Course details
Choose your Course
Choose your Stream
Will you be working with Children (under 17 years of age) in your ministry experience?
Choose your Capacity - Full Time or Part Time?
Choose your Location
Please select discount option if applicable
Group *
Are you part of an ILC Off Campus Group?
PERSONAL DETAILS
Please fill in your details below
Name *
Name
Address *
Address
Please provide physical address (If you have moved to study in Adelaide please provide your previous address)
Current Postal Address
Current Postal Address
(If different from above)
Phone Number *
Phone Number
Please enter your Unique Student Identification Number (if known)
Please enter your date of salvation (DD/MM/YYYY)
In which country were you born?
Other than English, please write any languages you speak at home
How did you hear about ILC?
If you speak another language at home, how well do you speak English?
Are you of Aboriginal or Torres Strait Islander origin?
Disability *
Do you consider yourself to have a disability, impairment or long-term condition?
Please write down any needs that may impact your ability to study at the college
Please select your highest completed school level
Qualifications *
Please tick any of the following qualifications you hold
Employment Status *
Please tick the option that best describes your current employment status
Outcome *
Which of the following categories best describes your main reason for undertaking this course?
Are you an International Student?
International Students ONLY
The following section only applies to international students who plan to study in Australia under a Student Visa. If you are planning to study online in your country of residence you are not required to fill in this section, and move on to "CHURCH DETAILS"
What is your nationality?
Please enter your passport Number
What is the Dept. of Immigration/Embassy where you will be applying for your visa?
Are you currently studying with another Registered Training Organisation (RTO)?
Have you been with your current RTO for less than six months? (If you indicate yes, you will be required to obtain a letter of release)
Please indicate the month and year you wish to start the course
Church details
What is the name of your church?
What is your churches denomination?
Church Address *
Church Address
Pastors Name *
Pastors Name
Pastors Phone Number *
Pastors Phone Number
I have approval from my pastor to complete studies at Influencers Leadership College
Ministry experience
Please fill in the details below for your mentor
Mentors Details (if different from your Pastor)
Mentors Details (if different from your Pastor)
Address
Address
Phone Number
Phone Number
Emergency contact
please will in the details of an emergency contact
Name *
Name
What is their relationship to you?
Phone Number *
Phone Number
Declaration
please fill out the following declarations
I give permission for any video or photographic images to be taken within lecture recordings to be used by ILC for promotional or off campus educational purposes
I give permission for any photographs taken of me at the ILC graduation services to be shared with other ILC students
I give permission for any video or photographic images taken during college activities to be shared on social media sites such as Instagram or Facebook
Fees *
Please indicate how you will be paying for your fees
Please fill in a brief outline of your Christian Conversion and current church involvement
Declaration *
It is a legal requirement that you accept the terms of the application form, having read and accepted the following declaration: I certify that all information in my application is factually correct and fairly presented. I understand that all students at Influencers Leadership College are bound by the rules and regulations of the College. I understand that if any information is found to be false, this application may be cancelled or if an enrolment is offered based on this information, the enrolment may be cancelled.
Discount
If you are requesting discount please provide evidence, and tick one of the following:
International Students
Please provide the following documents:
Influencers Leadership College will collect, manage, use and disclose personal information in accordance with ESOS Act, the National Code 2007 and the NVR Standards for RTO’s; to ensure student compliance with the conditions of their visas and their obligations under Australian immigration laws generally. Information collected about you on this form and during your enrolment can be provided, in certain circumstances, to the Australian Government and designated authorities and, if relevant, the Tuition Assurance Scheme. In other instances information collected on this form or during your enrolment can be disclosed without your consent where authorised or required by law.

Please email any relevant attachments or information to study@influencerslc.com 

Thank you, the ILC team.