Apply

Application Form

"*" indicates required fields

Step 1 of 13

Name*

First Last

Phone*

Include country and area code

Email*

Have you completed a YWAM Discipleship Training School?*

Applying For:*

Select The Quarter*

Year*

Jan/Feb DTS Elective*

Apr/May Ghana DTS Elective*

Jun/Jul DTS Elective*

Sep/Oct DTS Elective*

Will you be doing C4CM?

Proposed Arrival Date*

Please enter the date you wish to arrive in the format of dd/mm/yyyy (i.e., 07/05/2017)

Proposed Departure Date*

Please enter the date you wish to depart in the format of dd/mm/yyyy (i.e., 07/05/2017)

Total Number of People*

Are there any Families or Couples?*

Number of Couples

Number of Single Males

Number of Single Females

Details of Families and Couples

Please give as much detail as possible about families, couples and ages of children.

Additional Information

Please include any other details or information that we should know. Include any questions that you may have so we can serve you better!

Personal Details

Date of Birth*

Gender*

Country of Birth*

City/Town of Birth*

Country of Citizenship*

As shown on Passport

Australian Indigenous Status*

Marital Status*

Spouse's Name*

Do you have children?*

What are the names, gender and ages of your children?*

Photo Upload*

Accepted file types: jpg, gif, png, pdf, zip, Max. file size: 100 MB.

Please upload an appropriate photo of yourself that clearly shows your face (like a passport photo). If you are unable to upload due to internet difficulties, please send your photograph to the YWAM Sydney Island Breeze Facebook page direct message. **Please note that we cannot process your application without a photo.**

Mailing Address

Street Number and Name*

City*

State/Province*

Postal/Zip Code*

Country*

Criminal Record

Have you ever been convicted of a crime?*

Please elaborate:*

What, when, where?

Passport Details

Do you have a current passport?*

Name On Passport*

Please write your name EXACTLY as it appears on your passport.

Passport Number*

Passport Expiry Date*

example: 27 JAN 2021

Country of Issue*

You may continue on with your application, however, you will need to apply for a passport as soon as possible and send us the details once you have obtained it. You are unable to enter Australia without a passport. Even if you are an Australian, you will need a passport in order to go on outreach.

Next of Kin Information

Contact's Name*

Relationship To You*

Phone*

Mobile/Cell

Email*

Physical Address

YWAM HISTORY

DTS School Leader*

Country and Base of DTS*

The country where you completed your DTS as well as the base name/location.

DTS dates*

Time served in YWAM*

how long has your involvement with YWAM been

Previous involvement in YWAM

Please list any additional YWAM Schools/seminars or any areas serving you have done in YWAM.

Are you pursuing a degree with U of N?

Education History

High School Level Completed*

Year Completed

Further Education Completed

Please elaborate

Work Experience

Employment Status*

Present Occupation

Occupational Skills (e.g. handyman work, cooking, admin, etc.)

Languages Spoken

First Language*

This is your mother tongue or language that you speak at home

How well do you speak English?*

Proof of English Competency*

Max. file size: 128 MB.

Please upload proof of one of the following: 1) Successfully completing a YWAM course where English is the primary language of instruction 2) a TOEFL test done in the last 12 months with a score of 5.5 or higher 3) a IELTS test done in the last 12 months with a score of 4.5 or higher 4) Proof of study at an English school for at least one year

Language you speak at home*

Second Language*

List what other languages you speak fluently

Christian Life and Calling

Please describe your relationship with God*

In a brief paragraph, describe your faith and history walking with God up to this point

Why do you want to do this course?*

Give a brief outline of why you are doing this course, including what influenced you to apply and what you hope to gain from it.*

Give a brief summary of ministry involvement*

Please give a brief outline of your ministry involvement. Highlight any relevant experience relating to intercession, worship and spiritual warfare.

Are there any outstanding problems or unresolved conflicts in your life?*

Elaborate*

Is there any additional comments or anything more you would like to add that was not covered in the application form?

Health History

Have you ever had, or do you currently have any of the following? Please check all that apply.*

Skin Conditions

Eye Trouble

Head Injury

Recurring Headaches

Epilepsy

Fainting Spells

Mental Disability

Paralysis

Insomnia

Allergies

Shortness of Breath

Hay Fever/Asthma

Heart Trouble

High Blood Pressure

Low Blood Pressure

Rheumatism/Arthritis

Back Problems

Dislocation of Joints

Tumour/Cancer

Surgery

Stomach Ulcer

Gall Bladder Problems

Jaundice

Intestinal Troubles

Recurrent Diarrhea

Chronic Constipation

Diabetes

Kidney Problems

Anemia

Venereal Disease

Hearing Impairments

Learning Disability

Other Physical Disability

Intellectual Disability

Other Medical Condition

Other

Please elaborate on those that you have selected.*

Please list any allergies or dietary requirements*

List allergies to medications, foods, etc.

Medical Treatment

Do any of these apply to you? Please check all that apply.

I presently am under a doctor's care for a condition.

I am currently taking medication.

I have a history of emotional instability or psychiatric treatment.

Please elaborate on those that you have selected.*

Communicable Diseases

Have you ever had any of the following? Please check all that apply.

Chicken Pox

Measles (Rubella)

Measles (Rubeola)

Mumps

Pertussis

Scarlet Fever

Tuberculosis

Family History

Have any of your relatives ever had any of the following? Please check all that apply.

Arthritis

Asthma

Cancer

Diabetes

Epilepsy

Heart Disease

HIV/AIDS

Kidney Disease

Mental Illness

Stomach Disease

Please specify which family member had the condition(s).*

Finances

How much do you have towards your Lecture Phase (AUD)?*

Would you like information about how to raise support?

Do you have significant outstanding debts?*

Please explain:*

Hidden

$4200

Is the cost of your Lecture Phase.

Hidden

$3150

Is the cost of your Lecture Phase.

Hidden

$2450

Is the cost of your Lecture Phase.

ESL Finances

How much do you have towards your ESL?*

Please write in AUD.

Do you have significant outstanding debts?*

Please explain:*

$4,450

Is the cost of your ESL.

$3,400

Is the cost of your ESL.

$2,700

Is the cost of your ESL.

TLS Finances

How much do you have towards your Seminar?*

Please write in AUD.

Do you have significant outstanding debts?*

Please explain:*

$2,000

Is the cost of your TLS.

$1,500

Is the cost of your TLS.

$1,200

Is the cost of your TLS.

SOIWSW Finances

How much do you have towards your School?*

Please write in AUD.

Do you have significant outstanding debts?*

Please explain:*

$4,200

Is the cost of your SOIWSW.

$3,150

Is the cost of your SOIWSW.

$2,450

Is the cost of your SOIWSW.

Sound of the Nations Finances

How much do you have toward you seminar?*

Please write in AUD

How much do you have toward you seminar?*

Please write in AUD

Do you have significant outstanding debt?*

Please Explain*

Acknowledgement of Financial Responsibility

I confirm that I understand payment of the required school tuition and fees must be paid two weeks before the school commences, unless otherwise arranged with school leader, and I agree to do so. I also confirm that I am fully aware of my financial obligations, both to the Lord and to the students and staff at the school. I therefore accept all responsibility for my fees, tuition and personal expenses incurred during my enrolment at Youth With A Mission Sydney (Island Breeze).

Burial Release

In the case of death during my involvement with YWAM; I wish that my next of kin be advised as soon as practicable and that their wishes with regards to my funeral and disposal of my body be complied with so long as my next of kin places YWAM in sufficient funds to carry out those wishes. In the case where YWAM is unable to contact my next of kin or that my next of kin are unable or unwilling to give directions as to funeral and disposal of my body and a reasonable time, then I direct YWAM at its sole discretion make arrangements for funeral and body disposal (incl. burial in a foreign country) at the expense of my estate.

Release of Liability

I do hereby release Youth With A Mission Sydney Inc, its agents, employees and volunteer assistants from any liability what so ever arising out of any injury, damage or loss which may be sustained by said person during the course of involvement with Youth With A Mission.

Consent for Treatment

I hereby agree to the performance of such treatment, anaesthetics and operations as is deemed necessary in the opinion of the attending physician.

Refund Policy

Prior to commencement of the course:
* Cancelled course - fees paid back in full, excluding application fee ($60)
* Visa is denied - fees paid back in full, excluding application fee ($60)
* Voluntary Withdrawal (more that 28 days prior to commencement of school) - fees paid back in full, excluding application fee ($60)
* Voluntary Withdrawal (less than 28 days prior to commencement of school) - fees paid back, excluding application fee ($60) and non-refundable enrolment deposit ($150)

After Commencement of the course
* Prior to first class session - 100% of tuition, excluding enrolment deposit
* During first week of classes - 90% of tuition, excluding enrolment deposit
* During second week of classes - 60% of tuition, excluding enrolment deposit
* During third or fourth week of classes - 30% of tuition, excluding enrolment deposit
* After fourth week of classes - 0% refund

Field Assignment (outreach) Phase

Field Assignment Costs - Non refundable, except under special circumstances (poor health, etc.). In such case, refunds will only be given on any un-spent fees and at the discretion of the Training Director.

* To apply for a refund, please write/email the Accounts Department (accounts@ywamibs.org) requesting the refund
* All refunds will be given in Australian dollars unless the method of payment is impractical or requested by the student.
* Refunds will be paid only to the person who has entered into the course unless the person directs us in writing for it to be paid to someone else.
* Refunds will be paid no later than 4 weeks after the student’s written request.
* If you feel you’ve been dealt with unfairly, any student may access our complaints and appeals procedure. If the student still does not feel justified this agreement does not remove the right of the student to take action under Australia’s consumer protection laws.

I understand and comply with the terms and conditions as stated in the Release Form:*

Yes

References

A simple on-line form will be sent to your referees for them to fill out on behalf of your application. Please give us the names of referees who know you well. This will be sent upon completion of this section.

Referee 1 Name*

Pastor or Spiritual Leader

First Last

Referee 1 Email*

Referee 2 Name*

Teacher or Employer

First Last

Referee 2 Name*

YWAM DTS School Leader or Base Leader

First Last

Referee 2 Email*

Referee 3 Name*

Friend

First Last

Referee 3 Email*

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