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DBS Application Form

Choose Semester

January SemesterSeptember Semester

PERSONAL DETAILS

Name: (as found in passport)

Family/Surname

Legal First Name

Middle Name

Preferred Name

PERMANENT ADDRESS

Street Address

City

State/Province

Post/Zip Code

Country

CONTACT INFORMATION

Mobile

E-mail:

BIRTH DETAILS

Birth Date (day/spell month/year)

Country of Birth:

City of Birth

Age:

CITIZENSHIP

Are you Australian or New Zealand citizen?

YesNo

Are you of Aboriginal or Torres Strait Islander origin? *

NoYes, AboriginalYes, Torres Strait IslanderYes, Aboriginal and Torres Strait Islander

PASSPORT DETAILS

Passport Number:

Expiry Date:

Place of issue:

LANGUAGE SPOKEN

English

YesNo

MARITAL STATUS

Do you have children?

Yes

No

CHILDREN'S DETAILS

Names, birth details, passport details,

citizenship (attach extra page if necessary)

At YWAM Sunshine Coast we require that spouses come together and are not left behind while one is gaining missionary training. Therefore, are you prepared for your spouse to accompany you to this school?

If your spouse and/or children do not live with you, please explain.

EMERGENCY CONTACT WHO WE NEED TO CONTACT IN AN EMERGENCY

Name

Relationship

Phone

Email

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English Proficiency

Please complete the following questions if English is not your first language.

All courses at YWAM Sunshine Coast are conducted in English. A sufficient standard of oral and written English proficiency is needed in order to benefit from the training. You will need to fulfil at least one of the three entry-level criteria in English proficiency – (a), (b) or (c).Click here to enter text

(a) A minimum or 3 years study conducted predominantly in EnglishGive an outline of your study, name & address of educational institution & attach relevant documentation

Type of study:

Name of educational institution:

Address/Location:

(b) Minimum of 3 years studying English as a foreign language, with a pass rate of at least 80%. Give an outline of your study, name & address of educational institution & attach relevant documentation

Type of study:

Name of educational institution:

Address/Location:

or

(c) Completed formal independent testing with a minimum level at or equivalent to the following:

TOEFL: 530

IELTS: 5.0

If you have completed any of the following tests please indicate the score you received and attach a copy of your test results.

Test of English as a Foreign Language (TOEFL) Score:

International English Language Testing System (IELTS) Score:

Other form of testing (please specify) Score:

If you have not taken a formal independent test we may ask you to do so.

Declaration

I declare that the information submitted is correct and complete.

Yes

No

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Personal History

Please prayerfully and concisely answer the following questions.

Describe your expectations of DBS. State your reasons for applying. What is your ultimate purpose upon completion?

Having considered the daily commitment, are you willing to invest the necessary time and study to complete this intensive course?

How would you describe your relationship with your family?

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Financial Responsibility

All fees are in Australian dollars (AUD). To find out the cost of the course in your currency see: www.xe.com. You will be notified of any changes to this fee schedule prior to arrival.

Payments Overview

First payment	$40 non-refundable application fee	due with application
Second	$500 enrolment deposit plus health cover if required	due 3 weeks after acceptance
Third	$4490 remaining lecture fees	due first week of class

DBS School Fees:

DBS Lecture Fees: $4990AUD

The $3300 school lecture fee covers room and board (i.e. food and accommodation), training costs, administration and local ministry transportation costs for the lecture phase of the course. It does not include visas or personal expenses such as toiletries, laundry, snacks and postage, etc.

Insurance

Overseas students studying in Australia on student visas are required to obtain Overseas Health Cover (OSHC). You will be advised of the cost with your acceptance papers. OSHC payments are due with the second school payment.

You may like to have travel insurance while travelling to and from the SBSOne or for a more comprehensive medical policy.

Note

The SBSOne Course Costs and Overseas Student Health cover fees are paid into a notified trust account and are covered by Student Tuition Insurance to ensure that students who are eligible for refund under the ESOS Act 1991 will receive a refund should the course cease to be provided. The Medical Health Insurance is only held by YWAM Sunshine Coast until such time as the premium is due and monies are passed on to the health fund.

Students generally will not be able to begin their course unless they are able to make these payments. However if you contact the school Director and explain your financial situation another payment schedule may be arranged.

Student study allowance (for Australian citizens only)

Aus-study and Ab-study are available to Australian students. Once accepted, we will provide you with the correct documentation for your allowance application.

Refunds and Cancellations

First week refund is	90% of school fee	less $100+40 deposit
Second	60%	less $100+40 deposit
Third and Fourth	30%	less $100+40 deposit
Five and beyond	No refund will be issued

1. Prior to the start of the course.

• When the Australian government authorities refuse to grant a visa, the school will refund all fees paid less the application fee. The letter of refusal document must be sent to the school and must provide proof of refusal by the Australian government. Only originals will be accepted.

• Where the school receives written notice of withdrawal 28 days or more prior to the beginning date of the course, the school will refund all fees paid less the $40 application fee.

• Where the school receives written notice of withdrawal less than 28 days prior to beginning date of the course, the school will refund all fees paid less the $40 application fee and $100 of the enrolment deposit.

• Where the course is cancelled the school will refund the fees in full.

2. After the start of the course.

• When the student withdraws from the course during week one, the school will refund 90% of the total lecture phase fees - less $140 administrative expenses.

• When the student withdraws from the course during week two, the school will refund 60% of the total lecture phase fees - less $140 administrative expenses.

• When the student withdraws from the course during the third or fourth week, the school will refund 30% of the total lecture phase fees, including accommodation - less $140 administrative expenses.

• When the student withdraws from the course after the end of the fourth week no refund will be given.

Refund Policy

Payment of the refund will be paid directly to student unless a written request is made by the student to make payment to someone else and will be paid in AUD$ unless this is not practical. If payment is requested in another currency, bank fees will be deducted from the total refund. Refund will be paid no later than six weeks after it is due.

Release of Liability

I do hereby release Youth with a Mission INC, its agents, employees and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss which may be sustained by said person during the course of involvement with Youth with a Mission.

YES

Consent for Treatment

I hereby agree to the performance of such treatment, anesthetics and operations as in the opinion of the attending physician if deemed necessary on.

YES

Consent for Burial

I agree that, in the case of my death while with Youth with a Mission, Youth with a Mission may carry out the burial in the place of the deceased. If my family desires to have my body shipped home, my family will pay for it. I hereby absolve Youth with a Mission and all its staff and associates of any burial costs.

YES

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