Application Form Application Form Application Form for students Course SelectionCourse Selection*Be a StartUp Bangkok 2022 6 MonthsBe a StartUp Dhaka 2 Day WorkshopBe a StartUp Dhaka 2022 6 MonthsBe a StartUp Koh Samui - Vienna - SydneyBe a StartUp (DOUBLE - Certificate IV’s Marketing and Communication BSB40820 + Entrepreneurship and New Business BSB40320) 1 yearBe an Entrepreneur (Certificate IV's and Diploma of Marketing and Communication (MKTG) + Diploma of Leadership and Management (MGMT) BSB40820 + BSB40320 + BSB50420) 3 yearsBe a Marketer (Certificate IV and Diploma of Marketing and Communication BSB40820 + BSB50620) 1.5 yearsBe a Manager (Diploma of Leadership and Management BSB50420) 1 yearBe a Leader (Diploma and Adv Diploma of Leadership and Management BSB50420 + BSB60420) 2 yearsBe a Leader (Advanced Diploma of Leadership and Management BSB60420) 1 yearPreferred start date (Please refer to MnM Academic Calendar)*Be a StartUp Dhaka 2 Days WorkshopIncubator 2023 12 WeeksBe a StartUp Bangkok 2022Be a StartUp Dhaka 2022January 2023February 2023April 2023May 2023July 2023August 2023September 2023October 2023How do you rate your computer skills* Beginner or new computer user Average user Above average user Advanced user Computer expert MnM Enrolment Form Please complete, sign and send it to us along with your supporting documents in English. Languages other than English should be submitted along with a translation from a certified translator. Applicants must provide authorised original documentation or certified copies of their academic certificates. Personal DetailsFamily Name (Surname)*Given Name*Date of Birth* Date Format: DD slash MM slash YYYY Sex*MaleFemaleWhat is the address of your usual residence ? Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home. If you are from a rural area use the address from your state’s or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.Address in Australia*Flat/unit detailsStreet name*Suburb, locality or town*State/territory*Postcode*Phone*Email* Postal address - Not compulsory, please, as sometimes it's the same as residential address: Address in AustraliaFlat/unit detailsStreet nameSuburb, locality or townState/territoryPostcodePhone*Email* Overseas / Family ContactsThis person must be Your family member, Brother, Sister, Mother or any other close relative.Name*Phone*Address*Country*Email*Whats Your Relation to this person ?*Emergency Contacts in Australia ( Optional )You need to trust this person, who lives currently in Australia NamePhoneAddressWhats Your Relation to this person ?EmailVisaWhere are You From ?*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweWhich kind of visa are you holding at the moment?*NoneTourist VisaWork & HolidayStudent VisaOtherExpire date of visa? Date Format: DD slash MM slash YYYY Expire date of visa? Date Format: DD slash MM slash YYYY Expire date of visa? Date Format: DD slash MM slash YYYY Name of the visa?Expire date of visa? Date Format: DD slash MM slash YYYY Did you ever had your visa application refused ? Yes No For what reason ?Are you planning to apply for a different visa after or during the course at MnM institute?* Yes No Which Visa ?AgencyDo You have an Agent ?* Yes No Whats the name of Your Agency ?*Name of Your Agent*Language and Cultural DiversityDo you speak a language other than English at home ?* Yes No Other - Please specify*If more then one language, indicate the one is spoken most oftenHow well do you speak English ?* Very Well Well Not Well Not at all Are you of Aboriginal or Torres Strait Islander origin ?* No Yes, Aboriginal Yes, Totters Strait Islander Do you consider yourself to have a disability, important or long-term condition ?* Yes No If you indicate the presence of a disability, impairment or long-term condition, please select the area(s) in the following list*You may indicate more then one area Hearing/deaf Physical Intellectual Learning Mental Illness Acquired brain impairment Vision Medical condition Other Other - Please specify*SchoolingWhat is your highest COMPLETED school level?* Year 12 or equivalent Year 11or equivalent Year 10 or equivalent Year 9 or equivalent Year 12 or below Never attended school In which YEAR did you complete that school level*Are you still attending secondary school* Yes No Previous Qualifications AchievedHave you SUCCESSFULLY completed any of the following qualifications ?* Yes No if YES, then please specify Bachelor degree or higher degree Advanced diploma or associate degree Diploma (or associate diploma) Certificate IV (or advanced certificate/technician) Certificate III (or trade certificate) Certificate II Certificate I Certificate other then the above EmploymentOf the following categories, which BEST describes your current employment status* Full-time employee Part-time employee Self employed - not employing other Employer Employed - unpaid worker in a family business Unemployed - seeking full-time work Unemployed - seeking part-time work Not employed - not seeking employment Of the following categories, which BEST describes your main reason for undertaking this course/traineeship/apprenticeship?* To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion It was a requirement of my job I wanted extra skills for my job To get into another course of study For personal interest or self-development Other reasons Other - Please specify*Health InsuranceDo you have a Health Insurance?* Yes No Would you like MnM to arrange a Health Insurance for you?* Yes No Phone and EmailPhone*Email* Supporting DocumentsCopy of passport (Biographical page)*Copy of visa status and expiry date*Academic transcript from previous college*Proof of English and time studied*Work experience details, position descriptions and/or statements from employers*90-second video*Explain the reason why you would like to study at MnM Institute and how we can help you with planning your future ( Please paste URL address of your video from Youtube, Vimeo, DropBox, Google Drive or any other video channel ) Declaration Terms & Conditions By submitting the MNM Application Form, I declare that: The information provided by me in this application form is correct. I agree to comply with the rules on admission and enrolment of MnM Institute. If I instruct an agent to complete this application form on my behalf, I do so on the basis I have read, understood and accepted MnM Institute’s term and conditions of enrolment. I also acknowledge that I have read and understood all other relevant information contained on the MnM Institute website. Application Fee Payment: The application fee is AU$250, is non-refundable, and must be received prior to receiving the MnM Institute “Letter of Offer”. Payment instructions are provided on submitting this form. Download or check 2018 Students HandBook Acceptance of Enrolment Once we receive your application form and supporting documents, you may be asked to undertake an interview. Successful applicants will be issued a Letter of Offer, Written Agreement and Tax Invoice. Your signed Written Agreement is required and payment of a deposit to secure your place in the course and issue of an Electronic Confirmation of Enrolment (eCOE). Some applicants may be issued a Conditional Letter of Offer if some entry requirements have not yet been met. Applicants with a Conditional Letter of Offer must meet the conditions of the offer before they can finalise their enrolment and enrol in specific units of study. Enrolment policies and procedures are available at www.mnminstitute.com Application fee US $45 is required and non-refundable Electronic funds transfer is accepted via the bank account details below Bank name ANZ Account name mnm institute Account number 187867295 BSB number 012172 Once you complete a payment, please attach a proof of payment here* Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.