How to Apply

Please fill in the application  form (link) above, then click SEND button.

We are no longer running this program as we have closed our school due to lack of funds.

First Name (required)

Family Name (required)

Street number and name (required)

Suburb

City (required)

State

Postcode/Zip Code

Country (required)

Your Email (required)

Phone/Mobile

Gender preference

Payment method preferred

Payment details found below

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Commencement Payment Date

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Payment details:

PayPal email address is:
choicecambodia@live.com

Australia bank:
NAB A/C No. 846471420 BSB: 085-910, Branch: John St. Salisbury, South Australia.

Charity for the extreme poor