AMI Montessori 12-18 Diploma Application Form >AMI Montessori 12-18 Diploma Application Form AMI Montessori 12-18 Diploma Application Form Before you begin:Please make sure you have read through all the application requirements before you fill in the form. You have the option to email us the required documents separately after you have submitted this application form. If you have any questions, please don't hesitate to contact the administrative team at SMTC.Personal DetailsName* First Last Date of birth* MM slash DD slash YYYY Country of birth* Country of Citizenship* Please list all that apply. Gender* Female Male Other Prefer not to say Residential Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Postal Address (if different from residential address) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email address* Mobile number*Emergency contact detailsName* First Last Relationship* Mobile*Working with Children CheckFor Australian residents only.Working with Children Check Number:* WWCC Expiry Date:* DD slash MM slash YYYY Language and Cultural DiversityPlease select which applies.Residency status* Australia Citizen Permanent Resident in Australia Neither Please attach a letter verifying your visa eligbilityMax. file size: 8 MB.You may submit this documentation at a later date via email.Is English your second language?* No, English only Yes Please specify your first language* If more than one language, select the language most spoken.IELTS Result Drop files here or Select files Max. file size: 8 MB. IELTS is accepted as evidence of English language proficiency for study, work and migration in Australia, Canada, New Zealand and the UK. The minimum IELTS score for Australian immigration is 6. You may submit this document at a later date via email.Are you of Aboriginal or Torres Strait origin?* No Yes, Aboriginal Yes, Torres Strait Yes, Both Aboriginal and Torres Strait Individual Learning NeedsDo you consider yourself as having a disability, impairment or long-term medical condition that might affect your participation in this qualification?* No Yes Please specify:*If you selected Yes above, please indicate the nature of your individual learning needs/s. Cognitive Physical Please specify:Are there adjustments you believe we may need to make in order for you to be successful in this qualification?* No Yes Please specify:EducationHave you successfully completed any of the following qualifications listed?* Bachelor or Higher degree in: Advanced Diploma/Associates degree in: Diploma/Associates Diploma in: Certification (specify level) in: Other: Select all that applies.Please specify Bachelor or higher degree: Please specify Advanced Diploma/Associates degree: Please specify Diploma/Associates Diploma: Please specify Certification and level: Please specify your other qualifications: Other Montessori trainingHave you undertaken any other Montessori training (not necessarily AMI) at a Certificate or Diploma level?* No Yes Please list all of the other Montessori training you have completed:Include the Montessori Certificate or Diploma title, year it was completed, Awarding body and country.EmploymentWhat best describes your employment situation?* Employed: Full-time/ part-time/casual Self-employed - not employing others Employed - unpaid in family business Unemployed - seeking full-time employment Unemployed - seeking part-time employment Not employed - not seeking work Name of Employer: Name of your business: Position/title: Number of years in this position: Name of school (if applicable): School type (e.g. public, private, not-for-profit): Number of years in Educational leadership (if applicable): Please attach a copy of your CV.Max. file size: 8 MB.You may submit this at a later date via email.Do you have a current AMI Membership?* Yes No What is your AMI Membership number? Expiry date of your AMI Membership MM slash DD slash YYYY Reason for studyWhich of the following best describes the reason for wanting to enrol in this qualification?* Embark on a career in Montessori Education Extend my own knowledge and understanding of Montessori Education It is a requirement of my job To get a better job or promotion To gain extra skills for my current job To start or develop a business Please select all that applies.How did you hear about this?* Word of mouth SMTC website Advertisement Social media Other Please specify: Fees and payment details Please pay your deposit of $500 (plus GST for Australian residents) via EFT: Bank Name: National Australia Bank LimitedBank address: George Street 255 SYDNEY NSW 2000Account Name: Sydney Montessori Training CentreSwift: NATAAU3303MBSB: 082-057ACC: 331337142 The deposit will applied against your course fees. Should you withdraw from the course, the deposit is non-refundable. Read more information regarding SMTC fees. * After you have paid your deposit, please DO NOT submit any further payments until SMTC issues you a letter of offer and an invoice. Payment options:* I will be paying my own fees My school/centre/employer/other will be paying my fees Invoices to be made out to: Contact name for invoices First Last Email contact for invoices Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhonePayment type:* Upfront payment (pay upfront to receive a discount of 2.5 %) Pay in instalments Documentation requiredIf you have your required documents ready to submit, please attach them to this enrolment form. Otherwise, you can still submit the enrolment form and send us the documentation required via email [email protected] Personal essayMax. file size: 8 MB.Personal referenceMax. file size: 8 MB.Professional referenceMax. file size: 8 MB.Any other additional comments you would like to include with your applicationConsent* I agree to the SMTC Terms and Conditions and consent to the collection, use and disclosure of my personal information in accordance with the Privacy Notice.Terms & ConditionsConsent* I agree to receiving the SMTC newsletter.The SMTC Newsletter is sent out eight times per year with news from our local and global community as well as the latest updates on courses and workshops. You may unsubscribe at a later date if you no longer wish to receive it.Signature*I declare that the information I have provided, to the best of my knowledge, is true and correct. (Please note that supplying false information may lead to dismissal from the course and a forfeit of fees.) above. PhoneThis field is for validation purposes and should be left unchanged.