Connect Programme Application Form (Confidential) 1 to 31 August 2019
Thank you for your interest in the Connect Programme. Please complete all relevant sections of this form. Married couples would need to complete separate application forms. We will let you know as soon as your application is accepted.
Please indicate the Programme you are applying for: *
Please provide us with the following information to process your application
Personal Information
Title *
Name *
Your answer
Surname *
Your answer
Identification/Passport Number *
Your answer
Permanent Residential Address
Your answer
E-mail address *
Your answer
Mobile Number *
Your answer
Age *
Your answer
Gender *
Nationality *
Your answer
Ethnic Origin *
Your answer
I am able to read, speak and understand English *
Marital status *
Church Affiliation *
Your answer
Name & Address of Minister/Pastor *
Your answer
Contact Details of Pastor *
Your answer
If you are accepted on the Programme would you be coming with your minister’s support and blessing? *
If No, can you give the reasons why not?
Your answer
Please summarise below your Christian testimony, including the following points: Your conversion to Christ; Your Christian experience since then; your current responsibility in your Church. *
Your answer
Outline serious occult activity which either you or your parents have been involved in, indicating whether or not you have received ministry into these areas. *
Your answer
Please summarise here your present experience of the healing and/or deliverance ministries:
Your answer
Personal Health
Are you generally in good health? *
If not, please indicate any problem(s) you have
Your answer
Unfortunately we do not cater for any special dietary requirements, set meals will be provided during the school. If you have any specific medical conditions, e.g. food allergies please elaborate. *
Your answer
If Yes, please indicate which foods you are unable to eat and why?
Your answer
Do you have any physical disability or any special needs connected to the disability *
Please explain and give more details
Your answer
Do you have any physical/psychiatric conditions for which ongoing medical treatment is necessary? *
If Yes, please give brief details
Your answer
Tell us about your Motivation to be part of the Connect Programme
Please add here any further information about yourself that you feel would be helpful for us to know
Your answer
Please tell us how you heard about the Connect Programme *
Your answer
References
Please provide us with names, email addresses and contact numbers of two references who have known you for at least three years, and who will vouch for your suitability to attend this Programme (one of these could be your Pastor):
Please arrange the references yourself and send them or have them sent to us. We will only consider your application when we get the two references!
1. Name of the Person *
Your answer
Contact Number/Details *
Your answer
Application Procedure, Terms and Conditions (Please read)
PRICES 2019

Connect Programme, Non Residential - R 11 500

Connect Programme, Residential (subject to availability) - R22 500
(All Accommodation is Shared unless requested other wise at an additional cost)

DATES
1 August - 31 August 2019

APPLICATION PROCEDURE

1. Apply by completing this application form

2. If accepted on the programme you will be emailed a letter with an online link to pay the R 1500 deposit. For those needing to apply for a visa, the invitation letter will only be sent once the deposit has been received. Please apply for a visa at least 8 weeks before the programme starts.

3. Your booking on the programme will only be confirmed once we have received your payment of R 1 500 deposit

4. The balance of your outstanding course fees are payable 10 days prior to the start of the course.

ELLEL SOUTH AFRICA PHYSICAL AND POSTAL ADDRESS:

Ellel Ministries South Africa, Plot 32 / 1, James Ave, Shere Agricultural Holdings, Pretoria East, 0081

PO Box 39569, Faerie Glen, Pretoria, 0043

TERMS AND CONDITIONS

Statement on Restricted Services:
Ellel Ministries International exists to teach the principles and practice of Christianity so that Christians may be drawn into a deeper relationship with God through Jesus Christ. For an understanding of the Christian beliefs and ethos of Ellel Ministries International see “What we believe” at ellel.org/wwb. We are open to all who are seeking Jesus Christ and who wish to benefit from this ministry and who seek to use our services for this purpose. We reserve the right to not allow our services to be used in a way that is contrary to our Christian beliefs and ethos (and therefore potentially harmful to those our ministry seeks to help).

House Rules:
To avoid conflict with our ministry purposes and our Christian beliefs and for the safe-guarding, comfort and spiritual welfare of our other guests and the team, the following are not permitted at Ellel Ministries centres:
• Alcohol, recreational drugs or any form of substance abuse. Smoking (including e-cigarettes) is only permitted outside, in designated places.
• Verbal abuse or aggressive behaviour.
• Any sexual intimacy outside a traditional biblical marriage.
• People sharing a bedroom who are involved (or intend to be involved) together in an intimate sexual relationship outside a traditional biblical marriage.
• Inappropriate or excessive public displays of sexual intimacy or affection.
• Pornographic material, including on-line access.
• Religious practices (including occult) that are not consistent with our Christian beliefs and ethos.
If you are unsure whether something may fall outside activity permitted at our centres, please seek guidance beforehand from the relevant centre. For further information on the Christian beliefs and ethos of Ellel Ministries International, including our understanding of marriage, see What We Believe and our statement of faith.

Cancellation and Refund Policy:
I understand that the deposit of ZAR 1500 minus any bank/transfer fees is only refundable if my visa is not approved. Proof of the refusal letter from the South Africa authorities is required for a refund. I further understand that the course and accommodation fees are only refundable upon receipt of a written cancellation by email 7 days prior to the start of the Connect programme. We are governed by the rules of the South African Reserve Bank which stipulates that a refund can only be made payable to the account from where the money was made.

Use of Electronic Equipment:
Please note that guests using any of their own portable electronic devices, including items such as lap top computers, chargers and hair dryers, do so entirely at their own risk. Ellel Ministries will not in any way be held responsible for any loss of, or damage to, or injury or damage resulting from, the use of such items. Please note that the electricity supply runs at 220 volts.

Disclaimer Policy:
Ellel Ministries Shere House has beautiful facilities and while we endeavour to make your stay as pleasant as possible, we cannot take any responsibility for any losses or injuries incurred while at Shere House. We also regret that no young children or pets are allowed on the property. We pray that you will have a wonderful stay and enjoy the peace & tranquillity with which the Lord has so greatly blessed us! Right of Admission is reserved.

Our mailing list
If you choose to join our mailing list Ellel Ministries International will use the information you provide on this form to be in touch with you and to provide updates and publicity. For more information please read our Privacy Policy. By opting-in to our mailing list, you agree that we may process your information in accordance with this policy. You can change your mind at any time by clicking the unsubscribe link in the footer of any email you receive from us, or by contacting us at hello@ellel.org. We will treat your information with respect.

I have read and accept the terms and conditions of this application procedure *
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