Enrolment Application Form Page 2
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316 The Terrace, Fremantle,
WA 6160 Australia
I
p: 1300 881 718
+61 8 9228 1600
f: +61 8 9228 1428
e: admissions@eei.wa.edu.au
w: eei.wa.edu.au
ADDITIONAL INFORMATION
Which country where you born?
□ Yes
Do you mainly speak English at home?
□ No
□ No
Do you speak a language other than English
□ Yes (please specify)
at home?
□ Yes
Are you Aboriginal or Torre Strait Islander
□ No
origin?
□ No
Do you consider yourself to have a disability?
□ Yes
□ Hearing
□ Acquired brain impairment
□ Physical
□ Vision
If YES please indicate the disability
□ Intellectual
□ Medical condition
impairment or long term condition.
□ Learning
□ Other
□ Mental Illness
□ Full – Time employee
□ Employed (unpaid in a family business)
□ Part-time employee
□ Unemployed (seeking full-time work)
Of the following categories, which best
□ Self-employed (not employing
□ Unemployed (seeking part-time work)
describes your current employment status?
others)
□ Not employed (not seeking work)
□ Employer
□ To get a job
□ To get a better job/promotion
Of the following categories, which BEST
□ To develop my existing business
□ Requirement of my job
describes your main reason for undertaking
□ To start my own business
□ I wanted extra skills for my job
this course/traineeship/apprenticeship?
□ To try for a different career
□ To get into another course of study
TERMS AND CONDITIONS
USI
A unique student identifier (USI) is required of students who enrol or re-enrol in training from 1 January 2015. This includes continuing
students who has already started a course in the previous year (and not yet completed it) and will continue studying after 1 Jan 2015.
On admissions, EEI will provide all students with a copy of the ‘Student Information for the Unique Student Identifier’ information sheet
issued by the Australian Government, Department of Industry.
Empyrean Education Institute can apply for a USI on behalf of a student, but they must obtain the student’s permission. Students can
authorise EEI to apply on their behalf (consent from a parent or legal guardian is not required).
When the student authorises the Institute to apply for a USI, the student will be required to supply information from a form of Identification
(ID). The Document Verification Service used by the USI system accepts any one of the following valid Australian forms of ID: Driver’s
license, Medicare card, Australian passport, visa (with non-Australian passport), birth certificate (Australian), Certificate of Registration by
descent or Citizenship Certificate
In instances where a student does not have access to one of the above forms of ID or where information from that ID document is not
accepted by the Document Verification Service, they are required to contact the Institute who will then contact the USI Registrar.
EEI is obliged under the legislation to obtain the student’s permission and will not be able to access the USI system without declaring that it
has the permission of the student.
FEES
There is a NON REFUNDABLE registration fee of $230 for processing of enrolment application.
Payment of course fees is due when a Letter of Offer and Acceptance is sent to the student.
Payment of course fees are paid in advance by term.
Payment of other fees such as health cover, accommodation placement fee, accommodation and airport pick up fees are due when a Letter of
Offer and Acceptance is sent to the student.
REFUND POLICY
All requests for refunds must be in writing and supporting evidence must be provided for any cancellation requests.
All refunds will be paid within 4 weeks of receiving written claim.
Withdrawal from Course
All withdrawals must be in writing and signed by the student.
If withdrawal is 10 weeks or more PRIOR to start of course all course fees will be refunded and less $500 for administrative fees.
If withdrawal is 4 weeks or more and up to 10 weeks PRIOR to start of course 70% of course fees will be refunded and less $500 for
administrative fees.
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Equanimity Consultants Pty Ltd (ABN 70080503091)
Document version 1/2016
| 2
Owned & Reviewed by: MD I Edited: SAOO I Next review: 22 February 2017
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