Please Read: An E-Commerce Configuration is required to be defined within the folder OnlineForms. An E-Commerce Configuration is required to be defined within the folder OnlineForms.


 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.
Type of Program
Duration of Program
Destination Choice
Date of Program Commencement
First Name
Date Of Birth
Residential Address
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.
How did you hear about us?
Please specify:
Referral's Name:
Promotion Code
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 PO Box 25 Hindmarsh 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.
Choose Payment Type

Type the text presented above:


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Postal Address: PO Box 65, Holden Hill, South Australia 5088

* As a charity we also talk about fundraising as well as program costs. In addition to your $2295 program fee, you will be required to raise $2,200 to support the community development work of your program and WYI's global projects, to ensure we can create lasting positive change.

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