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Name:
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First Name
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Date of birth:
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Phone Number:
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Country Code
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Phone Number
Email Address:
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What kind of health insurance policy do you have?
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What is your relationship status?
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Single
In a relationship
Engaged
Married
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Other
If married, what is the name of your spouse?
Do you have kids?
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What are your kids names and ages?
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Passport Information
What country is your passport from?
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Passport Number:
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Expiration Date:
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Emergency Contact Info
Emergency Contact:
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First Name
Last Name
Who should we contact in case of an emergency? (Last name, First name)
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What is the mailing address of your emergency contact?
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Phone Number:
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Country Code
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Area Code
Phone Number
What is the phone number of your emergency contact? (with country code)
What is the email address of your emergency contact?
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What is your emergency contact's relationship to you?
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Personal Information
Have you ever served in the military?
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Have you ever been charged or convicted of a misdemeanour or felony?
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Do you have assured financial support?
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Do you have any debts?
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Driving License
Do you have a driving license?
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License number:
License type:
Date license was issued:
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Date license expires:
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Have you had any accidents?
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Education
Have you undertaken any training or university studies?
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What languages do you speak?
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Do you have any professional or work experience?
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What is your current occupation?
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Do you have any musical, construction, artistic, practical, or other skills you would like to tell us about?
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Health Information
How would you describe your state of health?
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Do you have any physical disabilities?
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Are you taking any medication at present?
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Do you have a special diet?
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Do you have any allergies?
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Have you ever received any psychiatric treatment?
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Have you struggled in any of the following areas in the past?
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Alcohol
Drugs
Smoking
Sexual Immorality
Occultism or Sects
Mental Illness
Depression
Eating Disorders
None of the above
What is your current situation regarding the above mentioned areas?
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Church Information
Name of your home church:
Home Church Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
What is the name and address of your home church?
What is your pastor's name?
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What is your church's denomination?
Church phone number
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Country Code
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Area Code
Phone Number
What is your church's phone number? (with country code)
Describe your relationship with your pastor or church leader.
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How have you participated or served in your local church?
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Are you encouraged or do you have the approval of your church leader to join YWAM Bridges of Life?
*
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Youth With a Mission
Where and when did you do your DTS?
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Name and email address of your small group leader or school director:
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Have you ever done any other schools with YWAM?
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Have you worked as YWAM staff previously?
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Have you ever been involved in any other YWAM activities?
*
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Questions About You
What are your talents/passions/spiritual gifts and/or ways that God has used you in the past?
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Briefly, tell us how you came to know Jesus
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Describe your present relationship with the Lord.
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Describe any other significant events concerning your walk with the Lord, whether negative or positive.
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Describe your relationship with your parents. How does your family feel about your commitment to YWAM Bridges of Life?
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How did you hear about YWAM Bridges of Life?
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Why do you feel led to come and work with YWAM Bridges of Life?
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What are your expectations about our mission?
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Do you envision making a long term commitment?
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In what kind of work would you like to be involved?
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When are you wanting to arrive here?
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Do you have any other information or comments you would like to make?
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Do you have any questions?
*
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References
Almost done! We need 2 reference forms to be filled out in order for your application to be processed. The reference forms are confidential and will not be shown to you. You can find a link to the online reference forms on Staff Application page of our website. Below we want to ask a couple questions about the references you will be providing.
First Reference
Christian friend, employer, teacher (not a family member)
Reference Name
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First Name
Last Name
What is your first reference's first name?
What is your first reference's last name?
What is your first reference's relationship to you?
*
What is your first reference's email address?
*
Second Reference
Pastor or spiritual leader
Reference Name
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First Name
Last Name
What is your second reference's first name?
What is your second reference's last name?
What is your second reference's relationship to you?
*
What is your second reference's email address?
*
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Agreement and Release of Liability
Please take some time to read through the following details. Without your consent, we cannot process your application
Release of Liability
I do hereby release Youth With A Mission, its agents, employees and volunteer assistants, from any liability whatsoever arising out of any injury, theft, damage, disability or loss of health, property, emotional stability or life, which may be sustained by me during the course of my involvement with Youth With A Mission.I do hereby agree to the performance of such treatment: transfusion, anaesthetics, and operations that in the opinion of the attending physician are deemed necessary for me.Although it is most unlikely that anyone would pass away during their time of participation in YWAM activities, existing laws regarding burial make it necessary to consider this possibility prior to travel a broad. In many countries in which YWAM works, burial must take place within 24 hours of death, making it impossible to make arrangements for returning the body to the home country, and burial therefore taking place in the region.In those instances in which arrangements to repatriate the body can be made it is invariably very expensive, some countries requiring that a person accompany the deceased. For this reason, we cannot guarantee repatriation, and would ask you to consider the following:In the event of my death, I give my permission to be buried in the country of my death unless my family wishes to repatriate the body at their own expense. If, on the contrary, I desire to bear this expense myself, I agree to take an insurance covering this eventuality.
Signature
*
Final Acknowledgment
I have completed all forms concerning my registration, and if I am accepted, I commit myself to respect the regulations & the spirit of YWAM Bridges of Life.
By typing my name, I am providing my electronic signature.
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