Australian Student Christian Movement

Programme application form DRAFT

his application must be at the ASCM National Office no later than one month before the closing date specified by WSCF.

You may either submit the form directly, or mail it to
PO Box 4386, University of Melbourne, Parkville VIC 3052

Applicants may also be interviewed.

Program:

Applicant Information:

Name

Branch

Postal address

Suburb

State

Postcode

Telephone

FAX

E-mail

Date of Birth

Gender

Current university course & level

Years of study remaining

Briefly describe your commitment to the Christian Faith.

What roles and activities have you undertaken in ASCM?

Describe your particular interest in this program.

What do you hope to gain by attending the program?

What do you plan to contribute to ASCM after attending the program?

Briefly describe your overseas experiences.

What experience do you have in organisations other than ASCM?

Referee who is associated with ASCM:

Name

Relation to ASCM

Postal address

Suburb

State

Postcode

Telephone

FAX

E-mail

	Australian Student Christian Movement
	active - open - critical - ecumenical

Name
Branch
Postal address
Suburb
State
Postcode
Telephone
FAX
E-mail
Date of Birth
Gender
Current university course & level
Years of study remaining

Name
Relation to ASCM
Postal address
Suburb
State
Postcode
Telephone
FAX
E-mail


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