Inspire College Application Form • Inspire Church Group

Application Form

This document is treated with the highest level of confidentiality. We ask that the application and other documentation be completed as soon as possible to allow the application to be processed.

Personal Details

First Name

Middle Name

Last Name

Home Address

Mobile Number

USI Number (if known)

Email Address

Date of Birth

Next of Kin

Relationship

Address of Next of Kin

Phone No of Next of Kin

Please list any allergies and pre-existing medical conditions

English Proficiency

Is English your first language?

Yes

If English is not your first language, you are required to complete and entrance exam, or provide evidence or previous English study.

Previous course(s) undertaken in English

Are you presently serving in the church?

Area of Ministry

Frequency of service

Position

Church

Key Activities

Please indicate how you would like to study at Inspire College (tick as many as applicable)

Which of the following apply to you? (tick as many as applicable)

I have a mentor

I attend a Life Group

I lead a Life Group

Privacy Policy

Inspire College requires the information requested of you in this form in order to provide you with education services and to cater for particular needs. If you do not provide all the relevant information, we may not be able to provide such services and to assess your academic progress.

Please also note that Inspire College may provide your personal information and sensitive information to third parties (e.g. educational institutions such as universities, colleges and accreditation bodies and Australian government bodies such as Centrelink and the Department of Immigration) in order to provide you with education services and assess your academic progress or suitability.

You can request access to your personal information by contacting the Registrar.

Signature (Full Name)

Date