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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.

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 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
  
 
PERSONAL DETAILS
Surname
  
First Name
  
Date Of Birth
  
Gender
  
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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Copyright World Youth International 2018 | Contact Us | Home | Privacy Policy


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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