C3 College Certificate IV Application Form
Please complete all required fields below.
Course Details
Intake
*
Term 3 - July 2026
Term 4 - September 2026
Study Load
*
Full-time
Part-time
Unique Student Identifier (USI) - AUSTRALIAN STUDENTS ONLY
How did you hear about C3 College?
*
Friend
Google
Instagram
Facebook
Bus Advertising
Conference
Church
Other
If "Other", please specify
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Personal Details
Title
*
Please Select
Miss
Ms
Mrs
Mr
Dr
Hon
Prof
Rev
First Name
*
Middle Name
Surname
*
Known By (Nickname)
Date of Birth
*
-
Day
-
Month
Year
Date
Gender
*
Female
Male
X
Email Address
*
example@example.com
Confirm Email Address
*
example@example.com
Mobile Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
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
United States
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
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Personal Details Continued
Country of Birth
*
Nationality
*
Are you an Australian or New Zealand Citizen?
*
Yes
No
Are you of Aboriginal or Torres Strait Islander descent?
*
Yes
No
What is your primary language?
*
How well do you speak English?
*
Please Select
Very well
Well
Not well
Not very well
Employment Status
*
Please Select
Full-time employee
Part-time employee
Self-employed - employing others
Self-employed - not employing others
Employed - unpaid worker in family business
Unemployed - seeking full-time work
Unemployed - seeking part-time work
Not employed - not seeking employment
Not stated
Highest School Level Completed
*
Please Select
Did not go to school
Year 8 or below
Year 9 or equivalent
Year 10
Year 11
Year 12
Not stated
What year did you complete your highest school level? (Please specify year only e.g. 1996)
*
Prior Education - have you completed any prior qualifications?
*
Not Stated
No
Yes
Prior Education Type
Please Select
Advanced Diploma or Associate Degree
Bachelor Degree
Bachelor Degree or Higher Degree level
Certificate I
Certificate II
Certificate III
Certificate IV
Diploma
Doctoral Degree
Graduate Diploma or Graduate Certificate
Master Degree
Miscellaneous Education
Do you consider yourself to have a disability, impairment or long-term condition?
*
Not Stated
No
Yes
Disability Type
Please Select
Acquired Brain Impairment
Hearing/Deaf
Intellectual
Learning
Medical Condition
Mental Illness
Multiple Disabilities
Other
Physical
Physical/Mobility
Support services equipment and facilities needed
Unspecified
Vision
PCC or Disability Concession Card - Front
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PCC or Disability Concession Card - Back
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It is essential that the college be informed of any health conditions. Please specify and detail your condition/difficulty here.
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Christian Life Details & Reasons For Enrolling
Which church do you attend?
*
Your Pastor's Name
*
Your Pastor's Email
*
example@example.com
Please list your reasons for enrolling at C3 College (200 words max)
*
Write a thoughtful assessment of your salvation and Christian life testimony (300 words max)
*
Please briefly explain your plans for payment of your college fees
*
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Declaration
Fee Agreement
Please read our Terms and Conditions
HERE
.
Agreement
*
I agree to the Terms and Conditions as stated above, and confirm that all information provided in this application is true and correct.
Signature
*
Date
*
-
Day
-
Month
Year
Date
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