Online Application Form

PROGRAM DETAILS - Prior to completing this form you must first determine which program you would like to apply for. If you have not yet chosen a program or if you have forgotten some of the details, please visit our programs page.
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Type of Program
  
* 
Duration of Program
  
* 
Destination Choice
  
* 
Date of Program Commencement
  
* 
Would you like to add on the optional Adventure Package?
  
 
If you have chosen the Overseas Service Project, which placement are you interested in?
  
PERSONAL DETAILS
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Surname
  
* 
First Name
  
* 
Date Of Birth
  
* 
Gender
  
* 
Residential Address
  
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Post Code
  
* 
Postal Address
  
* 
Post Code
  
* 
Contact Number - Home
  
 
Contact Number - Work
  
 
Contact Number - Mobile
  
* 
Email Address
  
* 
Email Address (Confirmation)
  
* 
Residency Status
  
 
If Other indicated above please specify details
  
REFERRAL TO WORLD YOUTH INTERNATIONAL - WYI operates with an extremely small promotions and marketing budget so we are very interested in hearing how you first heard about WYI and our programs.
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How did you hear about us?
  
PAYMENT - Please specify how you would like to pay your $55 application fee. If it is by credit card, you can make the online payment instantly. For money order or cheque, please send to 18 Third Street Brompton SA 5007. For BPAY or Direct Deposit, you will be provided the BPAY reference number or Direct Deposit details following your application. You will be required to make a payment within 7 days or your application will be cancelled. The application process will only continue once the payment is made.
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Choose Payment Type
  

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World Youth International (Aust) Ltd
ABN 52 060 813 541

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