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
Please Select
United States
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Burkina Faso
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Greece
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Italy
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Mali
Malta
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Martinique
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Mauritius
Mayotte
Mexico
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
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Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
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?
Own vehicle
Car pooling ($300 additional fuel charge)
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
*
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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
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