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Note: That we are doing research for you based on the information you are providing to us right now.   The information you provide us will help us research into the best options for you for absolutely FREE and no obligations.

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Your Personal Details
First name:
Family name:
Address:
City:
Postcode:
Country:
Phone:	(include country and city codes)
Fax:	(include country and city codes)
E-Mail:
Your Date of Birth (Day/Month/Year):
Your Gender:	(please click and select) Male Female
Your Nationality:
Your Occupation:	(please click and select) Student Employed Looking for a job
Work Phone:	(include country and city codes)
Work Fax:	(include country and city codes)

Your Requirements - English Language Course
What type of English course do you want to do?	(please click and select) I'm not sure: I would like your advice General Intensive English English for Academic Purposes Business English English for Tourism & Hospitality IELTS, TOEFL or Cambridge Preparation English with Work Experience Executive Business English Other (please specify below)
If you chose "Other", please give details here:
When would you like to start your English course?
How many weeks do you want to study English?	(please click and select) I'm not sure: I would like your advice 5 - 10 weeks 10 - 20 weeks 20 - 30 weeks 30 - 40 weeks More than 40 weeks
If you chose "Other", please give details here:
Do you have a preference for a particular City or ELICOS Centre? (If you do, please give details):
Your Requirements - Further Studies
What type of further studies program do you want to do after your English course?	(please click and select) Postgraduate - Coursework (6 - 24 months) Masters by Research (24 - 36 months) PhD (3 - 4 years) PhD Offshore(3 - 4 years) Undergraduate Program (3 - 4 years) Undergraduate Study Abroad Program (6 - 12 months) Postgraduate Study Abroad Program (6 - 12 months) Vocational Education (6 - 12 months) complete my degree in Australia (1 - 2 years) Sports (Tennis, Kung Fu, Surfing, Jiu-Jitsu, etc.) Other - please specify below
If you chose "Other", please give details here, or use this space to give further details about your requirements:
What general academic field are you interested in?	(please click and select) Agriculture & Natural Resources Business & Management Communications Computing & Information Technology Dentistry Economics Education and Training Engineering and Technology Environmental Studies Health Sciences Hospitality & Hotel Management Humanities and Social Science Law Marine Science MBA Medicine Nursing Pharmacy Political Science Psychology Sciences Sport and Leisure TESOL Tourism Veterinary Science Other (please specify below)
If you chose "Other", please give details here, or use this space to give further details about your academic field:
Do you have a preference for a particular City or Institution? (If you do, please give details):
When do you want to begin your further studies?	(please click and select) as soon as possible it depends on the course February/2008 (First Semester) July/2008 (Second Semester) February/2008 (First Semester) July/2008 (Second Semester)
How long do you plan to do further studies in Australia?	(please click and select) 6 months 9 months 1 year 18 months 2 years more than 2 years
What type of Visa will you apply for?	(please click and select) I do not know yet, please advise me! Student Visa Tourist Visa
Your Background
What is your current level of English?	(please click and select) I am not sure: I would like your advice Beginner Elementary Lower-Intermediate Intermediate Upper-Intermediate Advanced
Do you have formal evidence of your current level? Please give details of the test (eg TOEFL, IELTS), your test score, and the test date. Otherwise, leave blank.
Would you like Australia Go to assess your current level of English and indicate how many weeks you need to study English to be accepted for further studies?	(please click and select) No, thank you. Yes, send me details of what I have to do.
What is your highest qualification (award)?
What is the exact name of this qualification?
What Institution gave you this qualification?
Where is this Institution located?
How many years does it take to gain this qualification?
What was your average grade?	out of
What other qualifications do you have and/or what course of study are you taking at the moment? Please give full details (qualification/course of study, institution, location, period of study, average grade):
If you are employed, what is your current position? (If you are not currently employed, leave this section blank)
What is the name of your Employer?
How long have you been with this Employer?
What (other) employment experience have you had that is relevant to your furher studies in Australia? Please give full details (position, employer, period of service):
How much money do you think you will need to study in Australia? (include costs of travel, fees, accommodation, living)	(please click and select) A$ 5,000 - A$ 10,000 A$ 10,000 - A$ 15,000 A$ 15,000 - A$ 20,000 A$ 20,000 - A$ 25,000 A$ 25,000 - A$ 30,000 more than A$ 30,000 Click Here: Automatic Calculator
What will be your source of financial support?	(please click and select) I am a private student supported by myself I am a private student supported by my family I am sponsored by my employer I am sponsored by my home government I intend to earn money in Australia to support myself My results are excellent, I hope to get a Scholarship
Your Confirmation
Do you confirm that you are serious about studying in Australia and that you want Australia Go to assist you?
How did you find Australia Go's Web site? What "Keyword(s)" did you use?
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