ARISE Australia 2021

ARISE Australia 2021

Application Form
Personal Details
Name *

First Name Last Name
Gender *

Male Female
Date of Birth *
Age *
Email *

Confirmation Email
Phone Number *
Mobile Number in Australia
Address *

Street Address

Street Address Line 2

Suburb State / Province

Postcode / Zip Code Country
Country of Birth *
Country of Citizenship *
Marital Status *

Single Engaged In a relationship Married
How many children, if any?
Will you require accomodation during ARISE?
Are you bringing your own vehicle or will you need to car pool?
Do you have any mental or medical conditions that will affect your participation in the course?
Do you have any serious allergies or reactions?
Have you ever been convicted of a crime? *

Yes No
If yes, please explain:
How did you hear about ARISE? *
Please provide the link to your Facebook account
Please upload a recent profile photo of yourself *
JPG or PNG only, max 1000 KB
Please provide a link to your 1-minute video telling us a bit about who you are and why you want to come *

Getting to know you
Share some of your hobbies and pastimes *
Answer required
Share some of your favourite authors and why you like them *
Answer required
Describe how you came to Jesus *
Answer required - fullscreen view available
Do you understand the fundamental beliefs and practices of the Seventh-day Adventist Church? *

Yes No
Are you in agreement with the fundamental beliefs and practices of the Seventh-day Adventist Church? *

Yes No
Are you a baptised member of the Seventh-day Adventist Church? *

Yes No
Date of Baptism
Name and location of the church you attend most regularly
Name of pastor
Pastor's phone number
Pastor's email
Should be Empty:

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Personal Details