ICHM

International College of Hotel Management

ICHM Application Form. If form is missing, contact ICHM or download from ICHM website: www.ichm.edu.au tear off form here
ICHM APPLICATION FORM CHECKLIST

Application Form

ICHM accepts applications on a rst come, rst serve basis. Applicants are encouraged to apply for their preferred intake well in advance to ensure a place. 2 recent passport type colour photographs. Evidence of citizenship (eg copy of passport personal details page). Certied copy of your education documents (school, college, university transcripts, reports etc). Reference letter. Evidence of relevant employment (If applicable). Language - Evidence of English language uency - eg IELTS, if English is not the mother tongue. OR - Evidence of education in mother tongue - eg high school results. Documents can be certied by > Ofcial records department of the institution that issued the documents > Authorised Agent Representative > Justice of the Peace or Public Notary

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CRICOS Provider No: 02914G ICHM Pty Ltd.

ICHM
International College of Hotel Management
All correspondence should be addressed to:
ICHM Admissions Ofce 124 Hutt Street Adelaide SA 5000 OR Australia GPO Box 249 Adelaide SA 5001 Australia T (61 8) 8228 3636 el: Fax: (61 8) 8228 3684 Freecall (Aust. Only) 1800 246 875 Email: admissions@ichm.edu.au

APPLICATION FORM

Please provide 2 passport size photos

PLEASE PRINT

I wish to apply for enrolment in the

Bachelor Degree of International Hotel Management Swiss Hotel Association Diploma of Hotel Management (Vocational Graduate Diploma in International Hotel Management) tear off form here No No No ICHM Application Form. If form is missing, contact ICHM or download from ICHM website: www.ichm.edu.au

which begins in

January 2010

July 2010

January 2011

July 2011

January 2012

IDENTIFICATION

Family Name: Given Names: English Name (if applicable): Date of Birth: Country of Birth: Passport No: Nationality: Students Direct Email: Parent/Guardian Family Name: Given Name: English Name (if app): Personal Email: Tel:
EDUCATION
DAY

Do you have permanent residency status in Australia? Y (if yes attach evidence) es No

Address for Correspondence (mailing address):

YEAR

MONTH

Sex:

Male

Female

Mobile: Email for Correspondence: How did you hear about ICHM?

Fax:

Parents/Students Home Mailing Address:

Fax:

Home Tel:

Work T el:

Please provide details of all education and training that you have successfully or part-completed. Attach evidence of completion of course. If you have not yet completed your nal year of high school, please attach your most recent results. Acceptance will then be conditional upon completion of high school equivalent. Name of Institution or School Years (e.g. 2006-2009) Successfully Completed Y es Y es Y es

Title of Course

Supporting documentation must be attached

2008 P R O S P E CPage 2 of 4 TUS

ICHM
International College of Hotel Management
LANGUAGE KNOWLEDGE

English Prociency: if you are an International student, please provide details of your English language qualications. IELTS (Score) TOEFL Date obtained Y es No
DAY

MONTH

YEAR

Will you attend an English language course prior to commencement? At which school:

Supporting documentation must be attached

Languages: For each language that you speak, write and/or read please indicate the level of uency. Use the following code: 1. Extremely well in all situations 2. Very well in predictable situations 3. With some difculty in predictable situations 4. With great difculty in predictable situations 5. No knowledge

ICHM Application Form. If form is missing, contact ICHM or download from ICHM website: www.ichm.edu.au tear off form here

Language English

Speak

Write

Read

Did you study this language? If yes, how many hours of study?

Please attach evidence of all language study (including high school results)

Which language do you consider your mother tongue?

EMPLOYMENT

If you have worked in the hospitality and tourism industry, please attach evidence of this experience. (eg. a letter from employer) Type of Work Name of Establishment Country Full Time/ Part Time Length of Time Years/Months

Supporting documentation must be attached

RECOGNITION OF PRIOR LEARNING / CREDIT TRANSFERS

This section only applies to students who wish to claim credit for previous hospitality study after high school. Recognition of Prior Learning/Studies Students Only Are you applying for recognition? If yes, in what year will you be enrolling: Year 4 (Bachelor Degree) Students Only Location: Mode: On Campus Full Time Distance Education Part Time Number of Semesters: Y es No Y 1 ear Y 2 ear Y 3 ear No Y 4 ear Y es

If on campus, is accommodation required? (subject to availability)

CRICOS Provider No: 02914G ICHM Pty Ltd.

2008 P R O S P E C T Page 3 of 4 US

ICHM
International College of Hotel Management
REFERENCE

Please identify minimum of 1 person who can provide information on your character and conrm the information you have provided . Referees should not be family members. Suitable references include a school teacher, school career counsellor, authorised agent or employer. This person must then attached a reference letter which assess the applicants academic ability, personal qualities and suitability for the hospitality industry. (1) Name: Address:

Tel: Email:

Fax:

Reference letter enclosed with application

STUDENTS MEDICAL HEALTH

Reference letter to be sent separately directly to ICHM

Students and parents must advise ICHM of any prior or existing medical conditions that may affect the student's health or ability to complete the course and/or work in the hospitality industry. (e.g. asthma, diabetes, epilepsy etc.)

GUARANTOR / FINANCIAL SPONSOR (PERSON PAYING FEES)

Family Name: Given Name: English Name (if app): Address:

DECLARATION I acknowledge that I have read the ICHM Prospectus and understand the Conditions of Enrolment contained therein. I have read the conditions as stated concerning notice of cancellation and declare that I will abide by the terms and conditions therein. Guarantor/Financial Sponsor Signature:

Date: Tel: Email:

DECLARATION BY APPLICANT

DAY

MONTH

YEAR

Fax:

Please tick if you would like a copy of invoices sent to you.

I acknowledge that I have read the ICHM Prospectus.I further acknowledge that all the information provided in this application form is correct, and I have read the ICHM Rules, Policies and Procedures containing notice of the Refund Policy and declare that I will abide by the terms and conditions therein. I agree to be bound by the Colleges Rules, Policies and Procedures and acknowledge that all disputes arising from the details and conditions contained in this application shall be governed by, and in accordance with, the laws of South Australia and be submitted to the jurisdiction of the Courts of South Australia. I consent to ICHM using my photograph for ICHM marketing and promotional materials use; should I not wish to have my photograph used for such purposes I will notify ICHM in writing. I hereby give permission to the College to pass my relevant information concerning any results and progress at the College to my Parent/Guardian and the Human Resource Departments of Hotels in which I apply to complete my internships. I consent to ICHM forwarding my application and other appropriate information to both the South Australian Minister for Further Education and Commonwealth Government Departments.

Applicants Signature:
DAY

Date:
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MONTH

YEAR

CRICOS Provider No: 02914G ICHM Pty Ltd.

ICHM Application Form. If form is missing, contact ICHM or download from ICHM website: www.ichm.edu.au

tear off form here

ENGLISH AND FOUNDATION APPLICATION FORM

This form should only be used for students packaging a pathway program (English and/or Foundation) with SHA Diploma and or Bachelor Degree courses.
RETURNING THIS FORM

To assist with packaging your courses, this form should be sent together with your blue application forms to: The Admissions Ofce 124 Hutt Street Adelaide SA 5000 OR Australia GPO Box 24 Adelaide SA 500 Australia T (61 8) 8228 3636 el: Fax: (61 8) 8228 3684 Freecall (Aust. Only) 1800 246 875 Email: admissions@ichm.edu.au Please provide 2 passport size photos

ENQUIRIES

ICHM Application Form. If form is missing, contact ICHM or download from ICHM website: www.ichm.edu.au tear off form here

ICHMs English and Foundation pathway programs are taught by Eynesbury. Please direct all enquiries regarding Eynesbury courses to: Eynesbury Admissions 16-20 Coglin Street Adelaide SA 5000 Australia
PAYMENT

Tel: (61 8) 8410 5266 Fax: (61 8) 8410 5254 Email: admissions@eynesbury.sa.edu.au

Student No. (ofce use only)

Note payment for Eynesbury programs should be made directly to Eynesbury.

PLEASE PRINT

I wish to apply for enrolment in

General English English for Hospitality T otal English Weeks Certicate IV in University Foundation Studies

Start Date Start Date

DAY

/ /

MONTH

/ /

YEAR

End Date End Date

DAY

/ /

MONTH

/ /

YEAR

DAY

MONTH

YEAR

DAY

MONTH

YEAR

Start Date Course

DAY

MONTH

YEAR

End Date

DAY

MONTH

YEAR

Expected entry into SHA Diploma or Bachelor Degree

IDENTIFICATION

January

July

Y ear

Family Name: Given Names: English Name (if applicable): Date of Birth:
DAY

Permanent Home Address (if different from mailing address):

MONTH

YEAR

Sex:

Male

Female Address in Australia (if known):

Address for Correspondence (mailing address):

Tel: Email:

Fax:

CRICOS Provider: 00561M Educational Enterprises Aust Pty Ltd

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ENGLISH AND ICHM FOUNDATION APPLICATION FORM

INTERNATIONAL STUDENTS

Nationality: Are you a citizen or permanent resident of Australia? If yes, please provide evidence of citizenship or residency, eg. A certied copy of your birth certicate, passport, citizenship certicate or visa. Unless verication is supplied, you will be classed as an International Student. Supporting documentation must be attached Please nominate the Australian Embassy or High Commission at which your visa application will be processed.

Name of Qualication: School Attended: Country/State: Y Awarded: ear Language of Instruction: Please attach certied copies of your academic qualications, translated to English if necessary.
tear off form here ICHM Application Form. If form is missing, contact ICHM or download from ICHM website: www.ichm.edu.au

Supporting documentation must be attached

Passport Number: If you are currently studying in Australia, please complete the following: Medibank Membership Number: Visa Type:
ENGLISH PROFICIENCY

Expiry Date:

DAY

MONTH

YEAR

Expiry Date: Expiry Date:

DAY

/ /

MONTH

/ /

YEAR

DAY

MONTH

YEAR

If you are an International student, please provide details of your English language qualications. IELTS (Score)
ACCOMMODATION

TOEFL (Score)

Date Obtained

DAY

MONTH

YEAR

Supporting documentation must be attached

Do you want Eynesbury to arrange accommodation for you?

No

Yes - If yes, what type of accommodation?

Homestay (full board) Homestay (part board)

Student Residence (full board)

(Breakfast and dinner provided Mon-Fri)

Independent Rental Property (min 6 months)

(Assistance is given to nd suitable property, but cannot be arranged prior to arrival)

Student Residence (part board)

(Students over 18 only - no meals provided)

AIRPORT PICK-UP

Do you require Airport pick up?

Y es

No

This is a free service if accommodation is arranged for you. Please notify Eynesbury at least one week prior to your ight and we will meet you at Adelaide airport and take you to your accommodation address.

DECLARATION

I declare the information I have supplied on this form is, to the best of my understanding and belief, complete and correct. I understand the giving of false or incomplete information may lead to the refusal of my application or cancellation of enrolment. I give permission to obtain ofcial records from any educational institution attended by me. I also authorise Eynesbury to supply any relevant ofcial records to educational institutions to which I am seeking admission and to government bodies. I also understand that my fees may increase (usually not more than 5% annually). I accept liability for payment of all Eynesbury fees as explained in the ICHM prospectus, and I agree to abide by the Eynesbury Refund Policy as specied on the Eynesbury website www.eynesbury.sa.edu.au. I have also read the section in the ICHM prospectus relating to the cost of living and I understand that living expenses in Australia may be higher than in my own country and I conrm that I am able to meet these costs. Applicants Signature: Parents Signature (if under 18):

Date:

DAY

MONTH

YEAR

Date:

DAY

MONTH

YEAR

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CRICOS Provider: 00561M Educational Enterprises Aust Pty Ltd

Notes

Notes