INTERNATIONAL STUDENT ENROLMENT FORM

Australian Contact Details (If Known)
Address:
Suburb/Town:
State/Postcode:
Contact Phone:
Email: *
example@example.com
Home Country Contact Details
Address: *
Suburb/Town: *
State/Postcode:
Country: *
Contact Phone: *
Email: *
example@example.com
Person to Contact in an Emergency
Name: *
Relationship: *
Address: *
Contact Phone:
Email: *
example@example.com

Qualifications Achieved
What is your highest COMPLETED school level? *
Name of Qualification:
School Attended:
Year Completed:
State/ Country:
Language & Cultural Diversity
Is English your first language *

Yes No
If no, please list first language:
English language proficiency* (Tick appropriate)

IELTS TOEFL PTE CAE Other
Date

Day Month Year
Test Score:

Payment Options
How do you wish to pay your course fees before the start of your Courses? *

50% of the initial course Full Tuition Fee Other
Note 1: Students are able to pay full fees if they wish to take advantage of favourable exchange rates or have the convenience of only paying once, but they are not required to pay more than 50 per cent up-front prior to the course commencement.

Note 2: The course pricing is subject to change without notice. Please contact Glen Institute for the latest prices.
Bank Details

Bank:	Bendigo Bank
Swift Code:	BENDAU3B
Account Name:	Five Diamonds Group Pty Ltd.
BSB Number:	633 000
Account Number:	161058599

Note: Please provide student’s ID number while transferring the fees and send remittance advice to fee-support@glen.edu.au

Other Fees at Glen Institute

(All fees are in Australian Dollars)

Enrolment Fee (Non-refundable)	$250
Re-Enrolment Fees	$300
Repeat Unit Fee (per unit)	$300
Printing Fees per page	12 cents
Re-issuing of Student ID	$20
Airport Pick-up (if requested)	$150
Late Fee Payment (per week)	$50
Oxford English Placement Test	$20
RPL (per unit)	$175
Re-issue of an Academic Transcript, Certificate, Diploma	$50
Bank Charges	3% Surcharge (Transaction from Credit Card (s)
Unit re-assessment for theoretical units	$250
Unit re-assessment for practical kitchen class unit.	$500
Unit re-assessment due to plagiarism or other forms of student misconduct.	$300
OSHC Single/Family	Vary depending on the provider and the time of application
Administrative Fee – Changes to enrolment agreement (Change of CoE), change of course prior to completing one term of study	$250

Refunds
The following are the guiding principles for approving and making refunds:
- The student or prospective student has been/will be provided with a copy of the fees, charges, and refund policy and acknowledges and agrees to the terms and conditions of the fees, charges, and refund policy on signing the student acceptance agreement (reference: Letter of Offer and acceptance agreement) This is also available on Glen’s Website ( www.glen.edu.au )
- Requests for refund must be made in writing using the applicable form - the Withdraw/Refund Application Form.
- The application for refund will be reviewed by the RTO Manager as delegated and if warranted will be authorized for payment.
- Glen will notify the Secretary via PRISMS of any students that complete their course early, transfer to another provider, defer or are suspended or have their enrolment canceled, or change the expected completion date of the study.
- Glen will provide a refund of the amount (if any) required by the student acceptance agreement entered with the students under section 47B. (refer student default ESOS Act Section 47D (2)
- The format to be used to work out the amount of unexpended (not spent) pre-paid fees, in this case, is in accordance with the legislative instrument under subsection 47E (4)
Reason for Refund

Reason for Refund	Refund
Student’s application for a student visa unsuccessful (Initial visa refusal), prior to the commencement of the course. Refund Request Proof of Visa refusal.	Total course fee minus the lesser of: (i) 5% of the amount of course fees received by the provider or (ii) $500 Course fees = tuition fees + non-tuition fees received by the provider in respect of the student. Enrolment Fee of $250 is non-refundable.
Student’s application for a student visa unsuccessful after commencing the course. (such as those applying onshore) Refund Request Proof of Visa refusal.	Unspent portion of the Fees. **Refund amount = weekly tuition fees x weeks in default period**. No refund is payable for non-tuition fees. If in case the student has not pre-paid for the Units of competency already completed, the student needs to pay unpaid tuition fee.
A student whose visa is cancelled during a study period OR student defaults or withdraws from course during visa processing but already commenced his/her course. (Student default) Refund Request Proof of Visa refusal.	No refund including future courses.
Withdrawal more than 4 weeks before the start of the course. Withdrawal request refund request.	A full refund, less A$250 Enrolment Fee.
Less than 4 weeks from the commencement of the course.	No refund including future courses.
Cancellation due non-commencement.	No refund including future courses.
Glen withdraws offer, fails to provide program offered or terminates course before semester commences.	Full refund.
Glen fails to provide program after term commences.	**Refund amount = weekly tuition fee × weeks in default period**
Should a Visa be refused due to misleading or fraudulent documents, and the information provided on application to Glen is different.	No refund including future courses.
Glen has withdrawn its offer to the applicant or cancels enrolment, where it was found that false or misleading or incorrect or incomplete information has been provided on the application	No refund including future courses.
Transfer to another Provider, prior to 6 months of the Principal course, even if Glen has approved the transfer.	No refund including future courses.
If a student is granted a deferment or temporary suspension of studies after the agreed start date of a “package of courses” GLEN will hold all fees paid in advance for the period of the suspension/deferment. If the student does not return or commence on the agreed date without the approval of GLEN, the student is deemed to have inactively withdrawn, and their enrolment will be cancelled.	No refund including future courses
Notes: Weekly tuition fee = (total tuition fee for the course/ number of calendar days in the course) x 7, rounded up to the nearest whole dollar. Weeks in default period = number of calendar days from the default day to the end of the period to which the payment relates/7 **Refund amount = weekly tuition fee x weeks in default period

Complaints & Appeals Process
All complaints and appeals are dealt with in a consistent and fair manner.

Complaints Procedure
- Students are encouraged to seek support from their teacher, student services officer, or the relevant staff member if they feel unhappy with the program, assessments, or services. They may write to Glen Institute or speak to a staff member if they prefer.
Appeal Procedure – Internal
- If the student feels that their problem is dealt with unsatisfactorily by their teacher or student services officer, the issue will be escalated to the CEO.
- A meeting will be scheduled with the CEO, will take place within two weeks, at which time, the student may bring someone along for support. Depending on the nature of the complaints, other members of staff may be present at the discretion of the CEO.
- After the meeting, the decision of the appeal meeting will be conveyed to the student.
Appeals Procedure – External
- Students who feel unhappy with the resolution of the internal appeals can write to the Ombudsman. http://www.oso.gov.au/contact-us/
Refer: Complaints and Appeals Policy
Collection of Personal Information
Your personal information (including the personal information contained on this enrollment form and your training activity data) may be used or disclosed by Glen Institute for statistical, regulatory, and research purposes, to only authorized agencies.

Glen Institute may disclose your personal information for these purposes to third parties. Personal information is collected solely for the purpose of operating as a Registered Training Organization under the National Vocational Regulator Act 2011 administered by the Federal Government – Australian Skills Quality Authority. The information provided by the student to the provider may be made available to Commonwealth and State agencies and the Tuition Protection Services Director and the Secretary, pursuant to obligations under the ESOS Act and the National Code. It is a requirement of the National Vocational Regulator Act 2011 that students can access personal information held by Glen Institute and may request corrections to the information that is incorrect or out of date. You can submit a written application to RTO Manager if you wish to view your own records.

For more details, please refer to the Students handbook available on the website.

Enrolment Checklist *

Completed all sections of the enrolment form Attached copy of passport Attached visa - A copy of the valid visa (if applicable) Attached evidence of English language (e.g., IELTS) Attached relevant employment details (if applicable) Signed and dated the application Have you kept a copy of this Enrolment for yourself? Attached Work experience (if applicable) Attached certified academic transcripts, (If in another language, submit English translated documents from certified translators)
Passport copy *

Front page and last page of passport
Cancel of
Academic certificates *

High school and other qualifications
Cancel of
English evidence

IELTS, PTE or equivalent
Cancel of
Other documents

VISA copy, Work experience and any other relevant documents
Cancel of

Declaration
1. I have understood the entry requirements for the course(s) that I am enrolling in.
2. I have read and understood Glen Institute/s Policies and procedures and/ or relevant information contained on Glen Institute website.
3. I have read and understood Glen Institute’s student prospectus, policies and procedures, website, marketing material, and received
  full information from Glen Institute’s Education Agent (in case of enrolment through education agent) before making the decision to enrol in the course.
4. I understand that the institute also reserves the right to vary courses, subjects, the mode of delivery, assessment, and admission requirements at any time at its discretion.
5. I authorise Glen Institute to check my visa status on VEVO and IELTS result on IELTS Test Report Form verification service (If
  IELTS score is provided)
6. I understand that it is my responsibility to provide Glen Institute with USI prior to the course commencement.
7. I understand that Glen Institute reserves the right to discontinue or alter any course, subject, unit of competency, fee, admission
  requirement, staffing or other arrangement without prior notice. Glen Institute reserves the right to cancel or ‘not offer a program’.
  If any program is cancelled or not offered, Glen Institute will refund all tuition fees in accordance with the provision of Sections 27 and 29 of Education Services for Overseas Students Act 2000.
8. I declare that the information I have provided to the best of my knowledge is true and correct.
Applicant’s Signature
Signature: *

Clear
Date: *

Day Month Year
Should be Empty:

INTERNATIONAL STUDENT ENROLMENT FORM

Personal Details

Passport & Visa Details

Australian Contact Details (If Known)

Home Country Contact Details

Person to Contact in an Emergency

Qualifications Achieved

Language & Cultural Diversity

Course Selection

Education, RPL & Credit Transfer

Study Reason(s)

Overseas Student Health Cover

Disability Information

Payment Options

Bank Details

Other Fees at Glen Institute

Agent Details

Airport Pick up & Accommodation

Refunds

Reason for Refund

Complaints & Appeals Process

Collection of Personal Information

Declaration

Applicant’s Signature