ALC Bunbury Campus College Application

Testimony *

Tip: A 300 word summary sharing your testimony of how you became a Christian. What was your life like before Jesus, how did you meet Jesus and into him into your life, and what is your life like now? .

Statement of Purpose *

Tip: A 150-200 word statement explaining the reasons you wish to enrol in Acts Leadership College. Explain what your conviction from God is, what you expect to gain from your study and how this course might help your future.

Course *

Study Mode *

Tip: Full Time= 4 units per semester, Part Time= At least 1 unit per semester

First Name *

Middle Name

Last Name *

Gender *

Male

Female

Date of Birth *

Marital Status *

Email Address *

Mobile Number *

Do you have any Allergies or Dietary Requirements? *

If yes: please outline *

Your information will be kept confidently and only used to ensure you receive the appropriate support and/or adjustment if required. *

Yes

No

If yes: please outline *

Emergency Contact Name *

Relationship to You *

Emergency Contact Mobile Number *

Emergency Contact Address *

Do you regularly attend Dreambuilders Church? *

Yes

No

Are you currently involved in serving within the Church? *

Yes

No

If yes, what involvement is that? *

Do you currently attend a Connect Group? *

Yes

No

If yes, who's Connect Group are you a part of ? *

Have you been baptised? *

Yes

No

If yes, approximately what date was this? *

Have you been baptised in the Holy Spirit? *

Yes

No

If yes, approximately what date was this? *

Please select your 1st preference for internship area *

Please select your 2nd preference for internship area *

Name of Character Reference *

Email Address *

Mobile Number *

How long have you known your Character reference? *

Personal Details

Dietary Requirements

Medical Condition

Emergency Contact

Church Details

Streams Placement

Character Reference