First Name / Middle Name (required)
Family Name(s) (required)
Date of Birth (required)
Gender (required) MaleFemaleOther
Nationality / Citizenship (required)
Country of Residence (required)
Mobile phone number (required)
Email (required)
Address (required)
Suburb/Town/City (required)
Country (required)
Zip / Post code (required)
Passport Number (required)
Visa (required) Please SelectStudentVisitor/TouristTemporary ResidentPermanent ResidentWorking Holiday
Are you applying for your visa from: (required) Onshore (within Australia)Offshore (outside Australia)
Highest Qualification Achieved
Current Level of English Please selectBeginnerElementaryPre intermediateIntermediateUpper intermediateAdvance
Emergency Contact Name
Emergency Contact Email and Number (required)
Do you require LLI t o purchase overseas student health cover (OSHC) on your behalf?
If you are a Student Visa holder, Health Cover is required for the total duration of your visa.
YesNo
Is this course part of a study Pathway / Course package? YesNo
Course and Institution Name
English Requirement and Start Date
Do you have any special learning requirements or difficulties for the college to assist you with? YesNo
Please select and complete your course from the options below (You may select more than one course).
General English (Beginner to Advanced).
Starting Date (DD/MM/YYYY)
Number of Weeks
Holidays Dates
Cambridge English Exam Preparation
External Examination YesNo
English for IELTS and Academic Purposes (EIAP)
Dynamic English
For 'short courses' such as Private Tuition, Study Tours etc. please contact marketing@languagelinks.wa.ed.au.
* Student visa holders must choose the full-time option (CRICOS), as per your visa requirements
Study Timetable Full-time Day - 5 Days/Week (CRICOS): Mon to Thurs 9:00am-2:30pm + Fri 9:00am-12:20pm.Full-time Day - 3 Days/Week (CRICOS): Mon , Tues and Wed 9:00am-4:30pm.Full-time Evening - 4 Days/Week (CRICOS): Mon to Thurs 4:30pm-9:50pm.Part-Time Dynamic Evening - 4 Days/Week: Mon to Thurs 5:00pm-7:30pm.
Do you want accommodation arranged? Yes (placement fees apply)No
From (DD/MM/YYYY)
To (dd / mm / yyyy)
Comments
Do you require Airport Pick-up? Yes (service fees apply)No
Please choose your payment method
Paying to Agent - In FullPaying to Agent - Payment Plan*Paying to College - In Full ( Direct Deposit, Cheque, Credit Card** or Cash)Paying to College - Payment Plan* (Direct Debit or Credit Card**)
* Set up fee may apply ($80).
** For all credit card payments, a 2% surcharge applies
Were you enrolled by an Education Agent? YesNo
Agent Name and Email
(max file size 5MB each)
Passport (required)
Current Visa (required)
LLI GSA FORM
Previous COEs and study certificates if applicable (all in 1 file)
Pathway Offer if applicable
Please make sure you read the Terms & Conditions of enrolment before submitting this form.
I have read and accept the Terms and Conditions of enrolment
