ECA Online Enrolment Form

Home Address *

Address In Australia (if known)

Address *

Education

Education Details
Highest educational qualifications *
(eg Elementary, High School, College University Degree)
Name of Institution *
Last year of English study *
(eg 2012)
Number of years of English study *
English level *
Self evaluation
English Test completed *

IELTS TOEFL TOEIC PTE No English Test Completed
English Test Date *

- Day - Month Year
Score Received *
Reasons for studying English *

Further Study in Australia
Are you enrolled or planning to enrol in a course for further study after your course at ECA?

Yes No
Institution Name *
Course Name *
Course Start Date *

/ Day / Month Year
Date

Declaration
I, {name}, understand that the information I have provided on this form may be given to agencies of the Australia Commonwealth and State Governments and other bodies, as required by law. I agree that if this application is accepted, I will be bound by the English College of Adelaide’s 1) Conditions of Enrolment 2) Refund Policy 3) Grounds for Deferment, Suspension or Cancellation of Enrolment (http://www.eca-jca.edu.au/eca/Conditions_of_Enrolment.aspx), which I have read and understood.
Do you agree to the terms and conditions above *

Yes
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