DEV .Net 4.0 VER
Online Application


If you are an agent, you must log in first, before filling in this application form. Click here to log in.

Fill in the form below and press the 'Submit Application' button at the bottom of the page.

Please use only English characters when typing to complete the form.

Click here for help Note: An asterisk (*) means a required field
1. Personal Details
Family Name:*
Given Names:*
Middle Name:
English or Preferred Name (if any):
Date of Birth:* Day:    Month:     Year:
Country of Birth:*
Country of Citizenship:*
First Language:*
Passport Number:
Passport Expiry:
Passport Country of Issue:
Place of Birth on Passport:
Student Email:*
Agent Email: (if applicable)
Are you an Australian or
New Zealand citizen:*
Have you applied for Australian Permanent Residency:*
Do you have any disability that may require extra services or special consideration, e.g. wheelchair, blindness etc*
2. Student Contact Details
Address line 1:* 100 chrs
Address line 2: 50 chrs
Suburb: 50 chrs
City / Province:* 50 chrs
State / Territory:* 20 chrs
Postal code: 10 chrs
Home Telephone:* Numbers only please
Student Mobile:* Numbers only please
2a. Overseas Student Health Cover (OSHC)
Students applying for a student visa must have OSHC cover for the length of the packaged programs in accordance with the conditions of their student visa.*

3. Scholarship
Do you have a Scholarship provider?*
4. Academic History
Provide below details of the highest level of studies attempted. You will need to upload certified copies of academic records to IES once you receive your username and password to login into MyFy. An official translation in English is also required if this documentation has been issued in another language.
Name of Studies/Exam:*
(eg Senior, HSC, GCE, SMU)
School Country:
5. English Proficiency
Have you completed an IELTS or a TOEFL test in the last twelve months?*
Do you intend to sit for an IELTS or TOEFL test in the immediate future?*
6. Select Desired Program
Which undergraduate program will you enter after you complete the course?
Undergrad Aim 1:*
Major (if required):
Undergrad Aim 2:*
Upon succesful completion of the IES online Certificate IV in University Preparation, please nominate which university in Queensland you intend to progress to:
Preferred university*
NOTE: Progression to some university degree programmes may require evidence of an external English proficiency test. Some programs may not have both semester one and semester two commencements.
7. Select Subjects to Study
You will be emailed login information for our Moodle learning management system after your enrolment has been completed.

After receiving your login information, you must complete the orientation section in Moodle, you will then have access to subject selection.

You must select your subjects before the commencement of studying.
All of your online lessons are in the Moodle teaching and learning site. An email will be sent to your personal email address about the Moodle Online Induction. You must complete the Online Induction before you can choose your subject stream.
Please select the three subjects that you would like to study (these are additional to the compulsory Mathematics and Academic English for University Studies)

Please note that these can easily be changed after your enrolment has been processed.
Subject 1:* 
Subject 2:* 
Subject 3:* 
8. Parent / Guardian Information
9. Emergency Details
Please provide contact details for your doctor. In case of an emergency while studying in Australia, local doctors or a hospital or the Health Insurance Company may wish to contact your doctor.
Doctor's Name:
Doctor's Office Address:
Doctor's Office Telephone:
Doctor's Office Facsimile:
Doctor's Office eMail:
Medical Notes:
Medical Condition:
Medical History:
Medical Treatment:
10. Agency Services
Are you using an Agent?*
11. University of Queensland Referral
Have you made a prior application to the University of Queensland for an Undergraduate Programme?*
11. Accommodation
Do you want assistance in obtaining accommodation?
Do you require airport pickup and transfer?
11. Method of Referral
How did you find out about IES?*
12. Visa Requirements
Do you hold a current Australian Visa?*
NOTE: You do not require a visa to study the online Certificate IV in University Preparation program from your country of residence.
13. Declaration
I have read, understood and agree to abide by the Terms of Enrolment, including the Refund Policy applicable to my chosen program(s), located at:
I understand that it is my responsibility to provide all necessary documentation to support this application. Further, I authorise IES to obtain further information where necessary. I understand that if I provide incorrect or incomplete information, it may result in the cancellation of my enrolment.
I am aware of the extent of the tuition and living costs associated with studying my chosen program(s) at IES and I am prepared to meet these costs.
I will make every endeavour to meet the requirements of my chosen program(s) and maintain satisfactory academic progress and attendance. Further I accept that IES will determine the grades that I achieve in my chosen program(s).
*I hereby allow IES to take and use images and video of me for use on the IES Website, on IES Social media platforms, and in IES Marketing collateral. Further, I understand that if I do not wish for IES to use my image as described above, I can opt out by not ticking this box.
I understand that IES may use the VEVO website to confirm my visa status and conditions.
I understand that this declaration and the availability of IES' complaints and appeals processes does not remove the right to take further action under Australia's consumer protection laws.
I understand that a description of the Australian Government regulations which regulate programs for international students can be found at: