Choose at least one option from below
I am a StudentI am an Agent
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 LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-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 LankanSudaneseSurinameseSwaziSwedishSwissSyrianTaiwaneseTajikistaniTanzanianThaiTimoreseTogoleseTokelauanTonganTrinidadian or TobagonianTunisianTurkishTurkmenTuvaluanUgandanUkrainianEmirati, Emirian, EmiriUK, BritishUnited States, U.S., AmericanUruguayanUzbekistani, UzbekNi-Vanuatu, VanuatuanVaticanVenezuelanVietnameseYemeniZambianZimbabwean
*Students require a USI once they have an Australian Visa. Create one here https://usi.gov.au/
Is the student an Australian Citizen? YesNo
Is the student of Aboriginal or Torres Strait Islander origin
NoBothAboriginalTorres Strait Islander
Has the student applied for an Australian Visa
Australian Visa Number
If the student has not applied for a visa, will they be applying for a visa onshore (in Australia) or offshore (from another country)
Current Visa Other Than Student Visa
Current Visa (Student or Other) End Date
Overseas Home Phone Number*
Australian Mobile Number
Address must not be in Australia and current
Address line 2
Address must be in Australia and current
Unless the student is exempt (see "Migration English Language Tests and Evidence Exemptions for Subclass 500 (Student Visa) Instrument 2018" www.legislation.gov.au/Details/F2018C00474) they are required to complete some form of English Assessment. If the student is not exempt and has not completed an English Test, please complete The Eagle Academy Online English Test. The Eagle Academy Online English Test can be found here: https://eagleacademy.com.au/students/english-test/
Is the student required to complete an English language test as part of the visa application
If the student has completed a test, enter the English Test Type.
IELTSTOEFLCambridgePTEOETEagle AcademyNone (exempt)
English Test Completion Date
English Test Score
If the student has completed an English Test please attach a copy of the score. If the student did not save a copy of the Eagle Academy Online English Test score please ask administration to download it.
If the student is exempt, please select how the student meets the exemption criteria. Please note students are required to supply evidence of meeting the exemption criteria. ---Citizen of and passport issued by: United KingdomCitizen of and passport issued by: United States of AmericaCitizen of and passport issued by: CanadaCitizen of and passport issued by: New ZealandCitizen of and passport issued by: Republic of IrelandEnrolling or enrolled in principal course of study: delivered in a language other than EnglishEnrolling or enrolled in principal course of study: ELICOS courseEnrolling or enrolled in principal course of study: school courseEnrolling or enrolled in principal course of study: post-graduate research courseStudent is a: Foreign Affairs studentStudent is a: Defense StudentStudent is a: Secondary exchange studentCompleted (within the past 2 years) in Australia in English: Requirements for a Senior Secondary Certificate of EducationCompleted (within the past 2 years) in Australia in English: Substantial component of AQF level 4 or higher on a student visaMinimum 5 years of study in English in: AustraliaMinimum 5 years of study in English in: CanadaMinimum 5 years of study in English in: New ZealandMinimum 5 years of study in English in: South AfricaMinimum 5 years of study in English in: Republic of IrelandMinimum 5 years of study in English in: United KingdomMinimum 5 years of study in English in: United States of America
If the student is exempt please attach evidence of exemption criteria.
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)TaiwaneseTamilTeluguTeochewTetumThaiTigrinyaTimoreseTiwiTok 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 TimePart TimeUnemployed (seeking Part Time )Self EmployedEmployed (unpaid)Unemployed (seeking Full Time )EmployerNot Employed
To get a jobTo start my own businessDevelop my existing businessPersonal InterestTo get into another courseGain extra skills for my jobTo get a better jobTry for a different careerRequirement of my job Other 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
Students should be aware that one of the most frequent reasons for Student Visa refusal In Australia is because of GTE issues. In some cases it is simply because the student has not considered this important area carefully enough. We offer a GTE Statement Writing Service to students & agents who may need assistance. More information: https://eagleacademy.com.au/students/visa-gte-statement/
GTE service required
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 RecreationSIS40313 Certificate IV in Outdoor RecreationSIS50612 Diploma of Sport DevelopmentSIS30315 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 ManagementELICOS 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
Additional Information (E.g. number of ELICOS 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
OSHC Policy Information: https://allianzassistancehealth.com.au/en/. Students receiving OSHC organised through The Eagle Academy are required to read the policy wording document also as part of your agreement: https://allianzassistancehealth.com.au/en/policy-wording-documents/. The student must be covered for the length the Student Visa. It is the students' responsibility to ensure they are covered between previous courses & future courses. YesNo If the student answered YES above, what type of OSHC is required: Note: Single - Student Only, Dual - Partner or Child, Multi-Partner and Child SingleDualMulti
Preferred OSHC Start Date (End of previous cover or one week before course)
Preferred OSHC End Date (Visa End Date)
Method of payment
* The payment schedule will be sent upon application.
Select the preferred payment method*Option 1 - Fast PaymentOption 2 - Split PaymentOption 3 - Monthly PaymentSpecial Arrangement – see my notes in the additional information sectionPlease send me Payment Option information
Apply 1st CoE 1st Payment Offer ($500) YesNo
Apply Consecutive CoE 1st Payment Offer ($200) YesNo
Please be sure to email a clear photocopy of the passport, 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 with them now, continue to complete the online enrolment then email a copy of the passport to the preferred campus. The administration team will not process the enrolment without a clear copy of the passport. Email the passport to: firstname.lastname@example.org
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/guardians, please note you must complete the form “Care arrangements for students under 18 years of age” before signing this enrolment application. A parent/guardian must also 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