Academy Application Form

Academy Location

Name

First Name

Last Name

Study Load

Choose Your School

Contact Number

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth (Please enter in DD/MM/YYYY format)

Church You Attend

Your Pastor's Name

Your Pastor's Email Address

I was referred to Youth Alive Academy by :

FINANCE INFORMATION FOR DOMESTIC STUDENTS

THE YOUTH ALIVE ACADEMY HAS A FINANCE COMPONENT OF 2 PARTS. INITIALLY THERE IS A NON-REFUNDABLE $500 FEE PAYABLE UPON ACCEPTANCE INTO THE PROGRAM. THIS FEE IS PART 1 OF THE PAYMENT. PART 2 OF PAYMENT IS PAYABLE TOWARDS THE STUDY COMPONENT OF THE INTERNSHIP PROGRAM AND IS APPLIED FOR UPON APPROVAL INTO THE INTERNSHIP PROGRAM

FINANCE INFORMATION FOR INTERNATIONAL STUDENTS

INTERNSHIP AND COURSE OPTIONS, FEES AND PAYMENT CAN BE DISCUSSED ON AN INDIVIDUAL BASIS. PLEASE EMAIL ADMISSION@YOUTHALIVE.COM.AU FOR THIS INFORMATION.

Declaration

I UNDERSTAND THAT THIS APPLICATION IS TO BE A PART OF THE YOUTH ALIVE ACADEMY AND THAT ENROLMENT IN STUDIES WILL BE COMPLETED UPON ACCEPTANCE OF THIS APPLICATION

I AGREE TO HAVE THE YOUTH ALIVE ACADEMY FINANCIAL COMPONENT OF $500 PAID BY THE CONCLUSION OF TERM 1.