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 11 - Applicant Information

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

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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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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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?

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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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
MM slash DD slash YYYY

Signature
Please upload image of applicant’s actual signature.
Max. file size: 512 MB.

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Congrats! You've completed the form. Once your Student Application and application fee have been received, you will soon be contacted by the Academy staff

Early Bird $100 discount ends on 31st December, 2020. Applications close 19th February, 2021. Late fee: $50. Course commences on Monday, 22nd February 2021.
Email
This field is for validation purposes and should be left unchanged.

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Training under the auspices of Unity College Australia RTO 6330

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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.

Ph 08 9411 4100