Education Enquiry Form

Education enquiry form

We respect your privacy and only use your contact details for the purpose for which they are provided. We won’t use your address for any other purposes (including adding it to any mailing list) without your express approval.

Information to help us give you the best advice can be provided on the next page under ‘Optional further information’.

My details
Family name / Given names(s)
Date of my enquiry
I have studied at ALC previously / Any previous last name/s
I am contacting you on behalf of someone else
Contact details
*Email (required)
Best contact no.
My preferred contact mode / Email
Phone
My area of interest
As a lay worker / Pre-service / As a pastor / Pre-service
In service / In service
As a teacher / Pre-service / Other e.g. personal growth
In service
I’m interested in Higher Education (awards through the University of Divinity)
I’m interested in Vocational Education & Training (VET) (qualifications through the Australian Centre for Advanced Studies)
I’m interested in non-accredited training/workshops (Grassroots Training)
Other (e.g. general interest). Listarea:
I don’t know at this stage
These are some questions I have:
I found out about study at ALC through:
This information will assist ALC with promotional strategies.
ALC student / School/Careers advisor
ALC staff member / University
ALC brochure/poster/flyer / Published article (e.g. the Lutheran, LTJ, etc.)
LCA department (e.g. lay ministry, LEA, missions) / Networking event/s (e.g. conferences, synods, Grassroots Training workshops and seminars)
Friend/relative / Advertisement
Pastor/church / Web search
Other – list details:

Optional further information

Course and education information (optional)
I would like information about
Undergraduate courses
Postgraduate courses
Programs e.g. Lutheran Strand/Pastoral Studies Stream
Vocational Education & Training
My educational history
Current/proposed
I am applying to study/currently enrolled at
Institution
Course
Year e.g. 1st, 2nd
Previous
Completed levels of education / Year/s completed
Year 12
TAFE/VET / Name of course/s
Higher education degree / Name of course/s
Other / Details
Commentary/additional information
Previously enrolled at ALC?
Yes / Year last enrolled
Are you a teacher?
Yes / For how many years have you taught?
I would like to start my studies at ALC (if known)
Year (yyyy) / Semester (Summer semester, S1 or S2)
You can return this form by
Email:
Mail: ALC
Attention: Enquiries
104 Jeffcott Street, NORTH ADELAIDE SA 5006
Fax: 08 8127 8071
Office use only
Education Studies / Pastoral Studies / Open Studies / Grassroots Training
By phone / By this form / In person / Other
Notes and information dispatched
Staff member name/initials / Dated

C494 Approved: 10/05/2018 Page 1 of 2

ALC | UD CRICOS: 01037A | ACAS RTO# 50392