Student Personal Infomation 学生个人资料
Name 姓名：		Given Name/名 Family Name/姓
Father's name 父亲姓名：
Mother's name 母亲姓名：
Sex M/F 性别：		F/男 M/女
Date of Birth(DD/MM/YY) 出生日期：		Year/年 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Month/月 1 2 3 4 5 6 7 8 9 10 11 12 Day/日 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Country of Citizenship 国籍：
Address in Home Country 中国住址：
Phone(Office) 电话（工作）：
Phone(Home) 电话（住所）：
Fax 传真：
Educational Background 教育背景资料
Level of Education Completed 完成教育程度：
Current Study at year 现在就读年级：
Level of English 英文程度：
Schools/Courses/Majors 所选学校/课程/专业
[MLC]English for Academic Purposes(EAP) 大学预备英语(A$320/per week)：
[MLC]High School Preparation(HSP) (Carlton/Box Hill Campus;A$360/per week) 高中预备英语：
Proposed Start Date of MLC 开始日期：		Year/年 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Month/月 1 2 3 4 5 6 7 8 9 10 11 12 Day/日 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
STOTT'S COLLEGE 斯道兹学院课程：		Please Select(请选择)… Year 10(10年级) A$12,500 Year 11(11年级) A$14,000 Year 12(12年级) A$14,000 VCAL(职业高中) A$14,000 Diploma(大专文凭) A$10,000
Other 其它高中：
Proposed Start Date of STOTT'S 开始日期：		Year/年 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Month/月 1 2 3 4 5 6 7 8 9 10 11 12 Day/日 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Accommodation and Airport Pick-up 寄宿安排及接机服务
Airport Pickup Required 接机：		Yes/需要 No/不需要
Flight Number&Date 航班及日期：		Number/航班 Date/日期 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Month/月 1 2 3 4 5 6 7 8 9 10 11 12 Day/日 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Homestay Required 寄宿家庭：		Yes/需要 No/不需要
Agency Details 留学中介资料
Company Name 公司名：
Address 地址：
Telephone 电话：
Fax 传真：
Mobile Phone 手机：
Contack Person 联系人：
Signature 申请人签字：
Signature by Parents 申请人父母：

文件下载：

·Application Form - Stotts 2009.pdf

·Application Form- MLC 09.pdf

·Application Form - MLC 200801.doc

·MLC account number02.doc

·ESOS_FrameWork_pdf03.pdf

·MLC ACCEPTANCE FORM-504.pdf

·Under 18 Accommodation form05.pdf

·MLC_Homestay_app_in English-206.pdf

·MLC_Homestay_app_in English-107.pdf

·MLC Guardianship Form08.doc

·Refund Form of MLC & Stotts09.jpg

·AGENCY AGREEMNT PART 2[1]10.doc

·AGENCY AGREEMEN PART 1[1]11.doc