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 8% APPLICANT DETAILS Surname First Middle Preferred Name (if different from above) Date of BirthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleTitleMrMrsMissMsDrPhoneWork PhoneMobile PhoneFaxEmail USI Number RESIDENTIAL ADDRESS Number / Street Suburb State Postcode POSTAL ADDRESS (IF DIFFERENT FROM ABOVE) Number/Street Suburb State Postcode EMERGENCY CONTACT NameRelationshipContact NumberEmail 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 RECOGNITIONDo 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?YesNo: Please specify below(e.g. Church is subsidising, Parents are supporting, etc) 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?YESNOIf yes, what year are you entering? PRIOR EDUCATIONWhat was your highest completed level at school?E.g. Year 9 = secondary school, Year/Form 3, Year 12 = secondary school, Year/Form 6Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 9 or belowYear 8 or equivalentIn 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 schoolStill at schoolIf so, what year are you currently studying & where? QUALIFICATIONSDo 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 DETAILSOf the following, which best describes your current employment status? (please tick ONE box only)Full-time employed 01Part-time employed 02Casual Employed 02Self-employed – not employing others 03Employer 04Employed – unpaid worker in the family business 05Unemployed – seeking full-time work 06Unemployed – seeking part-time work 07Not employed – not seeking employment 08Volunteer worker 00Retired 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: 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?NoYes – please provide details below Hearing/deaf Physical Intellectual Learning Mental illness Acquired brain impairment Vision Medical condition Emotional condition Other (please specify): LANGUAGE & CULTURAL DIVERSITYCountry of BirthAustraliaAboriginal &/or Torres Strait Islander OriginNeitherTorres Strait IslanderAboriginalAboriginal & Torres Strait IslanderLanguage Spoken at HomeEnglish OnlyHow well do you speak English?Very WellWellNot wellNot at all 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. 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? 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?) 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. Select your preferred payment optionCredit CardEFT / Bank TransferBank ChequeIf others (extra fees may apply) please provide details:CREDIT CARD (Please complete details):VISAMastercardCharge 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] 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) 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 ETHICNameDate Date Format: MM slash DD slash YYYY SignaturePlease upload image of applicant’s actual signature. 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.NameThis field is for validation purposes and should be left unchanged. Training under the auspices of Unity College Australia RTO 6330 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
