Student enrolment application

Help someone begin a journey of hope.

Thank you for helping connect someone in prison with God’s Word through Crossroads. This form is the first step in beginning a Bible study pathway marked by encouragement, dignity, and Christ-centred relationship.

People offering care and support

Before you apply

A few things to know

  • This form helps Crossroads begin the enrolment process.
  • Provide as much detail as you can about the student and facility.
  • Our team may contact you if more information is needed.
  • If you need help, our office is ready to assist.

Need assistance?

If you have questions about enrolment, please contact us at office@cpm.org.au.

Student enrolment form

Complete the details below.

Please complete the form below, and our office will review the information and guide the next steps.

Student details

Referrer / applicant details

Additional information

What happens next?

Our team will help guide the next step.

Once we receive the application, Crossroads will review the details and help determine the next step for connecting the student into the program.

Does enrolment mean the student starts immediately? +

The Crossroads team reviews each submission and confirms the practical next step based on the information provided.

Can I submit more than one student? +

Yes. A separate submission for each student helps the Crossroads office process details clearly and accurately.

What if I do not know every detail yet? +

Provide what you can. If more information is needed, the office may contact you to clarify details.