2011 APPLICATION FORM

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1 CRC COLLEGE OF MINISTRY 2011 APPLICATION FORM This form includes six sections. Please read carefully to determine which are relevant to you and contact your state training coordinator if unsure. This form and the state training office details are available in the 2011 student handbook which may be downloaded via (select the training tab). Section 1: All Students Personal Information Title: Mr / Mrs / Ms / Miss (please circle one) Gender: Male / Female (please circle one) Surname: Given Name(s): Residential Address: P/C: Postal Address: P/C: Australian State of Residence: Telephone numbers (include all area codes): (Home) (Work) (Mobile) (Fax) address: Date of Birth (DD/MM/YY): Occupation: Marital Status: Spouse s name (if applicable): Emergency Contact: Telephone: State of Health: Page 1

2 Church currently attended: Church Address: P/C: Church telephone: Church fax: Name of Senior Minister: For the senior minister to complete: 1. How long have you known the applicant? 2. Briefly describe your relationship with the applicant: 3. Do you support the student s application for this course? Yes / No (Please circle) 4. Do you understand that the student must attend classes /watch relevant sessions AND, if a ministry candidate, be personally coached on a regular basis? Signature: Date: Educational Details Highest level of Secondary School education completed: Tertiary qualifications completed*: Other qualifications or certificates*: Page 2

3 * Please attach certified copies of all documentation related to past education (certificates or official transcripts of results) if also attaching an application for Recognition of Prior Learning form (see Appendix 9 of student handbook) for a Certificate IV or Diploma level enrolment. Employment History Please show details of the last five years. Use extra pages in needed. Dates Nature of Employment e.g. Parttime, Full-time, Self- Employed Position Personal Information Country of Birth Well Other (please specify: ) How well do you speak English Very Well Well Not Well Not at All Do you speak a language at home apart from English? Yes No If so please specify the language: Are you of Aboriginal or Torres Strait Islander Origin? Yes No Do you consider yourself to have a disability, impairment or long term condition? Yes No Page 3

4 If so please indicate the area of disability, impairment or long term condition. Hearing/Deaf Physical Intellectual Learning Mental Illness Acquired Brain Impairment Vision Medical Condition Other Which of the following options best represents your highest completed school level Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or equivalent Year 8 or below Never attended school In which year did you complete that study? Are you still at Secondary school? Y / N (please circle) Reasons for Study Please tick any box(es) that might describe your reason for studying with the College Member of a church Ministry Team Children s Work Pastoral ministry Prophetic ministry Teaching ministry Administration Evangelism ministry Apostolic ministry Youth Work Missions Work Music Ministry Church Planting Other (please indicate) Please indicate your main reason for studying the course for which you are applying. [ To get a job I wanted extra skills for my role at church To try for a different career To get into another course of study To get a better job or promotion It was a requirement of my church For personal interest or self-development Other reasons If other reasons, please specify Page 4

5 Employment Which of the following best indicates your current employment status? Full-time employee Part-time employee Self employed - not employing others Employer Employed - unpaid worker in a family business Unemployed - seeking full-time work Unemployed - seeking part-time work Not employed - not seeking employment Christian Faith Please write a short statement outlining how and when you became a Christian. (Attach a separate page if required). Please list below any leadership experience you have had in the local church, roles or Christian Service activities undertaken Position/Role Activities Involved Duration Go to section 2/3 OR section 4 OR section 5 and then complete section 6 Page 5

6 Section 2: Video Bible College only (not at Certificate IV level) Please note that assessment for this course is at a CRC-endorsed level and is not relevant to Certificate IV or Diploma level study. Method of Completion (please tick) I will be viewing sessions alone by arrangement with my church or I will be viewing sessions in a group at my local church or I will be viewing sessions at: Preferred initial unit of study: Student Fees (please tick) An Application fee of $50 is included with this form Once commencing a unit of study, you agree to pay the $150 unit cost and submit work to the state office before commencing a new unit Please note that the local church or individual will be invoiced for units as they are commenced. Full payment of these fees by the church to the state office is expected within three months, irrespective of whether sessions are missed. No further units may be undertaken and no assessment will be completed until payment is up to date. Failure to maintain payment or work submission will result in termination of enrolment. For those studying in church-based groups, the fees will normally be collected by the group leader and forwarded to the college by the end of the unit being studied. Go to section 3, if also applicable, and then section 6 Section 3: Leadership Seminars (not at Certificate IV level) Method of Completion (please tick) I will be completing the seminars this year OR I will only complete some seminars this year Page 6

7 Venue (if known): Student Fees and Assessment (please tick) An Application fee of $30 is included with this form You agree to pay $30 at each seminar (and $270 in total) You agree to submit assessment to your local course facilitator within two weeks of each relevant seminar being held if it is to be accepted for assessment unless in the two weeks following this time it is accompanied by a late fee of $30 payable to CRC College of Ministry or a reason for lateness acceptable to the course facilitator (i.e. it will not normally be accepted more than 4 weeks past the seminar date unless the course facilitator gains approval from the state training office). Please note that the host church / local course facilitator will be expected to forward fees and student work to the state office no later than FOUR WEEKS after each seminar is held. Students will not be issued with certificates unless topics have been satisfactorily been completed and work will also not be assessed if payments are not up to date. Go to section 6 Section 4: Certificate IV students Section 1 and 6 must also be completed Name of personal church-endorsed coach: For the coach to complete Do you support the student s application for this course? Yes / No (Please circle) Do you believe that the student is called by God to vocational Christian Ministry & Theology? Yes / No / Unsure (Please circle) Do you understand that the student must attend classes /watch relevant sessions AND be coached according to their competence in the skills being assessed AND complete their own work without plagiarism? Signature: Date: Students should note that senior ministers and/or coaches may be contacted for reference purposes Page 7

8 Method of Completion (please tick) Full time (one year intensive) Host church: Intending to receive Austudy assistance Yes / No (please circle) OR Part time (two or three years via the local church) Since the content for the Certificate IV in Christian Ministry & Theology is provided by the CRC s Video Bible College and Leadership Seminar programs: What is the name of the church running the Video Bible College component? Does your church need to receive a set of Video Bible College DVDs for each unit of study, subject to the licence agreement described in section 11 of the College s student handbook. Yes No Do you need to be allocated to a venue for the Leadership Seminars? What is your preferred first unit of study? Yes No Do you intend to continue into the second year of the program in order to pursue a Diploma of Christian Ministry & Theology? Yes No Unsure Student Fees and Assessment (please tick) An Application fee of $100 is included with this form You agree to pay $197 per unit before submitting work for assessment You agree to submit assessment within the calendar year of enrolment and no more than two units in November (up to Wednesday 16 th being the last day for normal submission of work for the year) You agree to watch / attend all relevant sessions, to actively pursue all relevant coaching and to submit your own work without plagiarism Page 8

9 Students must ensure that their coach / senior minister is aware of the need to plan assessment tasks well, given that some will ideally fit the church calendar at specific times in a year and given that units do not all consist of the same amount of work. Go to section 6 Section 5: Diploma students A student studying at this level would normally be a Trainee Minister pursuing full ordination via a Minister s Credential. To be eligible to receive a Diploma, however, the Certificate IV (or equivalent) must first have been completed. Students studying at this level, irrespective of whether studying for a Diploma or for a Minister s Credential, are expected to undertake regular personal coaching and complete all assessment tasks. Exemptions will only apply to those undertaking professional development. Section 1 and 6 of this form must also be completed Method of Completion (please tick) For credit towards a diploma For credit towards a ministry credential Professional development only (no assessment or coaching) Full time (one year intensive) if available Host church: Intending to receive Austudy assistance Yes / No (please circle) OR Part time (two or three years normal delivery) Name of personal church-endorsed coach: For the coach to complete Do you support the student s application for this course? Yes / No (Please circle) Do you believe that the student is called by God to vocational Christian Ministry & Theology? Yes / No / Unsure (Please circle) Do you understand that the student must attend classes /watch relevant sessions AND be coached according to their competence in the skills being assessed AND complete their own work without plagiarism? Signature: Date: Students should note that senior ministers and/or coaches may be contacted for reference purposes Page 9

10 The Diploma course includes at least one DVD-based unit of study called Practical Theology which is a component of the Video Bible College course. Has this course and its assessment and coaching requirements been completed? Yes No (if not, this must be done concurrently with the course) Has a Certificate IV in Christian Ministry and Theology, or equivalent been completed? Yes (if yes, attach proof if a non-crc course) No Student Fees and Assessment (please tick) An Application fee of $100 is included with this form You agree to pay each instalment of $180 (ten in total) before submitting relevant work for assessment You agree to submit assessment within the calendar year of enrolment and no more than two units in November (up to Wednesday 16 th being the last day for normal submission of work for the year) Students must ensure that their coach / senior minister is aware of the need to plan assessment tasks well, given that some will ideally fit the church calendar at specific times in a year and given that units do not all consist of the same amount of work. All applicants will need to liaise with the course coordinator in their state in regard to specific requirements for the delivery and assessment of this program. Go to section 6 Section 6: All students Student Fees An application fee (and possibly a fee for the first unit of study) should accompany this form and any supporting documentation. All fees and completed paperwork should be forwarded to the state training office. No student shall be enrolled in a course if monies are owing to the CRC College of Ministry. Page 10

11 Provisional Enrolment Admission to a course of study is considered provisional enrolment until a student demonstrates his or her ability to cope with the course. Each student s academic progress, spiritual growth and behaviour are considered. Declaration I have read the CRC College of Ministry s student handbook and I declare that I am prepared to abide by all of its policies and procedures. Relevant inclusions and fees are attached with this application (see checklist below). I also declare that the information provided in this application is, to the best of my knowledge, accurate in every respect. I also authorise CRC / ACOM staff to use personal information to process and effect my application. Signature: Date: Privacy CRC Churches International (CRC) and the Australian College of Ministries (ACOM) requires the information requested of you in this form in order to provide you with education services and to cater for particular students needs. If you do not provide all the relevant information, then we may not be able to provide such services or assess your academic progress. Please also note that CRC / ACOM may provide the personal information given on this application form to third parties (such as universities, colleges, accreditation bodies and Australian government bodies e.g. Centrelink) in order to provide you with education services and to assess your academic progress or suitability. Please indicate, by signing your name, whether you understand and accept this privacy legislation. Signature: Date: Checklist of inclusions for this application: Every section of this application has been completed. Declaration and Privacy statement have both been signed on this page. Senior Minister (and Coach for CIV and Diploma students) have completed and signed declarations. Registration and fees have been enclosed with this application. Application for Recognition of Prior Learning form has been enclosed with this application (if relevant) Certified copies of certificates/statements relating to prior learning have been enclosed (if relevant) Page 11

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