Single name only Tick this box if you have one name only that cannot be written in the following format. Write your single name in the "Family" name section.One Name Only
Date of Birth*
Country of birth ---AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChina, People's Republic ofColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedonia, Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuelaVietnamYemenZambiaZimbabwe
Town/City of Birth
Nationality ---AfghanAlbanianAlgerianAndorranAngolanAntiguan or BarbudanArgentineArmenianAustralianAustrianAzerbaijani, AzeriBahamianBahrainiBengaliBarbadianBelarusianBelgianBelizeanBeninese, BeninoisBhutaneseBolivianBosnian or HerzegovinianMotswana, BotswananBrazilianBruneianBulgarianBurkinabéBurmeseBurundianCabo VerdeanCambodianCameroonianCanadianCentral AfricanChadianChileanChineseColombianComoran, ComorianCongoleseCongoleseCosta RicanIvorianCroatianCubanCypriotCzechDanishDjiboutianDominicanDominicanTimoreseEcuadorianEgyptianSalvadoranEquatorial Guinean, EquatoguineanEritreanEstonianEthiopianFijianFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGibraltarGreek, HellenicGrenadianGuatemalanGuineanBissau-GuineanGuyaneseHaitianHonduranHungarian, MagyarIcelandicIndianIndonesianIranian, PersianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhstani, KazakhKenyanI-KiribatiNorth KoreanSouth KoreanKuwaitiKyrgyzstani, Kyrgyz, Kirgiz, KirghizLao, LaotianLatvian, LettishLebaneseBasothoLiberianLibyanLiechtensteinerLithuanianLuxembourg, LuxembourgishMacedonianMalagasyMalawianMalaysianMaldivianMalian, MalineseMalteseMarshalleseMartiniquais, MartinicanMauritanianMauritianMexicanMicronesianMoldovanMonégasque, MonacanMongolianMontenegrinMoroccanMozambicanNamibianNauruanNepali, NepaleseDutch, NetherlandicNew Zealand, NZ, ZelanianNicaraguanNigerienNigerianNorthern MariananNorwegianOmaniPakistaniPalauanPalestinianPanamanianPapua New Guinean, PapuanParaguayanPeruvianFilipino, PhilippinePolishPortuguesePuerto RicanQatariRomanianRussianRwandanKittitian or NevisianSaint LucianSaint Vincentian, VincentianSamoanSammarineseSão ToméanSaudi, Saudi ArabianSenegaleseSerbianSeychelloisSierra LeoneanSingapore, SingaporeanSlovakSlovenian, SloveneSolomon IslandSomaliSouth AfricanSouth SudaneseSpanishSri LankanSudaneseSurinameseSwaziSwedishSwissSyrianTajikistaniTanzanianThaiTimoreseTogoleseTokelauanTonganTrinidadian or TobagonianTunisianTurkishTurkmenTuvaluanUgandanUkrainianEmirati, Emirian, EmiriUK, BritishUnited States, U.S., AmericanUruguayanUzbekistani, UzbekNi-Vanuatu, VanuatuanVaticanVenezuelanVietnameseYemeniZambianZimbabwean
Referred by (friend name, agent name, search engine name)*
*Students require a USI once they have an Australian Visa. Create one here https://usi.gov.au/
Issued to school age students by the QCAA
Is the student an Australian Citizen? YesNo
Is the student of Aboriginal or Torres Strait Islander origin
NoBothAboriginalTorres Strait Islander
Australian Mobile Number
Work Phone Number
Alternative Email Address
Address must be in Australia and current
Street or Lot Number*
Primary Language Spoken at Home ---AcholiAdnymathanha (Yura Ngawarla)African Languages (excluding North Africa)African Languages (Excluding North Africa), nec ( includes, Bemba, Fante, Malagasy)AfrikaansAkanAlbanianAlyawarr (Alyawarra)American LanguagesAmharicAnindilyakwaAnmatyerr (Anmatyirra)Arabana (Arabuna)Arabic (including Lebanese)ArmenianAromunian (Macedo-Romanian)Arrernte (Aranda)AsanteAssyrian (including Aramaic)AuslanAustralian CreoleAustralian Indigenous LanguagesBaltic, nfdBardiBasqueBelorussianBengaliBisayaBosnianBulgarianBunuba (Bunaba)BurarraBurmanBurman, nec (includes Lisu, Pho, Rawang)BurmeseCantoneseCape York Peninsula AboriginalCape York Peninsula Aboriginal, necCatalanCebuanoCelticCeltic, nec (Breton, Cornish, Manx)Central AboriginalCentral Aboriginal, necChineseChinese, nec (includes, Chang Chow, Hunan, Kan)CroatianCzechDanishDhaanguDhay'yiDhuwal-DhuwalaDjinangDravidianDravidian, nec (includes Brahui, Malto, Tulu)DutchEast Slavic, nfdEastern AboriginalEastern Aboriginal, necEastern European LanguagesEnglishEstonianFijianFinnic, nec (includes Karelian, Lapp, Ludic)FinnishFrenchFrisianGaelic (Scotland)GermanGerman and Related Languages, nfdGilberteseGreekGugu YalanjiGujaratiGuugu YimidhirrHakkaHebrewHindiHmongHmong-MienHmong-Mien, nec (Mien, Yao)HokkienHungarianIberian RomanceIberian Romance, nec (includes Crioulo, Galician, Ladino)IcelandicIIokanoIlokanoIndo-AryanIndo-Aryan, nec (includes Assamese, Kashmiri, Rajasthani)IndonesianInvented LanguagesIranicIranic, nec (includes Balochi, Ossetic, Tajik)IrishItalianJapaneseJaru (Djaru)Kalaw Lagaw Ya (Kalaw Kawa Ya)KannadaKarrwa (Garawa, Garrwa)KhmerKija (Gidya)KonkaniKoreanKriolKukatha ( Gugada, Kokatha)Kukatja (Gugaja)Kunwinjku (Gunwinggu)KurdishKuuku-Ya'uKuurinji (Gurindji)LaoLatinLatvianLetzeburgishLithuanianMacedonianMakatonMalayMalayalamMalteseMandarinMaori (Cook Island)Maori (New Zealand)MarathiMaungMauritian CreoleMeryam MirMiddle Eastern and North African Languages, nec (includes Kabyle, Riff, Shluh)MiriwoongMon-KhmerMon-Khmer, nec (includes Khasi, Khmu, Muong)MotuMurrinh-PathaMutpurraNauruanNepaliNetherlandicNetherlandic and Related Languages, nfdNgaatjatjaraNgangkikurungurrNgarlumaNiueNon VerbalNorthern AboriginalNorthern Aboriginal, necNorwegianNot StatedNunggubuyuNyangumartaNyungar (Noongar)Oceanian Pidgins and Creoles, nec (includes Bislama, Pitcairnese, Solomon Islands Pidgin)Oceanic Austronesian Languages, nec (includes Hawai'ian, Rotuman, Tuvaluan)Oceanic Pidgins and CreolesOceanic Pidgins and Creoles, nec (includes Bislama, Pitcairnese, Solomon Islands Pidgin)OromoOther Eastern Asian Languages (includes Ainu, Bhotia, Tibetan)Other Eastern Asian Languages, nec (includes Ainu, Tibetan, Bhotia)Other Eastern European Languages, nec (includes Georgian, Ingush, Romany)Other Southeast Asian Languages (Chavacano)Other Southeast Asian Languages, nec (Chavacano)Other Southern Asian Languages (includes Balti, Burushaski, Nuristani)Other Southern Asian Languages, nec (includes Balti, Burushaski, Nuristani)Other Southern European Languages, nec (includes Friulian, Ladin, Romansch)Papuan LanguagesPashtoPersianPintupiPitjantjatjaraPolishPortuguesePunjabiRembarrngaRitharrnguRomanianRussianSamoanScandinavianScandinavian, nec (Faeroese)SerbianShonaSign LanguageSign Languages, necSindhiSinhaleseSlovakSloveneSomaliSouth SlavicSouth Slavic, nfdSouthern Asian LanguagesSpanishSwahiliSwedishTagalog (Filipino)TaiTai, nec (includes Buyi, Jui, Tho)TamilTeluguTeochewTetumThaiTigrinyaTimoreseTiwiTok PisinTonganTorres Strait Creole (Broken)Torres Strait IslanderTurkishTurkish and Central Asian Languages, nec (includes Azeri, Mongol, Tatar)UkrainianUnspecifiedUnspecifiedUrduVietnameseWalmajarri (Walmadjari)WarlpiriWarumungu (Warumunga)WelshWest Coast AboriginalWest Coast Aboriginal, necWest SlavicWest Slavic, nfdWestern Austronesian Languages, nec (includes Balinese, Bikol, Kapampangan)Wik-MungkanWuYankunytjatjaraYanyuwa (Anula)YiddishYindjibarndiYorubaYulparijaZulu
Very WellWellNot WellNot at all How was this result determined? I self assessed. I have completed The Eagle Academy English test without an Academy staff member present. I understand I may be tested on commencement, and the result could affect my enrolment.I completed an IELTS/TOEFL/Cambridge/PTE/OET test within the last 2 yearsAn Academy staff member verified my level by using the Test or alternate methods.I’m a native speaker
Year 12Year 11Year 10Year 9 or equivelantYear 8 or belowDid not go to school What year did the student complete the school level above? Is the student still attending secondary/high school? YesNo
Bachelor / higher degreeAdvanced diploma or Associate degreeDiploma (or associate diploma)Certificate IV (or advanced certificate/technician)Certificate III (or trade certificate)Certificate IICertificate IOther education (including certificates or overseas qualifications not listed above)
Full Time EmployeePart Time EmployeeSelf Employed (not employing others)Self Employed (employing others)Employed (unpaid)Unemployed (seeking Full Time )Unemployed (seeking Part Time )Not Employed (not seeking employment)
To get a jobDevelop my existing businessTo start my own businessTry for a different careerTo get a better job or promotionRequirement of my jobGain extra skills for my jobTo get into another coursePersonal Interest or Self DevelopmentTo get skills for community/volunteer workOther reasons
If the answer to the above question was YES,
What Certificate was studied
YesNo If the student answered YES, please specify: Hearing/DeafPhysicalIntellectualLearningMental IllnessAcquired Brain ImpairmentVisionMedical ConditionOther More information:
Emergency Contact Name*
Emergency Contact Phone Number*
Emergency Contact Email*
Emergency Contact Relationship
Would the student like to talk to a support officer about any additional support they may need to undertake their studies? For example, support with Language, Literacy or Numeracy YesNo If so, please indicate the type of support the student might like more information about, so we may assign the best office
Full TimePart TimeOther
The Eagle Academy is a pre-qualified supplier (PQS) this means we are approved to deliver training and assessment services funded by the Queensland Government under the VET Investment Plan. You can find more information here https://eagleacademy.com.au/students/funding-and-support/ To show eligibility you will need to supply evidence you are 15 years old or above and no longer at school (with the exception of VET in Schools students), a permanent Queensland resident, an Australian/New Zealand Citizen or Permanent Resident and meet the previous qualification requirement of the program. Please note there are other eligibility criteria and evidence required depending on your enrolment and subsidy application. Please read the VET Investment Plan Information Sheet, Eligibility Guide & Fact Sheets for more information.
Are you 15 years or older and no longer at school? Yes (eligible)No (not eligible unless VETIS)
Are you a permanent resident of Queensland? Yes (eligible)No (not eligible)
Are you an Australian/New Zealand Citizen or hold a Permanent Resident Visa? Yes (eligible)No (not eligible)
Are you eligible for concession? Non-conessionalConcessional
Which funding program do you want to access? Certificate 3 GuaranteeHigher Level SkillsOther
Have you completed a Certificate III or higher qualification? NoCertificate IIICertificate IV or Higher
Are you studying or have you completed Government Funded Training? YesNoNot Sure
If you have commenced/completed Government Funded Training please provide more details
Please be advised that you will be required to provide evidence to support your eligibility claims above. The Eagle Academy will then check the information and evidence you have supplied against information in the Department of Employment, Small Business and Training system to determine whether you are eligible or not.
Where would the student like to study? Spring HillSouthportCoolangatta
Choose at least one course from the list below. Please note not all courses are available at all campuses. See the All Campus Quick Guide on the download page for more information.
SIS10115 Certificate I in Sport and RecreationSIS20115 Certificate II in Sport and RecreationSIS30115 Certificate III in Sport and RecreationSIS40619 Certificate IV in Outdoor LeadershipSIS50319 Diploma of Sport (Sport Development)SIS30315 Certificate III in FitnessSIS40215 Certificate IV in FitnessBSB10115 Certificate I in Business (WITH EXTENSIVE ENGLISH SUPPORT)BSB20115 Certificate II in Business (WITH EXTENSIVE ENGLISH SUPPORT)BSB30115 Certificate III in Business (WITH EXTENSIVE ENGLISH SUPPORT)BSB40215 Certificate IV in Business (WITH EXTENSIVE ENGLISH SUPPORT)BSB10115 Certificate I in BusinessBSB20115 Certificate II in BusinessBSB30115 Certificate III in BusinessBSB40215 Certificate IV in BusinessBSB50215 Diploma of BusinessBSB60215 Advanced Diploma of BusinessBSB61015 Advanced Diploma of Leadership and ManagementBSB30115 Certificate III in Business (Sales)ELICOS General English – 16 weeksELICOS General English – 28 weeksELICOS General English – 52 weeksELICOS General English – 68 weeksELICOS General English – other lengthELICOS English for Academic Purposes (with IELTS Preparation) – 52 weeksELICOS IELTS Preparation – 16 weeksELICOS IELTS Preparation – 28 weeks
When would the student like to start
If more than one course was chosen, how many weeks break would the student like between each course (0-8weeks)?
0 Weeks4 Weeks6 Weeks8 Weeks
Method of payment
* The payment schedule will be sent upon application.
Select the preferred payment method*Option 1 - Fast PaymentOption 2 - Monthly PaymentSpecial Arrangement – see my notes in the additional information sectionPlease send me Payment Option information
Please be sure to email a clear photocopy of the passport/licence, otherwise processing of the application may be delayed. Acceptable files are PDF, PNG, JPG and JPEG. If the student doesn't have a copy of the passport/licence with them now, continue to complete the online enrolment then email a copy of the passport/licence to the preferred campus. The administration team will not process the enrolment without a clear copy of the passport/licence. Email the passport/licence to: firstname.lastname@example.org
Please make sure that you provide evidence for all three items below. One document may cover more than one item. For example, a Qld Drivers Licence confirms age and address OR a Birth Certificate confirms age and citizenship. Age Evidence: Drivers Licence, Proof of Age Card, Passport, Birth Certificate Qld Address Evidence: Qld Drivers Licence, Health Care Card, other (please see eligibility evidence guide. Citizenship or Residency Evidence: Passport, Birth Certificate, medicare card, other (please see eligibility evidence guide. Please be sure to email a clear photocopy of these documents, otherwise, processing of the funding application may be delayed. Acceptable files are PDF, PNG, JPG and JPEG. If the student doesn't have a copy of the with them now, continue to complete the online enrolment then email a copy of the documents to the preferred campus. The administration team will not process the funding enrolment without a clear copy of the eligibility evidence. Email the documents to: email@example.com
Please enter additional support requests or additional enrolment information! eg. additional support needed for a medical condition or friend finder referral name.
Students under 18 years of age, and parents, please note you must attend an Under 18 New Student Induction with the student before the student can commence.
* If the student understands and agrees to these conditions, mark all boxes and click submit to finalise the application
I (the student) have read and agree with all the above (Parent/Guardian to accept if the student is under 18 years)*
BANK: Westpac Banking Corporation Branch Address: Pacific Fair Shopping Centre, Gold Coast Account Name: The Eagle Academy BSB No. 034637 Account No. 22 0567 SWIFTCODE: WPACAU2S