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Personal Details - Step 1 of 4
Email (*)
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Family Name (*)
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Given Names (*)
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Nationality (*)
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Date of Birth (*)
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Click on the Month/Year to change values
Sex (*)
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Address Line 1
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Address Line 2
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City
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Postcode
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Telephone Number
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Mobile
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Fax
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Parent/Guardian Details
Parent or Guardian Name (if under 18)
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Parent/Guardian Address (if different)
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Parent/Guardian Telephone
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Parent/Guardian Mobile
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Parent/Guardian Fax
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Parent/Guardian Email
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Additional Information
How did you hear about Phoenix? (*)
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Please give details
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Requested Course and Duration - Step 2 of 4
Course Category
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Sub-Category
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Course Type
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Other - Please define
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Commencement Date
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Available Dates
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Weeks
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Completion Date (auto)
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Further Study Courses or Interests
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Accommodation and Airport Pickup - Step 3 of 4
Do you require airport pickup? (*)
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Do you require accommodation placement? (*)
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If yes, which do you prefer?
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Do you smoke? (*)
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Are you willing to live with pets? (*)
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Are you willing to live with children under 5? (*)
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Are you willing to live with smokers? (*)
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Are there any foods you will not eat?
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What are your hobbies?
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Do you require Phoenix to organise a carer? (*)
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All students under 18 years of age must have an adult carer in Australia.
   
VISA Information - Step 4 of 4
Are you an Australian resident? (*)
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Currently in Australia? (*)
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Passport Number (*)
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What type of Visa will you commence your course with? (*)
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Visa Expiry Date
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English Proficiency and Qualifications
What is your approximate english level? (*)
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Do you have an IELTS or TOEFL score?
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Highest level of education completed?
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Name of School?
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Will you take further studies after you complete your course? (*)
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Would you like Phoenix to arrange a place for you? (*)
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Do you have a preferred course of study after your English course?
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(*)
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