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Step 1 of 17

SECTION 1 - Personal Details 個人資料
Date of birth 出生日期*

Name in passport (English) 英文姓名 (必須與護照相同)*
Title 稱謂 Given Name 名字 Surname 姓氏
Chinese name 中文姓名*
Chinese name 中文姓名
Preferred name 其他名字
Gender 性別*
- Male 男
- Female 女

Home Phone 居住電話*
Mobile number 手電*
Email 電郵*

Contact address 通訊地址*
Address line 1 Address line 2 Town/suburb State Postcode
Country*
Postal address (if different from the contact address) 郵寄地址 (如與通訊地址不同)
Same as Contact address 與通訊地址一樣

Address line 1 Address line 2 Town/suburb State Postcode
Postal Country

Marital status 婚姻狀況
- Married 已婚
- Single 單身
- Other 其他
Name of spouse 配偶姓名
Number of dependent children 有多少名子女
Dependent children 子女
Name 姓名 Year of birth 出生年份

Church Details 教會資料
Church affiliation 你的所屬教會
Suburb of the church 教會在那區
Length of attendance 你在這教會聚會多久
How many year(s) 多少年

Health Information 健康狀況
Do you have a disability, impairment or long-term medical condition which may affect your studies? 你的健康狀況會否防礙你的學習，如身體殘缺、長期服用藥物
- Yes 會
- No 否
If yes, please describe 如會，請說明

SECTION 2 - Course Applied 申報課程
Course to apply 報讀課程*
Intended mode of study 上課模式*
Intended options of study 修讀模式*
When do you intend to commence your study 你打算何時開始上學
Year 學年*
Semester 學期*

What is your purpose of study 你念神學的原因
Which of the following applies to you 以下那項適用在你身上

SECTION 3 - Education Qualifications 學歷
The following information is required in order to provide statistical information to the Commonwealth as part of Government reporting requirements.
政府要求收集以下資料，作其統計之用。
Secondary Education 中學學歷
Country of the school 中學所在國家
Postcode if in Australia, 如在澳洲，請填寫Postcode
Year completed 畢業年份
Highest certificate and results achieved 獲頒發的最高學歷及其成績
Complete HSC 有否完成澳洲高中考試
- Yes 有
- No 否
HSC – Year of Completion 完成澳洲高中考試年份
TER/UAI/ATAR 澳洲高中考試成績

Further Education 更高學歷
Institution attended 畢業學校名稱
Country of the institution 學校所在國家
Year completed 畢業年份
Award received 獲頒發的最高學歷

Theological Study at Another College 其他神學院
If you have studied or are studying theology, please fill in this section.
如你曾念神學或現正在念神學，請填寫以下資料。
Name of college where study undertaken 神學院名稱
ACT number ACT 學生編號
Application for credit based on pervious study 打算申請學分豁免
- Yes 是
- No 否
CTCA as home institution 打算在澳洲華人教牧神學院畢業*
- Yes 是
- No 否

Language Information 語言程度
First language 母語
- Chinese 中文
- English 英文
Primary language at home 在家通常以那種語言溝通
- Cantonese 廣東話
- Mandarian 普通話
- English 英文
Chinese language proficiency 中文程度
Where do you study Chinese 在那裡學中文
Proof of English proficiency 如何證明你有一定的英文程度
Details of English proficiency 請形容你的英文程度
Registered as ESL student 打算登記為以英文為第二語言的學生
- Yes 是
- No 否

SECTION 5 - Employment and Finance Information 職業及財務資料
Employment status 工作狀況
- Unemployed 沒有工作
- Employed 在職
Approximate employment hours per week 每週大約工時
Are you intending to apply for FEE-HELP 你打算申請 FEE-HELP 貸款
- Yes 是
- No 否
If No, how will you finance your study 如不打算申請，你如何負擔學費

SECTION 6 - Information required by the Government 澳洲政府要求的資料
Highest completed level of education by MALE parent/guardian 你的男性父母/監護人的最高學歷*
Highest completed level of education by FEMALE parent/guardian 你的女性父母/監護人的最高學歷*

SECTION 7 - Declaration 聲明
Declaration 聲明 - 1*
- I hereby declare that the above information is true and contains no omissions that may affect my application. 本人在此聲明以上填寫的資料全部屬實，也沒有遺留一切可能會影響申請的資料。*
Declaration 聲明 - 2*
- I consent to Chinese Theological College Australia (CTCA)’s disclosure of any personal and/or sensitive information provided by me: 本人同意澳洲華人教牧神學院(澳神)將本人所提供的個人及/或敏感資料透露 *
  1. i) if necessary, to comply with any Legislation or a requirement of an Authority; 如有須要，以求遵守任何法例或有關政府機構要求 ;
  2. ii) to ACT; and 給澳洲神學協會(澳協) ; 及
  3. iii) to persons and organisations that maintain, review and develop ACT’s business systems, procedures and technology infrastructure (including testing or upgrading ACT’s computer systems) and other persons and organisations involved in ACT’s normal business practices (including their Contractors) who have a need to know for the purposes of their relationship with ACT and only to the extent that each person or organisation has a need to know, and has agreed to maintain the confidentiality of the information; and 給負責維修保養、審核及開發澳協的商業系統、程序及技術基礎設施 (包括澳協的電腦系統的測試或等級提升) 的人及機構，及其他因為參與澳協的正常商業運作 (包括其合約工人)而須要知道有關資料(並只限於所須範圍)，且承諾對所得資料保密的人及機構；及
  4. iv) to persons and organisations that maintain, review and develop CTCA’s business systems, procedures and technology infrastructure (including testing or upgrading CTCA’s computer systems) and other persons and organisations involved in CTCA’s normal business practices (including their Contractors) who have a need to know for the purposes of their relationship with CTCA and only to the extent that each person or organisation has a need to know, and has agreed to maintain the confidentiality of the information. 給負責維修保養、審核及開發澳神的商業系統、程序及技術基礎設施 (包括澳神的電腦系統的測試或等級提升) 的人及機構，及其他因為參與澳神的正常商業運作 (包括其合約工人)而須要知道有關資料(並只限於所須範圍)，且承諾對所得資料保密的人及機構。
Declaration 聲明 - 3*
- I understand that all personal and/or sensitive information is collected by CTCA for the purpose of considering and, from time to time, reviewing my application. CTCA may use it for internal administration, to develop theological education and pastoral trainings, to promote courses and open lectures, and for other related areas. Part of the information will be disclosed to the software providers of CTCA for study purpose. I understand that it is not compulsory to provide the personal information. I have a right at any time to withdraw my consent either in whole or in part by serving to CTCA a written notice. In such an event, CTCA has a right to decline my application or to review the eligibility of my continued study. I also understand that I can contact CTCA about privacy policy. 本人明白以上所提供的個人資料是為了協助澳神決定是否接納本人的就讀申請或審核有關申請，方便澳神的行政、提供合適的神學教育與教牧培訓、推廣課程或公開講座、以及其他相關的用途。部份資料更會透露給澳神的網絡軟件供應商作為有關學習之用。本人明白提供以上的個人資料屬自願性質。本人有權隨時透過書面通知選擇不繼續賦予授權。惟在該情況下，澳神有權拒絕本人的就讀申請，甚至不批准繼續升學。本人亦明白可向澳神詳加詢問有關的個人資料政策。*
Name of Applicant making Declaration 申請人 (作此聲名) 姓名*
Date of Declaration 聲明日期*
Name
This field is for validation purposes and should be left unchanged.

Step 1 of 17

SECTION 1 - Personal Details 個人資料

Church Details 教會資料

Health Information 健康狀況

SECTION 2 - Course Applied 申報課程

When do you intend to commence your study 你打算何時開始上學

SECTION 3 - Education Qualifications 學歷

Secondary Education 中學學歷

Further Education 更高學歷

Theological Study at Another College 其他神學院

Language Information 語言程度

SECTION 4 - Citizenship and Residency Information 國籍

SECTION 5 - Employment and Finance Information 職業及財務資料

SECTION 6 - Information required by the Government 澳洲政府要求的資料

SECTION 7 - Declaration 聲明

關於澳神

課程

圖書館

支持奉獻

Name 姓名	Year of birth 出生年份