For an internship in Australia

Application form : Australian internship placement

Fields marked with an asterisk(*) are required.

Section A - Personal details

Title: *	MrMsMissMrs	Given name: *
Family name: *
Date of birth: *		Gender:	MaleFemale
Nationality: *		Country of birth:
Passport number:		Visa number: (if applicable)

Postal address:		Home address:
Street: *		Street:
Town:		Town:
City: *		City:
Country: *		Country:
Postcode: *		Postcode:

Telephone: (+country code/area code) *

Mobile:

Email: *

Section B - Emergency contact details

Title:	MrMrsMissMs	Given name:
Family name:
Relationship to intern:

Postal address:		Home address:
Street:		Street:
Town:		Town:
City:		City:
Country:		Country:
Postcode:		Postcode:

Telephone (Home):

(+country code/area code)

Telephone (Business):

(+country code/area code)

Facsimile:

Mobile:

Email:

Section C - Visa related information

Are you currently in Australia? *

YesNo

Please state your Visa type or advise the visa type which you will apply: *

Section D - Application details

This application form is submitted by:

Self applicantMonash Professional registered agent

Section E - Internship details

The following are the details relating to the internship placement.

Length of internship: *

Start date: *

Visa required:

YesNo

Internship field: (Preference 1) *

Internship field: (Preference 2)

Internship field: (Preference 3)

City for internship: *

Express service:

YesNo

Speciality service:

YesNo

Insurance: *

Yes Exempt

Internship preparation program: *

YesExempt

Section F - English language proficiency

Please provide the following information relating to your English levels.

Are you enrolled in an English Language program to commencement prior to your internship?

YesNo

If yes, with which organisation?

MUELCOther

What is the duration of the English language program?

What is your level of English?

(A minimum of upper-intermediate is required for placement)

Beginner or Elementary
Intermediate(e.g. IELTS 5)
Upper-Intermediate(e.g. IELTS 6.0)
Pre-Advanced/Advanced (e.g. IELTS 7-8)
Native Speaker or equivalent (e.g. IELTS 9)

Section G - University accreditation

If your internship is for academic credit at your university, please complete the following details.

Is your internship for academic credit at your university?

YesNo

What is the required length of your internship?

What documentation is required at the completion of the internship for your university?

Section H - Other information

Please note that medical and police records are required during the visa application process.

Do you have any medical or health issues which may affect your internship?

YesNo

If yes, please specify

Are there any other factors that need to be considered prior to your placement?

YesNo

If yes, please specify

Section I - Other programs

I would like the following services to be provided. Refer to the link for details and prices.

Cambridge Work Experience Standard Certificate:

English Language program (ELICOS):

YesNo

Section J - Additional services

Complete this section if you require additional services such as accommodation.

Type of accommodation:

Number of weeks required: (minimum 2)

Airport pick up:

YesNo

Mobile phone handset package:

Section K - Payment summary

Program	Planning assistance
Internship:	Insurance:
Internship preparation:	Accommodation:
Cambridge certificate:	Airport pick up:
Service	Mobile phone:
Express service:	Visa:	Other than the 416 Visa, visas are the responsibility of the applicant.
Specialty placement:	Visa:
	Total:

- Pricing is exclusive of GST (10%) for application made from within Australia
- Full payment is required 4 weeks prior to commencement of your internship.

Option1:

Credit card type:

Credit card number:

Expiry date:

[mm/yyyy]

Name on card:

Amount paid: (minimum payment A$350 deposit)

Option 2:

Telegraphically transfer the full amount to Monash College Pty Ltd. Please note that any bank fees incurred are the responsibility of the payee. It is essential that you quote your name and invoice number with payment

BSB:

013 350

A/C no:

775800687

A/c name:

Monash College Pty Ltd

Bank name:

ANZ Bank

Swift code:

ANZBAU3M

Bank address:

Malvern, Victoria, Australia 3144

Section L - Documents

Please note your application is incomplete without these two documents:

A current Curriculum Vitae (CV), or resume
A Cover Letter to your host company explaining your preferences, future goals, ambitions, as well as a description of yourself and why you would like to do an internship in Australia

Please attach the following documents in Word/PDF/JPG/GIF/ZIP format:

(note there is a 6MB total limit for files)

Curriculum Vitae:*

Cover Letter:*

At some point during the process we will also require the following. Please upload these now if you wish:

Please attach the following documents in Word/PDF/JPG/GIF/ZIP format:

(note there is a 6MB total limit for files)

Copy of your passport bio-data page (personal details and photo page), plus any pages with visa labels or stamps:

Academic transcripts (in English):

English language proficiency documents (e.g. IELTS results) :

Any previous employer or personal references:

4 passport size photos:

Copy of letter and documents from your university (if for academic credit)

Section M - Terms & conditions

I have read and accept the Terms & Conditions of Monash Professional Internships.*

YesNo