Application Form

Online Form

To register for King’s Worship Academy, complete the form below to register. Alternatively, you can Download the Registration Form PDF, print, complete and send it to us via mail or scan and email.

Step 1 of 12 - Applicant Information

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APPLICANT DETAILS
Surname
First Middle
Preferred Name (if different from above)
Date of Birth
Gender
Male
Female
Title
Mr
Mrs
Miss
Ms
Dr
Phone
Work Phone
Mobile Phone
Fax
Email

USI Number

RESIDENTIAL ADDRESS

Number / Street Suburb State Postcode

POSTAL ADDRESS (IF DIFFERENT FROM ABOVE)

Number/Street Suburb State Postcode

EMERGENCY CONTACT
Name
Relationship
Contact Number
Email

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COURSE ENROLMENT DETAILS

Complete All Sections, tick the box that applies.
Which level of the 1 year course would you like to enrol?
Certificate in Worship Ministry only (non accredited program)
Cert. II in Music Industry (Basic)
Cert. III in Music Industry (Intermediate)
Cert. IV in Music Industry (Advanced)
The Certificate II, III, IV automatically means you complete the Certificate in Worship Ministry.

RPL & NATIONAL RECOGNITION
Do you wish to apply for Recognition of Prior Learning (RPL), recognition of current skills or relevant competencies acquired through another Australian Registered Training Organisation (National Recognition) for any part of your selected course?
No – Go to next section ‘Finances’
Yes – King's Worship Academy will supply you with an RPL Submission Kit. RPL Submissions should be received four weeks prior to commencement of the course. Go to next section ‘Finances’

FINANCES

Who is paying for your course/study package? Fees, withdrawal and refund policies are detailed in the Prospectus.
Are you paying your own fees?
Yes
No: Please specify below
(e.g. Church is subsidising, Parents are supporting, etc)

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INFORMATION

Information collected in this section is used for the purposes of national reporting and planning. Please complete all sections.
Are you a student at The King's College?
YES
NO
If yes, what year are you entering?

PRIOR EDUCATION
What was your highest completed level at school?
E.g. Year 9 = secondary school, Year/Form 3, Year 12 = secondary school, Year/Form 6
Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or below
Year 8 or equivalent
In what year did you complete that school level?
What age where you at that time?
State (& country, if not Australia) of school:
Did not go to school
Still at school
If so, what year are you currently studying & where?

QUALIFICATIONS
Do you have post-secondary qualifications from any accredited/ recognised Educational Institutions?
No – go to next question ‘Employment Details’
Yes – Please provide details below: title, name of institution and year awarded
Bachelor Degree or Higher Degree 008
Advanced Diploma or Associate Degree 410
Diploma (or Associate Diploma) 420
Certificate IV (or Advanced Certificate/Technician) 511
Certificate III (or Trade Certificate) 514
Certificate II 521
Certificate I 524
Certificates other than above (please give details below) 990
Please list all qualifications achieved.

EMPLOYMENT DETAILS
Of the following, which best describes your current employment status? (please tick ONE box only)
Full-time employed 01
Part-time employed 02
Casual Employed 02
Self-employed – not employing others 03
Employer 04
Employed – unpaid worker in the family business 05
Unemployed – seeking full-time work 06
Unemployed – seeking part-time work 07
Not employed – not seeking employment 08
Volunteer worker 00
Retired 00

REASON FOR UNDERTAKING THE STUDY

(tick as many boxes as are relevant)
Of the following, which best describes your reason for undertaking the course/package?
To get a job 01
To develop my existing business 02
To start my own business 03
To try for a different career 04
To get a better job or promotion 05
It was a requirement for my job 06
I wanted extra skills for my job 07
To get into another course of study 08
For personal interest or self-development 12
As part of my year 11/12 VET program for WACE points
Other (please specify below): 11
Other reasons for undertaking this study:

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SPECIAL NEEDS

Information collected in this section is strictly confidential, available only to limited college staff and for the purposes of national reporting and planning.

Do you consider that you have any type of medical condition that may affect your ability to undertake training?
No
Yes – please provide details below
Hearing/deaf
Physical
Intellectual
Learning
Mental illness
Acquired brain impairment
Vision
Medical condition
Emotional condition
Other (please specify):

LANGUAGE & CULTURAL DIVERSITY
Country of Birth
Australia
Aboriginal &/or Torres Strait Islander Origin
Neither
Torres Strait Islander
Aboriginal
Aboriginal & Torres Strait Islander
Language Spoken at Home
English Only
How well do you speak English?
Very Well
Well
Not well
Not at all

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Your present church
I’m not currently a member of any particular church. (skip to Section 6)
Pastor/Ministers Name:
Church Address:
Church Phone:
Church Email:
How long have you been attending this church?
In what ways have you been involved in your church?
What is your current role?
Who is the worship pastor or music director at your church?
Number of people in your Creative Arts/Worship Team?
Please ask your pastor or leader to provide a brief 60-80 word character/ministry reference for you.

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Do you? (check any that apply)
Sing
Play instrument(s)
Have Multimedia experience
Other artistic talents
Neither
What level of musical theory do you possess?
Basic
Intermediate
Advanced
If instrument(s), what do you play?
On which instrument will you want your private lessons?
Indicate which one describes your ability to read scored music notation:
Not at all
Play / sing by ear only
Can follow basic chord symbols
Reasonably Well
Fluently
What is your music experience (bands, song writing, solos etc.)?
What is your major area of artistic interest?

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How did you hear about King's Worship Academy?
What prompted you to enrol?
What are the main things you hope to learn/achieve through your study at King's Worship Academy?
What are your ministry aspirations once you’ve completed this course? (where are you heading?)

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PRIVACY

Information collected on this form may be collated for course analysis and statistics related to training reports and/or submitted to Australian Government Departments on a legislated need to know basis. Information collected is strictly confidential. All information is held in accordance with National Privacy Principles and legislation associated with Australian Registered Training Organisations.

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Select your preferred payment option
Credit Card
EFT / Bank Transfer
Bank Cheque
If others (extra fees may apply) please provide details:
CREDIT CARD (Please complete details):
VISA
Mastercard
Charge my card the amount AUD$
Name on card:
Card Number:
Expiry:
I will phone with my credit details: 08 9411 4100
EFT / BANK TRANSFER DETAILS

Commonwealth Bank:

BSB Number: 066 159

Account Number: 10958294

Identify your payment in the transaction description: KWA [and your surname]

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Please tick the boxes below to ensure you have completed each element of your application.
Completed all sections of application
Included a short character reference from your Pastor
Payment of $75 application fee
Signed applicant’s declaration (see next page)

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The information I have provided in this application form is true & correct. I have read and understood the course outline. By signing this application form, I am agreeing to the refund policy as provided in the course outline.

IF ACCEPTED, I AM PREPARED TO UNDERTAKE THE EXPECTATIONS OF THE COURSE. I WILL ENDEAVOR TO UPHOLD THE INTEGRITY OF KINGS WORSHIP ACADEMY AND ITS CHRISTIN ETHIC
Name
Date

Signature
Please upload image of applicant’s actual signature.

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Congrats! You've completed the form. Once your Student Application and application fee have been received, you will be contacted by the Academy staff to arrange an interview time for you in early February 2018.

Early Bird $100 discount ends on 20th January, 2018. Applications close 7th February, 2018. Late fee: $50. Course orientation commences on Monday, 19th February 2018.
Comments
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Download Registration Form

If you don’t want to complete the online form, you can download, print and complete form and send it to us.

Phone

Ph 08 9411 4100