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Domestic Student Application Form
Head Office: 180 Monaco Street
Broadbeach Waters Qld 4218
E-mail: acesports.edu.au@gmail.com
Website: www.acesports.edu.au
Postal Address: PO Box 976 Southport Qld
4215 Australia
Phone: (+61) 07 5597 5410
Mobile (English): (+61) 0417 001 643
Mobile (Japanese): (+61) 0414 478 888
Personal Information
Title *
Given Name (First Name as on passport) *
Your answer
Middle Name *
Your answer
Family Name (Surname) *
Your answer
Date Of Birth *
MM
/
DD
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YYYY
Age *
Your answer
Gender *
Country of Birth *
Your answer
Email *
Your answer
Telephone Number *
Your answer
Current Residential Address
Street Address *
Your answer
Suburb
Your answer
City
Your answer
State
Your answer
Postcode
Your answer
Country
Your answer
Emergency Contact Details - Next Of Kin
Name of contact person in case of an emergency
Your answer
Street Address
Your answer
Suburb
Your answer
City
Your answer
State
Your answer
Postcode
Your answer
Telephone Number
Your answer
Student USI (Unique Student Identifier)
A student needs a USI when enrolling or re-enrolling in nationally recognised training from 1 January 2015. If you do not have one please create one online by visiting: http://www.usi.gov.au/create-your-USI/Pages/default.aspx
Please supply your USI below
Your answer
Academic History
I have studied to level:
Other (Please Specify)
Your answer
Do you wish to apply for Recognition of Prior Learning or Credit Transfer?
If Yes, please attach a copies of your academic achievements such as qualification certificates, work experience, and resume. If you are applying for RPL or Credit Transfer fill in the forms which can be found on our website.
Cultural Information
Are you of Aboriginal or Torres Strait Islander origin?
Do you come from a Non-English speaking background?
Please specify the languages you currently speak:
Your answer
Please specify if you have any special cultural requirements:
Your answer
General Health Information
Do you have any medical problems?
If yes, please specify below:
Your answer
Do you have any Special Needs?
If yes, please specify below:
Your answer
Do you have any Injuries that may require special assistance?
If yes, please specify below:
Your answer
Study Options
Choose Your Preferred Study Option
Blended/Online Courses (User Choice)
Please select your course/s from the list below. You only need to put in your start date, we shall work out the end date of your study.

PLEASE NOTE. Application fee of $150 is a one off non-refundable payment and is not included in the course prices listed below.

Sport And Recreation
Sport Coaching
Fitness
Sport Career Oriented Participation
Sport Development
Full Time Courses
Please select your course/s from the list below. You only need to put in your start date, we shall work out the end date of your study.

PLEASE NOTE. Application fee of $150 is a one off non-refundable payment and is not included in the course prices listed below.

Sport And Recreation
Sport Coaching
Fitness
Sport Development
Start Date - Any Monday
NOTE: When entering your start date, please insure that you choose any MONDAY of the week that you would like to start from.
Please specify your start date
MM
/
DD
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YYYY
Application Checklist
I have read and accepted the terms of the Students Handbook
Feedback
How did you hear about Ace Sports Academy?
PRIVACY ACT
The information provided by overseas students to the provider
(The Ace Sports Academy) may be made available to Commonwealth and State agencies and the Fund Manager of the Educational Services for Overseas Students (ESOS) Assurance Fund, pursuant to obligations under the ESOS Act 2000 and the National Code; and the provider is required, under section 19 of the ESOS Act 2000, to tell the Department of Immigration and Border Protection about: (i) certain changes to the student’s enrolment; and (ii) any breach by the student of a student visa condition relating to attendance or satisfactory academic performance. Student details of address,email and phone numbers are entered into the Ace database and remain confidential. The Ace Sports Academy in its operations and provisions complies in all ways with the Privacy Amendment (Private Sector) Act 2000. This prevents Ace Sports Academy from providing any student details to any other person other than the student without the express permission of the individual concerned. This permission must be given in writing.
Refund Policy
1) I have read this document and acknowledge that the refund conditions that are attached hereof and that those conditions form part of the contract between ACE SPORTS ACADEMY and myself if I accept the offer of a place with ACE SPORTS ACADEMY.
2) I further acknowledge that the tuition and other fees that are, or maybe payable, are set out in the tuition and other fees fee schedule.
3) I declare that the information submitted with this application is true and complete. I further declare that any tertiary academic results submitted are a complete record of all results I have obtained from every tertiary institution I have attended.
4) I understand that at the time of enrolment I may be required to supply originals of all documents used to support this application.
5) I acknowledge that the ACE SPORTS ACADEMY, at any time prior to me accepting the offer of enrolment, reserves the right to alter any course, subject, admission requirement or fee without prior notice.
6) I understand that the personal information I have provided may be released to government agencies as required by law.
7) I further understand that my application may be disclosed to third parties for the purpose of processing my application.
8) Privacy Statement; Information is collected on this form and during your enrolment in order to meet ACE SPORTS ACADEMY obligations under the ESOS Act and National Code 2007; and to ensure student compliance with the conditions of their visa and the obligations under the Australian immigration laws. designated authorities and, if relevant, the Tuition Protection Service. In other instances via information collected. The authority to collect this information is contained in the Education Services for Overseas Students Act 2000., The Educational Services for Overseas Students Regulations 2001 and The National Code Of Practice for Regis tration Authorities and Providers of Education and Training to Overseas Students 2007. Information collected about you on this form and during your enrolment can be provided in certain circumstances to the Australian government and on this form or during your enrolment can be disclosed without your consent where authorised or required by law.
9) I acknowledge that the Application Fee of AUD $150.00 for all courses which I am including to have this application assessed is non-refundable, irrespective of the outcome of my application.
10) In selecting this course I have read and understood the terms and conditions of this application form.
11) In selecting this course I have read and understood the attached refund policy and procedure as outlined in the Domestic Student Handbook
I have read and understand the terms and conditions of the refund policy *
Required
Declaration
Full Name
Your answer
Date
MM
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DD
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Ace Sports Pty Ltd
ABN:66110862747
RTO:31414
CRICOS:03005D
Domestic Student Application Form,
January 2015. V8
ACE Sports Pty Ltd       ABN:66110862747        RTO:31414       CRICOS:03005D
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