Application 2024 • Revival College

Personal Details

Last Name *

First Name *

Middle Name *

Date of Birth *

Marital Status *

Gender *

Address Details

Home Address *

Home City *

Home State *

Home Post Code *

Mailing Address *

Mailing City

Mailing State

Mailing Post Code

Mobile Number *

Home Phone

Email Address *

Next of Kin/ Emergency Contact

Full Name *

Relationship *

Mobile *

Email *

Address *

Suburb *

State *

Post Code *

Background

Are you an Australian Citizen? *

Do you speak a language other than English at home? *

If yes, how well do you speak English?

Disability

Do you have a disability? *

Course of Study

I am applying for enrolment in (specify one only):

Course of Study *

Statement of Intent 350 words (Explain why you would like to study your chosen course i.e sence of calling, want to study God's word in more depth etc. Make sure you copy and paste this into a word document as you can use if for your Alphacrucis application).) *

Enrolment Details

Enrolment Status *

Full Time

Part Time

Would you like to apply for credit transfer? *

Yes*

*Students will be contacted by Revival College to discuss the availability of Credit Transfer.

Fee-Help

Fees are dependent on course chosen. Minimum course fee is $14 920. FEE-HELP is an Australian Government loan that helps eligible fee-paying students to pay their tuition fees. The Australian Government does not subsidise fee-paying places, instead it provides access to the FEE-HELP loan scheme to assist those eligible. Please visit http://studyassist.gov.au for more information on eligibility and repayment details on loans.

I will be paying through FEE-HELP *

If yes, I have read and understood the FEE-HELP requirements and repayment policy surrounding the loan, as outlined on the Study Assist website.

Yes

I have elected to pay fees upfront

Marketing and Publication Consent

I consent to the inclusion of photos/videos of myself in publications, including promotional material. *

Signature

Date

By typing your name above you declare that you are that person, and all information provided is true and correct.

Parental Consent

If you're under the age of 18, please provide your parent/guardian's contact details. They will be emailed seperarately in order to provide consent.

Full Name

Relationship

Mobile Number

Applicant's Pastor

As part of our commitment to partnering with churches, Revival College will confirm your pastor's endorsement of your application. Please provide their contact details below so that a confirmation form may be sent to them.

Church Name *

Pastor's Name *

Contact Email *

Contact Number *

Credential Pathway Applicants

Further to submission of this application, prospective Credential Pathway students will receive another form which must be sighted and signed by their pastor, confirming their pastor's endorsement of this training pathway.