Agriculture Enrolment

Offer of Enrolment

Bachelor of Business(Agriculture)
Course ID – CRS1201331
By completing this form, I accept the offer of enrolment by Marcus Oldham College (ABN 50 071 444 409), a company limited by guarantee, of a place in the Bachelor of Business (Agriculture) program, for entry in the year 2025.
Student Details
Student Number*

You can find this at the top of your offer letter
USI Number*

(Unique Student Identifier) www.usi.gov.au
Full Legal Name*
First Middle Last
Please enter your name so it matches the name on your official birth certificate/passport.
Gender*
- Female
- Male
- Indeterminate/Intersex/Unspecified
Date of Birth*

Please enter your full date of birth date including complete year
Mobile*
Home Phone
Personal email*

Please provide a personal email address.
Residential Address*
Street Address Address Line 2 City State / Territory Postcode Country
Is your postal address the same as your residential address?*
- Yes
- No
Postal Address*
Street Address Address Line 2 City State / Territory Postcode Country

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Residential Accommodation
Please indicate your intention regarding residential accommodation*
- I wish to live on-campus
- I will be a non-residential student
I acknowledge that Marcus Oldham College has no obligation to provide student accommodation; however, the College does have limited student accommodation facilities with rooms being subject to allocation following receipt of payment of deposit and return of all acceptance paperwork. I further acknowledge that should all rooms be allocated; Marcus Oldham College has no responsibility to arrange alternative accommodation. If this situation arises, it is my responsibility to organize my own accommodation, and I shall be placed on a waiting list and advised if a room becomes available in the Marcus Oldham facilities.*
I agree to the following
I acknowledge that Marcus Oldham College has no obligation to provide student accommodation; however, the College does have limited student accommodation facilities with rooms being subject to allocation following receipt of payment of deposit and return of all acceptance paperwork.

I further acknowledge that should all rooms be allocated; Marcus Oldham College has no responsibility to arrange alternative accommodation. If this situation arises, it is my responsibility to organize my own accommodation, and I shall be placed on a waiting list and advised if a room becomes available in the Marcus Oldham facilities.

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Parent/Guardian Details
Could you please provide the following information in relation to parents/guardians? This information is part of a reporting requirement by the Commonwealth Government, Department of Education, Employment & Workplace Relations (DEEWR). This information will only be given to DEEWR.
Parent/Guardian 1*
First Last
Date of Birth*

Please enter full date of birth date including complete year
Relationship to you*
Mobile*
Home Phone
Email*
Postal Address*
Street Address Address Line 2 City State / Territory Postcode Country
Highest level of Education achieved*
I have:*

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Parent/Guardian Details
Could you please provide the following information in relation to parents/guardians? This information is part of a reporting requirement by the Commonwealth Government, Department of Education, Employment & Workplace Relations (DEEWR). This information will only be given to DEEWR.
Parent/Guardian 2*
First Last
Date of Birth*

Please enter full date of birth date including complete year
Relationship to you*
Mobile*
Home Phone
Email*
Postal Address*
Street Address Address Line 2 City State / Territory Postcode Country
Highest level of Education achieved*

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Payment of Fees
Fee Payer Details
Name of Fee Payer
First Last
Mobile*
Home Phone
Email*

Accounts will be emailed unless postal requested.
Postal Address*
Street Address Address Line 2 City State / Territory Postcode Country
Fee Payer Declaration*
I agree
In consideration of your offering, at my request, the above-named student enrolment at Marcus Oldham College, I agree to be jointly and severally liable with him/her for payment of all fees and contributions payable by him/her to the College. Any concession for extension of time you may grant to the student for payment of fees and contributions shall not affect this guarantee.
Fee Payer Signature*

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Finance Agreement
Please read the finance agreement here.
Declaration*
I declare I have read and understood the Finance Agreement linked above

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How will your fees be paid?*
To enable the College to correctly and efficiently administer payment of student fees would you indicate below what method you will use to pay your fees:
- Full Fee-Paying Student
- Full Fee-HELP Student
- Partial Fee-HELP Student
Please provide bank account details for refunds and credits.
Bank Name*
BSB*
Account number*
Account Name*
Remember that FEE-HELP student loans do not cover Residential Fees and Charges. See www.studyassist.gov.au for complete information on FEE-HELP.
Declaration*
I agree to be bound by these terms and conditions
I certify that I have read and understood the Terms and Conditions of this Agreement. and certify that I agree to be bound by these Terms and Conditions.
Name*
First Last
Student Signature*

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Student Emergency Contact Details
Emergency Contact 1*
First Last
Relationship to student*
Mobile*
Emergency Contact 2*
First Last
Relationship to student*
Mobile*

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Student Vehicle Information

This is the vehicle you are bringing to College. You must keep you vehicle details up to date with the College
I am*
- Bringing a vehicle to College
- Not bringing a vehicle to College
Vehicle Registration Number*
State Vehicle is Registered*
Vehicle Make*
Vehicle Model*
Vehicle Year*
Vehicle Colour*

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COVID Declaration
It is recommended that any Staff or Students attending the College be Fully Vaccinated against COVID-19.
The College recommends that vaccination be undertaken on the advice of an accredited health practitioner (including health practitioners at any authorized COVID-19 vaccination centre).
For College sanctioned off-campus activities that involve members of the public (for example study tours), staff and students who facilitate these activities must consider CovidSafe measures including vaccination as part of the risk assessment for that activity.
Are you fully vaccinated against COVID-19?
- Yes
- No

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Prior Criminal History
Have you ever been convicted, been found guilty of charges with a criminal offence?*
- No
- Yes
Please provide details and attach any relevant documentation. We may require you to provide a consent for a police check.*

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If any personal details provided change prior to your arrival at, or return to the College, please advise the Student Services Officer by email at courses@marcusoldham.vic.edu.au If you have any questions or concerns, please contact the Student Services Officer by email or by phone at 03 5247 2911
Declaration*
I agree to the following
I have read the obligations detailed here, and I agree to be bound by them and by any amendments to them that have been notified to me in writing and to which I have agreed.

I have accepted my place by paying my acceptance fee by direct deposit into the College account, paid by credit card or posted a cheque for $1000.

This personal information will be held by the College to manage your progress through your chosen course. If any of these details change prior to your arrival at the College to commence your course of study, would you please inform us to enable us to update our records.

I acknowledge that the personal information provided by me will be held securely and my privacy respected, that this information may be used to keep me informed of College activities and that Marcus Oldham College has the right to discuss my academic performance with the fee-payer.

I agree to the College using my photograph, and or statements made by me in College publications and media advertising.

I have/or agree to apply for a current passport to enable me to travel internationally as part of my course of study.

I understand that the information collected on this form is to enable Marcus Oldham College to assess my application, create a record on its student records system, undertake statistical analysis and meet statutory reporting requirements. This information will be accessed by Marcus Oldham staff strictly for these purposes and disclosed to State and Australian Government agencies where required by law and the Fund Manager of the ESOS Assurance Fund as required under the Education Services for Overseas Students (ESOS) Act 2000 and the National Code 2007 of that Act.
Name*
First Middle Last
Signature of Student

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Acceptance Fee Payment

To confirm your acceptance, we require the payment of an acceptance fee of $1000.00. This acceptance fee is non-refundable. If you commence your studies at the beginning of your enrolled year, the acceptance fee will be credited to your fee account. Payment is accepted by Credit Card, Direct Deposit and Cheque.
I would like to make my payment by:*
- Credit Card Online
- Credit Card by Phone
- Direct Deposit
- Cheque
Acceptance Fee
Price:
Total
$ 0.00
Credit Card*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
If you would like to pay by credit card by phone, please call our Finance Officer, Cathy Bent, on 03 5247 2905. Cathy is available Monday to Friday, 9:00 - 4:30pm AEST.
Please make a payment to the following account and include your surname and student ID as the payment description.

BSB 013-523

Account: 2538 603 16

Account Name: Marcus Oldham College
Please send a cheque made out to Marcus Oldham College to:

Private Bag 116, Geelong Mail Centre, Victoria, 3211, Australia
Comments
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Agriculture Enrolment

Step 1 of 14

Offer of Enrolment

Bachelor of Business(Agriculture)

Student Details

Residential Accommodation

Parent/Guardian Details

Parent/Guardian Details

Payment of Fees

Finance Agreement

Student Medical Information

Student Emergency Contact Details

Student Vehicle Information

Prior Criminal History

Acceptance Fee Payment