Australia Citizenship Application

1. Personal Details 개인 신상

ID Photo

First Name *

Middle Name

Last Name

성명 (한글) *

Suffix	Mr Mrs Miss Ms Other
Gender	Male Female
Your Age 만 나이		Date of birth
Driver’s license number		Region issued in
Passport number 여권번호		Issuing country 발급국가
Country of Birth 출생 국가		Nationality 국적
Town/City of Birth 출생 도시		Are you of Australia Citizenship	Yes No
Visa state (if applicable) 비자 상태
Year of arrival in Australia? (If not born here) 호주 도착한 년도
What languages do you speak at home

Permanent Address 현 주소

Street
City		State
Post code		Country
Phone		Mobile
E-mail
주소(한글)
우편번호(한글)

Mailing Address (if different from above) 우편주소

Street
City		State
Post code
주소(한글)
우편번호(한글)

Marital status 결혼 상태

Marital status 결혼 상태	Single Married Separated Divorced Engaged Remarried Widowed
Spouse’s name

01 / 07

2. COURSE OF STUDY 코스

Extensive course outlines are available on the ACC website www.accu.edu.au. 인텐시브 세미나 일정은 웹사이트를 보세요.
Which course are you applying for? 어떤 코스에 지원하시나요?
* 학기 과목 등록폼은 다른 양식을 사용합니다. Course Enrolment Form will be separately provided (See Enrolment form on the website)
If you are applying for a GDC or Higher Education Courses you will need to provide evidence of your previous University qualification (transcript/certificate). Requires previous theological study. 준석사 과정이나 석사 과정을 신청하신다면, 이전에 공부한 학위를 제출해 주세요
I intend to study
At which campus do you intend to study at? 어떤 캠퍼스에서 공부하시나요?
In which semester do you intend to commence your studies? 언제 시작하시나요?
Are you, or have you been, a student of the Australian College of Theology? 이전에 ACT에서 공부한 적 있나요?			Yes No

3. FINANCIAL DETAILS 재정

How do you intend to cover your course fees? 학비를 어떻게 지불하실 예정입니까?
Is there anything else that we should know regarding your financial position? 재정적 상황에 대해 학교측에서 알아야 할 내용이 있습니까?

02 / 07

4. EDUCATION 교육

Educational History 교육배경

I have completed high/secondary school
High/secondary school or equivalent from which you graduated or will be graduating
Name
Location
Other education (provide the highest level of tertiary education you have achieved)
Abilities (gits) or other talents 자신의 은사
Occupational skills 직업기술

GOVERNMENT DEMOGRAPHIC INFORMATION 정부 조사

The Department of Education, Employment and Workplace Relations (DEEWR) requires the following information as their preferred way of improving the method of gathering data on socioeconomic status, resulting from their Advancing Equity and Participation in Higher Education study of 2007.
1a. Parent/Guardian #1		Female Male
1b. What was the highest level of education completed by your parent/guardian #1
2a. Parent/Guardian #1		Female Male
2b. What was the highest level of education completed by your parent/guardian #1

03 / 07

USI Number (학생번호)

Do you have USI Number?		Yes No
USI Numberit 기 소유한 USI 번호
If you do not have it, would you permit ACC to get USI on the behalf of you?		Yes No
Type of ID for USI (신분증 종류)		ID Number (신분증 번호)
Otherwise, you must apply USI number through the following web address. https://www.usi.gov.au/ When your USI was issued, please inform it to ACC.

Pastor’s name 목사님 이름

Church Name
Pastor’s name		목사님 성명(한글)
Pastor Phone		Pastor E-mail
교회주소(한글)
Street
City		State
Post code

Signature of Agreement

If I am accepted by Australian College of Christianity I will abide by the spirit, policies and schedule of the school.
서명
Signature Date
Please send two recent clear photographs with your application and photocopied passport

04 / 071

5. Additional questions 추가 질문

Please prayerfully answer the following questions on a separate sheet of paper.

(a) Please describe your Christian conversion experience and your present spiritual relationship with the Lord(No more than one page). 주님을 만난 경험과 현재의 주님과의 영적인 관계 (한 장이 넘지 않게)

(b) What areas of your character are you presently seeking God to further develop and improve? 개인적으로 더 계발하고 향상이 필요해서 하나님의 도움을 구하고 있는 성품의 영역?

(c) What Church involvement have you had? 교회 활동?

(d) How would you describe relationships within your immediate family? 현재 가족들과의 관계?

(e) Why do you want to join the ACC? ACC에 입학하고 싶은 이유는?

(f) How did you hear about the ACC? ACC에 대해 어떻게 들었나?

Austudy and Abstudy (for Australian students only) Austudy and Abstudy are available for Australian students – Provider Code and Course Code will be provided. How to make school fees payment (All courses except for BCA or MA courses) 학비 내시는 방법 (학사, 석사 제외) Westpac BSB Number 032 778, Account Number 455 600 (Account Name: Australian College of Christianity) Cheques/bank drafts should be made out to "Australia Christian College". For the school fees details and refund policy for 2017 see the website (www.accu.edu.au) 학비에 대한 세부 설명과 환불 정책은 웹 사이트를 참조해 주세요.

05 / 07

6. MEDICAL DETAILS 의학 정보

Nominate a contact person in the case of an emergency: 비상 연락망
Please make sure this person is aware you are providing their contact details to us for emergency purposes.

Emergency First Name		Emergency Last Name
Emergency Relationship		Emergency Home Phone
Emergency Mobile		Emergency Work Phone
Emergency E-mail
Emergency Full Address

MEDICAL DETAILS: 의학 정보

Do you have a disability, impairment or long term medical or mental health condition that may affect your studies? 공부에 장애를 주는 신체적 또는 정신적 어려움이 있나요?			Yes No
If yes, please indicate the area/s of impairment 장애 영역을 표기해 주세요.	Hearing 청력	Vision 시력	Learning 학습
	Medical 의학	Mobility 신체활동	Mental Health 정신 건강

** ACC reserves the right to request medical certification of your fitness to study, to ensure we are able to care for your individual needs. 학교는 개인적 필요를 돌보기 위해 병원 진료 증명서를 요청할 수 있습니다.
Will you require study assistance in relation to your condition? 위의 조건으로 인한 학습 지원을 필요로 하는 지?			Yes No

Korean language, literary and Numeracy

영어 (쓰기, 말하기, 듣기), 산수 능력
(rate: 1- very poor 5-very good)

How is your Korean Writing?	1 2 3 4 5
How is your Korean Speaking?	1 2 3 4 5
How is your Korean Hearing?	1 2 3 4 5
How is your mathematical ability?	1 2 3 4 5
Please tick the statements that are TRUE for you	I can add subtract multiply and divide without a calculator 계산기 없이 계산 가능 I can add subtract multiply and divide with a calculator 계산기 있어야 계산 가능

Contact Detail 연락처
Telephone: 61 (02) 6255 4597, 070 7562 9377 (LG)
Mobile: 61 0402 140 905
Email : info@accu.edu.au, info.accollege@gmail.com, https://www.accu.edu.au
Mail to: Australian College of Christianity
Po Box 1264 Dickson ACT 2602 Australia

06 / 07

DECLARATION 선언서

Please tick boxes to indicate agreement 체크를 하여 동의를 표시해 주세요.

In the event of an emergency in which I am rendered unconscious and my nearest responsible relative or guardian cannot be contacted, I hereby agree to such treatment, anaesthetics and operations to be performed upon myself as in the opinion of the attending physician/s is deemed necessary 응급처치 동의 I confirm that I understand the payment system of the required tuition fees as outlined and I agree to comply. I also confirm that I am fully aware of my financial obligations, both to the Lord and to the students and staff at the College. I therefore accept all responsibility for my fees, tuition and personal expenses incurred during my involvement with ACC. 학비 정책에 동의 I do hereby release ACC, its agents, employees, and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss which may be sustained by me or other persons during my/their course of involvements with ACC. 코스를 하는 동안 일어나는 사고에 학교와 이와 관련된 사람에게 책임을 지우지 않음 I give permission to ACC , to use any photographic, imaging or written material in regards to myself in promotional and marketing media. 미디어 노출 동의 I give permission to ACC to use and to address Christian materials in training process. 정보활용 동의 I declare that all the information contained herein is true, correct and complete to the best of my knowledge. I have carefully read and taken the time and appropriate advice to understand all the information included and accept the requirements detailed in the ACC Student Handbook, the Instructions for Completing the Application for Enrolment Information for Students and other relevant information and I agree to accept all conditions contained therein and I agree to abide by all of the requirements stated. 지원서에 기입한 모든 것이 사실임

Application Completion Checklist

Please carefully review and check-off below, all requirements throughout your application to ensure it is accurate and complete. This will ensure that your application can be processed.

Checklist 체크 목록	Photographs attached - Two passport size with name written in block-letters on the back Referee report from Church or Ministry Leader attached Answers for Additional questions attached Literacy and Numeracy questions are answered Every part of enrolment are filled out Declaration ticked and signed RPL or Credit Transfer request form (optional) Certified copy of previous qualification for MA or GDC
Please note that if your application is incomplete it cannot be processed as it needs to comply with the requirements of the national vet regulator (NVR)

Reference 추천서	Reference 추천서는 작성후 스켄받아서 파일 첨부로 올려주세요.
비밀번호

07 / 07