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INTERNATIONAL APPLICATION FORM

I wish to apply for enrolment in the following course(s) [Please tick selected course(s) and appropriate date and include year of study] ADELAIDE PROGRAMS Le Cordon Bleu Masters Programs Adelaide
c Master c

Note: all course fees are listed in $AUD Apr _ _


c c

of Business Administration (International Hotel & Restaurant Management) Master of International Hospitality Management c Graduate Diploma in International Hospitality Management c Graduate Certicate in International Hospitality Management of Business (International Hotel Management) of Business (International Restaurant Management) of Business (Food Entrepreneurship) of Business (Wine Entrepreneurship)

Jan _ _

Jul _ _ Jan _ _

c c

Sept _ _ 1 1/2 yrs July _ _ 2 yrs 1 yr 6 mths July _ _ 3 yrs _ _ 3 yrs _ _ 3 yrs July _ _ 3 yrs

$37,950 $37,950 $27,600 $13,800 $69,500 $69,900 $71,600 $71,500

Le Cordon Bleu Bachelor Degree Programs Adelaide


c Bachelor c Bachelor c Bachelor c Bachelor

Yr 1: $23,700 Yr 2: $ $21,800 Yr 1: $24,100 Yr 2: $ $21,800 Yr 1: $24,100 Yr 2: $ $23,500 Yr 1: $23,000 Yr 2: $ $24,500

Yr 3:$24,000 Yr 3:$24,000 Yr 3:$24,000 Yr 3:$24,000

c Jan c Jan c Jan c Jan

__ __ __ __

c July c

c July

Le Cordon Bleu Culinary Management Programs Adelaide Cuisine - Diplme Avanc de Gestion Culinaire (Cuisinier) c Certicate III in Hospitality (Commercial Cookery) SIT30807 c Jan _ _ c July _ _ $27,800 c Advanced Diploma of Hospitality SIT60307 c Jan _ _ c July _ _ $24,200 Total Tuition Fee: Advanced Diploma of Hospitality Ptisserie - Diplme Avanc de Gestion Culinaire (Ptissier) c Certicate III in Hospitality (Ptisserie) SIT31107 c Advanced Diploma of Hospitality SIT60307 Tertiary Preparation Program SAIBT Adelaide
c c Certicate c Jan c Jan

$52,000

__ __

c July c July

_ _ $27,800 _ _ $24,200 $52,000

Total Tuition Fee: Advanced Diploma of Hospitality

Certicate IV (12 months program) IV (8 months program) University Entrance Certicate IELTS 5.06.5 Administration Fee Prefered intake month _ _ _ _ _ No. wks _ _ _ _ _

c June

Feb _ _ c June _ _ 1 yr _ _ c Oct _ _ 8 mths

$15,800 $15,800 $370/wk $190

English Language Programs CELUSA Adelaide


c

SYDNEY PROGRAMS Le Cordon Bleu Bachelor Degree Programs Sydney


c Bachelor c Bachelor

of Business (International Hotel Management) of Business (International Restaurant Management)

Yr 1: $23,700 Yr 2: $ $21,800 Yr 1: $24,100 Yr 2: $ $21,800

Yr 3:$24,000 Yr 3:$24,000

c Jan c Jan

__ __

July _ _ 3 yrs _ _ 3 yrs

$69,500 $69,900

c July

Le Cordon Bleu Culinary Management Programs Sydney Cuisine Basic Cuisine Intermediate Cuisine c Superior Cuisine Certicate III in Hospitality (Commercial Cookery) SIT10212 (In addition to a work-based component over 6 months) c Certicate IV in Hospitality (Commercial cookery) SIT40407 c Advanced Diploma of Hospitality Management SIT60307 (6 months)
c c

Jan _ _ Jan _ _ c Jan _ _


c c c c

Apr _ _ Apr _ _ c Apr _ _


c c c c

July _ _ July _ _ c July _ _


c c c c

Oct _ _ Oct _ _ c Oct _ _


c c c c

$8,400 $8,900 $10,500 $12,100 $12,100 $52,000

Jan _ _ Jan _ _

Apr _ _ Apr _ _

July _ _ July _ _

Oct _ _ Oct _ _

Total Tuition Fee: Advanced Diploma of Professional Culinary Management Ptisserie Basic Ptisserie Intermediate Ptisserie c Superior Ptisserie Certicate III in Hospitality (Ptisserie) SIT31112 (In addition to a work-based component over 6 months) c Certicate IV in Hospitality (Patisserie) SIT40707 c Advanced Diploma of Hospitality Management SIT60307
c c

Jan _ _ Jan _ _ c Jan _ _


c c c c

Apr _ _ Apr _ _ c Apr _ _


c c c c

July _ _ July _ _ c July _ _


c c c c

Oct _ _ Oct _ _ c Oct _ _


c c c c

$8,400 $8,900 $10,500 $12,100 $12,100 $52,000 $1,025 $2,200 $2,245

Jan _ _ Jan _ _

Apr _ _ Apr _ _

July _ _ July _ _

Oct _ _ Oct _ _

Total Tuition Fee: Advanced Diploma of Professional Culinary Management Additional Fees
c c c

Theory Bridging Program [Applicable for credit transfer]

Wsthof / Le Cordon Bleu Toolkit & Cuisine Chef Uniform [Compulsory for all culinary programs] (Inc GST) Wsthof / Le Cordon Bleu Toolkit & Ptisserie Chef Uniform [Compulsory for all culinary programs] (Inc GST) Jan _ _ Apr _ _ July _ _ Oct _ _

English for Hospitality - English preparation for Le Cordon Bleu at TAFE NSW - Northern Sydney Institute (NSI) (CRICOS Code 00591E) Full time course fee: $395/week Materials fee: $80/10 week enrolment period Number of Weeks: __________ (based on IELTS or pre-test) ELS - Universal English College - English Language Programs Universal Education Centre Pty Ltd (CRICOS Code 00053J) - Sydney Preferred intake month ___________ Number of Weeks __________ Materials Fee 1-45+wks: $70 - $350/wk Full Time Courses Enrolment Fee 1-45+wks: $400 - $330 /wk $240
c c c c

Page 1 Correct as at 19th November 2013 Le Cordon Bleu Australia Pty Ltd CRICOS Provider SA: 01818E NSW: 02380M

Personal Details (please write clearly in block capitals)


Surname/Family Name (As per Passport) First Name(s) (As per Passport) Title (e.g. Mr, Miss) Date of Birth (D) (M) (Y) Passport No Are you holding a current Australian Visa? If Yes, please advise visa type At which Embassy will you apply for your student Visa Address [Street, Town, Country] Post/Zip code Phone No [Area Code and Number] Email Address Permanent Home Address [if different from above] Address [Street, Town, Country] Post/Zip code Emergency Contact Name Address [Street, Town, Country] Post/Zip code Phone No [Area Code and Number] Email Address Is this the rst time you have enrolled with Le Cordon Bleu?
c c

Previous Name(s) Gender c Male c Female Country of Birth Nationality (As per Passport) Yes No
c

Expiry date

Fax No Mobile/Cellular No

Relationship

Fax No Mobile/Cellular No

Yes

No

If NO, then state year study was commenced and Le Cordon Bleu ID: I will by studying
c c

Full Time On Campus

c c

Part Time Online

Hospitality or Associated Industry Experience Please provide evidence of your work experience. Position Held Country Undertaken Name of Establishment Length of Time (years/months) Documentation Yes No

Education Please provide details of all education and training that you have successfully completed or part-completed and attach certied copies of all formal documents with this application (attach additional sheet if necessary). Award/Qualication Name of Institution or School State/Country Undertaken Years Attended Started Ended Award Completed Yes / No Certied Doc Yes / No

Last year of secondary school (YYYY) Australian Tertiary Admission Rank [ATAR] (applicable to student who completed Year 12 in Australia) Postcode of permanent home address during last year of secondary school Name of suburb/town during last year of secondary school Have you attended a previous higher educational provider? (HEP) Correct as at 19th November 2013
c

Yes c No

Page 2

Le Cordon Bleu Australia Pty Ltd CRICOS Provider SA: 01818E NSW: 02380M

English Language Prociency


c Yes c No Is English your rst language? c Yes c No Have you studied at secondary or tertiary level with English as the language of instruction? If you are enrolled, or are planning to enrol, in English Language studies, give details below: Institution: Level: Commencement Date (day/month/year) / / IELTS Academic score: TOEFL score: English language test date: Please provide documentary evidence of English language prociency with your application

Highest level of education completed by your parent(s)/guardian(s) 1 Highest level of education completed by your parent(s)/guardian(s) 2 Gender c Male c Female c Postgraduate qualication (e.g. Postgraduate Diploma, Masters, PhD)
c c

Gender c Male c Female c Postgraduate qualication (e.g. Postgraduate Diploma, Masters, PhD)
c c

Bachelor Degree

Bachelor Degree

Other post school qualication (e.g. VET/TAFE Certicate, Associate Degree or Diploma) Complete Year 12 schooling or equivalent Did not complete Year 12 or equivalent Complete Year 10 schooling or equivalent Did not complete Year 10 schooling or equivalent Dont know Not applicable

Other post school qualication (e.g. VET/TAFE Certicate, Associate Degree or Diploma) Complete Year 12 schooling or equivalent Did not complete Year 12 or equivalent Complete Year 10 schooling or equivalent Did not complete Year 10 schooling or equivalent Dont know Not applicable

c c c c c c

c c c c c c

Le Cordon Bleu aims to accommodate each students individual needs. Please indicate if there is any support you require for your studies as a consequence of medical conditions, physical disability and/or learning difculties, or if there are any services available of which you would like further information. (Please see www.lecordonbleu.edu.au/policies and the relevant student services webpage of your intended campus via www.lecordonbleu.edu.au )

Do you speak a language other than English at home? If more than one language, indicate the one that is spoken most often. Are you of Aboriginal or Torres Strait Islander origin? For persons of both Aboriginal AND Torres Strait Islander origin, mark both boxes Yes. No Yes, Aboriginal Yes, Torres Strait Islander What is your highest COMPLETED school level? Tick ONE box only. Year 12 or Equivalent Year 11 or Equivalent Year 10 or Equivalent Of the following categories, which BEST describes your current employment status? Tick ONE box only. Full-Time Employee Part-Time Employee Self-Employed Not Employing Others Employer Employed Unpaid Worker In A Family Business Unemployed Seeking Full-Time Work Unemployed Seeking Part-Time Work Not Employed Not Seeking Employment Your major reason for study? Tick ONE box only. Get A Job To Develop My Existing Business To Start My Own Business Year 9 or Equivalent Year 8 or Below Never Attended School To Try For A Different Career To Get A Better Job Or Promotion Are you still attending secondary school? Tick ONE box only. Yes No It Was A Requirement Of My Job I Wanted Extra Skills For My Job To Get Into Another Course Of Study For Personal Interest Or Self-Development Other Reasons

Page 3 Correct as at 19th November 2013 Le Cordon Bleu Australia Pty Ltd CRICOS Provider SA: 01818E NSW: 02380M

Recognition of Course Credit (If you wish to apply for Course Credit, please see www.lecordonbleu.com.au/policies) I will apply for Course Credit
c

Yes

No

The Course Credit process must be completed before enrolment can be nalised. In exceptional circumstances applications may be submitted after enrolment, but no later than the second week of the course for which Credit / RPL is being sought. No applications will be accepted after this time. Students should also read course descriptors in the prospectus. Applicants who receive RPL / Course Credit for a program may be required to undertake a bridging course (prior to commencement of that program) to ensure that all academic requirements are met prior to the awarding of the respective qualication. Applicants will be provided details of any required bridging course, including dates & duration, location of the course and associated tuition fees prior to Le Cordon Bleu Australia accepting any signed agreement and pre-paid course fees from the Applicant

Admission Procedures
1 Complete Application form and submit to Le Cordon Bleu Australia with the following documentation: High School Certicate / Diploma OR equivalent qualication (certied copies only) Academic transcripts (certied copies only) Letter of Completion from Tertiary Institution / University (certied copies only) English Language prociency result (IELTS preferred) if English is not your rst language Subject curriculum documentation and credit transfer form (if requesting Recognition of Prior Learning/course credit for subjects previously completed) Evidence of work experience evidence must be provided in the form of letter from employer stating dates of employment, position held, duties undertaken, number of hours worked) Curriculum Vitae Photocopy of Passport details 2 Upon receipt of application form and supporting documentation Le Cordon Bleu will assess the application and determine if the applicant meets all entry requirements and that there is availability of places in the course chosen. 3 If successful, Le Cordon Bleu will issue a Letter of Offer for a place in the nominated course. Credit Transfer is also assessed and any initial status granted will be stated in the Letter Of Offer. 4 The Letter Of Offer is emailed to the applicant or education agent. The Offer package includes: Acceptance of Offer Form / Fees, Refunds and Conditions Policy Partner Information (packaged offers only) Payment Details Credit Transfer and application form (if applicable) 5 Upon receipt of Letter Of Offer and if satised undertake the following Complete the Acceptance Of Offer form and return to Le Cordon Bleu Australia with: -Payment of rst semester tuition fees, additional fees and compulsory Overseas Student Health Cover fees as per invoice/LOO -Payment of AUD$250 Administration Fee. For information on Visas please visit www.immi.gov.au or contact the Le Cordon Bleu Australia ofce or your education agent 6 After receipt of tuition payment, completed and signed Acceptance Form, and the AUD$250 Administration Fee, Le Cordon Bleu Australia will issue a Conrmation Of Enrolment Package. 7 Overseas students are required to submit the electronic Conrmation Of Enrolment (eCOE) Certicate to the Australian Embassy/High Commission in their country, accompanied by an Application Form for a temporary student visa form 157A. Information on Australian student visas and application forms can be obtained from the following website: www.immi.gov.au 8 Once you have obtained your Australian Student Visa, you are able to book and pay for your ights to Australia. You should arrange to arrive in Australia at least 2 days before the commencement of the program as stated on your eCOE.

Checklist
For efcient processing of your application please ensure that you have provided all relevant documents by completing the checklist below. For more information regarding which documents are required, contact: admissionsaustralia@cordonbleu.edu (All documents must be translated into English) A copy of your passport Completed and signed application form c High school certicate / diploma or equivalent qualication (original or certied copies only) c Academic transcripts (certied copies only) c English Language prociency result (IELTS preferred) if English is not your rst language c Letter of Completion from Tertiary Institution / University (certied copies only) c Subject curriculum documentation (if requesting Credit Transfer for subjects previously completed) c Evidence of work experience c Curriculum Vitae
c c c

AUD$250.00 non-refundable Administration Fee (To be paid when you accept our offer of admission) Page 4

Please note that original or certied documents are required photocopies are not acceptable

Correct as at 19th November 2013

Le Cordon Bleu Australia Pty Ltd CRICOS Provider SA: 01818E NSW: 02380M

Payment Details
*Important: If transferring funds by telegraphic transfer or direct deposit, please inform the bank staff to enter your Student ID number (from the top of the Letter Of Offer) if you use this student ID number we will be able to verify receipt of your funds in our account and be able to quickly issue a COE package *Important: Please ensure that when a payment has been made into the Le Cordon Bleu bank account that a copy of the bank receipt is faxed or emailed to the ofce to ensure prompt processing of your payment, and issuance of a COE package. Fax No: +61 8 8346 3755 Postal: Le Cordon Bleu, Days Road, Regency Park, South Australia, 5010, Australia

Cheques/Bank Drafts Please make payable in Australian Dollars to: LE CORDON BLEU AUSTRALIA ESOS TRUST ACCOUNT and send to: Le Cordon Bleu Australia Pty Ltd., Days Road, Regency Park, South Australia, 5010, Australia Direct Bank Deposits / Telegraphic Transfers Account Name: Le Cordon Bleu Australia Esos Trust Account Swift Code: WPACAU2S Account No: 224645 Bank Name: Westpac Banking Corporation Bank Address: 2 King William Street, Adelaide, South Australia, 5000 Branch No: 035000 Mastercard and Visa Credit Card payments are accepted with no surcharge. However payments via American Express incur a 3% surcharge.

I acknowledge that all the information provided on this form is correct and declare that I have read and will abide by the terms and conditions in the Fees, Refunds and Conditions policy [www.lecordonbleu.com.au/policies]. I agree to be bound by Le Cordon Bleus rules and regulations, and acknowledge that all disputes arising from the details and conditions contained in the application shall be governed by and constructed in accordance with the laws of Australia and be submitted to the jurisdiction of the courts of Australia. I acknowledge the information contained in the LCBA Privacy Policy and thereby understand, as per legislated requirements, my personal information may be shared between the registered provider and the Australian Government and designated authorities such as the National Regulators TEQSA and ASQA and, if relevant, the ACPET Tuition Assurance Scheme and TPS Director. This information includes personal and contact details, course enrolment details and changes, and the circumstance of any suspected breach by the student of a student visa condition. I understand that my personal information will be made available on the Le Cordon Bleu world wide Database for Alumni purposes. I declare that I have read and understood each of the Codes of Practice, Le Cordon Bleus Policies and procedures and accreditation status as outlined at http://www.lecordonbleu.com.au. I understand that information contained within this document/application will be made available if relevant to the partnering institutions related with the delivery of the students programs e.g. CELUSA, SAIBT, UniSA, & TAFE

I __________________________________________________ agree to maintain a minimum of 80% attendance. Students who fall below this attendance rate will have to show why they should not be withdrawn. Signature of Applicant *Signature of Parent/Guardian (If under 18) Date Date

* Students under 18 years of age at time of course commencement will need to have appropriate accommodation and welfare arrangements approved by Le Cordon Bleu and DIAC. Please refer to www.immi.gov.au for further information. Please return this form to: Le Cordon Bleu Admissions Ofce, Days Road, Regency Park, South Australia, Australia 5010 Email: admissionsaustralia@cordonbleu.edu Website: www.lecordonbleu.com.au Telephone: +61 8 8348 3000 Facsimile: +61 8 8348 3081 CRICOS Provider No. (SA) 01818E (NSW) 02380M

Page 5 Correct as at 19th November 2013 Le Cordon Bleu Australia Pty Ltd CRICOS Provider SA: 01818E NSW: 02380M

Notes

Page 6 Correct as at 19th November 2013 Le Cordon Bleu Australia Pty Ltd CRICOS Provider SA: 01818E NSW: 02380M