2021 Fresh Hope Student Application Form To apply for a Fresh Hope Navigate or Frontier program in 2021, please complete this form. We will then contact you to organise an interview. If you have any questions in the process, please email [email protected] or call (02) 8573 6000. Student InformationPlease indicate which cohort you would like to apply for:* Adventure Regional - NSW Mid Coast Regional - Blue Mountains Regional - Sydney Frontier Name* First Last Date of Birth* Date Format: DD slash MM slash YYYY Gender* Male Female Mobile*Email* Address* Street Address Address Line 2 Suburb State Post Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Are you an Australian Citizen?* Yes No Are you seeking to study for accreditation (with ACOM) alongside Navigate or Frontier?* Yes No Do you intend to work or study elsewhere while completing this program?*If yes, please provide details about your weekly employment hours or study elsewhere.Do you have any disability, impairment or medical condition which may affect your ability to participate mentally, physically or socially in the program?If yes, please provide details. Working with Children Check NumberRequired if you are 18+Previous StudyIf multiple awards/courses completed, please list highest qualificationDid you attend Year 12 or equivalent?* Yes No What was your ATAR / UAI / TER / OP?Did you attend University / College?* Yes No Please provide details of your previous study (including college/university name, course studied, and last year of study)Faith JourneyWe recognise the very personal nature of some of the questions below but know that you will understand the relevance to the assessment of your application for these programs. I have been a Christian since (year)*Please write a short statement outlining how and when you became a Christian.*How would you describe your current walk with God?*Please write a short statement describing your reasons for applying for this program.*Churches Attended*What church(es) are you currently involved in / or have previously been involved in?Date JoinedDate LeftChurch NameDenominationAny position held My ministry passion is in the area of*What areas of ministry participation or volunteer roles have you been involved in during the last three years?*ReferencesPlease provide two character references. Must be someone who has a leadership role in a church (eg. Pastor, Ministry leader, Elder) and who understands your spiritual journey. Your referees will be emailed a link to an online form (they will only be contacted by phone if clarification is required). Both referees must have completed the form before your interview.Referee 1* Full Name Church Name Role at Church Email Phone Referee 2* Full Name Church Name Role at Church Email Phone Employment DetailsPlease record your most recent employment history and any applicable volunteer experience. EmployerStart DateEnd DateRoleFT / PT / Casual / Vol Declaration and Permission* I give Fresh Hope / ACOM / The Tops permission to publish images or video footage of me for promotional purposes, including social media, website and in brochures.* I give Fresh Hope / ACOM / The Tops permission to store my details on file. I acknowledge that if I do not accept a place in the offered course, my details will be securely destroyed.* I declare the information contained and/or attached to this form is true and correct.Signature*
