, Melbourne, Australia-Melbourne Language Centre Student Trust A/C No. 083 007 62418 5760.

Please note: this form does not allow you to pay online. The fields above are to assist you in calculating the cost of your selected course.

Accommodation and Airport Pick-up

Airport Pickup required:	Yes	No
Homestay required:	Yes	No
	Adults 18 years +
	Under 18 years/Guardianship

If YES - how many weeks Homestay do you require?		weeks?
Dates from: to

Homestay accommodation will be confirmed on receipt of arrival details. We must receive this information at least two weeks before you arrive in Australia. If the Homestay accommodation is cancelled, the placement fee is non-refundable. Minimum Homestay period is 4 weeks. Two weeks notice is required if you wish to leave the Homestay. The cost for each additional night at the Homestay is A$30. A homestay holding deposit of A$100 per week will be charged when a student is on approved leave. Applicants, who are under 18 years old need to provide us with Guardian details (in Australia) if the Guardianship Service has not been requested.

Conditions of Enrolment (Please read carefully)

The Centre reserves the right to cancel or not offer a program. If any program is cancelled and/or not offered, the College will refund all program money in accordance with the provisions of sections 27 and 29 of the Education for Overseasd Students Act 2000.
Interest will not be credited to Student Fees or Disbursements and therefore no interest will be recovered by students in the event of their cancellation.
Students are to abide by the rules and regulations set down by Melbourne Language Centres.
Any school-aged dependants accompanying a student to Australia will be required to pay full fees if they are enrolled in either a government or non-government school.
Attendance
Australian visa regulations state that students must have a satisfactory attendance of at least 80% in order to continue to study in Australia. After cautioning, students who have unsatisfactory attendance may be excluded from classes and will be reported to the Australian Immigration Authorities.
Refund Policy
Except for cases of provider default as specified in the Education Services for Overseas Students Act 2000 there will be no refund if a student cancels enrolment after the course has commenced.
Refunds may take up to four (4) weeks to process.
Except for cases of provider default as specified in the Education Services for Overseas Students Act 2000, enrolment fees are not refundable.
Homestay, Homestay placement and airport transfer fees are not refundable if cancelled less than two weeks before arrival.
Early termination of Homestay is subject to a 10% cancellation fee on monies paid.
Fees will be refunded in full (other than *) if proof of visa rejection is provided.
In the event of provider default, one of the following options may be provided:

Fees will be refunded in full, within two (2) weeks from the date of default; or,
An alternative course or part course can be arranged at the providers expense. If accepted by the student the payment of course fees will be paid to the alternative provider within two (2) weeks from the date of notice of default.

Notice of cancellation must be received in writing before course commencement, fees (other than*) will be refunded less:

Fees paid to a representative (if applicable); and
A cancellation fee of 20% of course tuition fees.

Tuition fees are not transferable to another person.
All requests for refund must be made in writing accompanied by some sort of verification.
Refunds will not be made directly to the student in Australia.

Declaration

All student grievances will be dealt with by the procedure outlined in the Melbourne Language Centre Grievance Policy. I declare that the above information is true and correct and agree to be bound by Melbourne Language Centre's conditions of enrolment, which I have read and understood.