Sign up for Further Training * First Name Last Name Please select the type of further training school you are applying for: * BCC Internship (Training + Staffing) Are you currently on staff at any other location? * YES NO Have you already completed the staff application? For those signing up for MDI and MLI, it is an Internship + Staffing YES NO Which Internship are you applying for? * MDI - Ministry Development Internship (Certificate IV in Christian Missions) MLI - Ministry Leadership Internship (Diploma in Christian Missions) Please select the elective(s) you wish to apply for: * Bible (Bible Core Corse) Age * Date of Birth * MM DD YYYY Phone (###) ### #### Email * Physical Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Gender Male Female Mailing Address If different from physical Address Address 1 Address 2 City State/Province Zip/Postal Code Country City/Town of Birth * Country of Birth * Country of Citizenship * Passport Country of Issue * Passport Number * Passport Expiry Date * MM DD YYYY Marital Status * Single Married Divorced Maiden Name or Former Surname If Applicable Is your spouse accompanying you on this course? Spouse's Name If applicable If you are bringing children, please let us know their Name(s), Birth Date(s), Gender, Age/Grade they are in school, Passport details and Citizenship Full Name of Emergency Contact * Relationship to you * Their Preferred Contact Number * (###) ### #### Their Email Address * In case we cannot reach your emergency contact, is there someone else we can try? * What is the highest education? * Year 11 and Below Year 12 Certificate III/IV Advanced Diploma and Diploma Bachelor Degree Graduate Diploma and Graduate Certificate Postgraduate Degree In what year did you complete high school? * Please provide details about the courses you have successfully completed: * Do you have a current Drivers License? * YES NO Are you of (Australian) Aboriginal or Torres Strait Islander Origin? * Neither Aboriginal Torres Strait Islander Both Do you consider yourself to have a disability, impairment or long-term condition? * If yes, please indicate. If No, please put N/A Of the following categories, which BEST describes your current employment status? * Full-Time Employed Part-Time Employed Self-Employed - Not employing others Employer Volunteer - Unpaid Worker Unemployed - seeking full time work Unemployed - seeking part time work Not employed - not seeking employment Of the following categories, which BEST describes your reasons for applying to study? * To get involved in ministry/get a job To develop existing ministry/business To start my own ministry/business Change in ministry/career Ministry/Job promotion Requirement of my work Want extra skills for my ministry/job To get into another course of study Personal Interest/self-development Have you ever been convicted of a crime? * YES NO If yes, please give details, including the crime and the date you were convicted: * If No, put N/A Do you have a valid police clearance? * YES NO Do you have a valid Working with Vulnerable people/children Check? * YES NO Have you successfully completed a DTS? * YES NO Where did you do your DTS (Location, Country)? * Who was/ were your DTS leader(s)? * Where did you do your outreach? * Have you had any other involvement with YWAM? Please describe any talents, skills, gifts, etc that you have: * How does your family feel about your decision to be involved in missions?? * Is English the language you primarily communicate in? YES NO what is the language you primarily communicate in? If you speak more than one language, what other languages do you speak? * Reading Strongly Disagree Disagree Neutral Agree Strongly Agree Writing Strongly Disagree Disagree Neutral Agree Strongly Agree Listening Strongly Disagree Disagree Neutral Agree Strongly Agree Speaking Strongly Disagree Disagree Neutral Agree Strongly Agree Please note that if you were not able to provide proof for any of the areas listed above, you will be contacted by one of the YWAM Staff for an interview to assess your English eligibility, prior to being accepted on staff. Have you ever had any of the following communicable Diseases? * Chicken Pox Pertussis (Whopping Cough) Hepatitis Measles/Rubella Scarlet Fever HIV/AIDS Mumps Tubercolosis NONE of the Above Do you have any allergies? * YES NO Please provide details about your allergies including the allergen, your reaction and the strength of the reaction. (E.g Dairy, Diarrhoea, mild) * Please put N/A if you have no allergies Have you ever had surgery? * YES NO Please provide details including the date and type of procedure as well as any ongoing complications. Are you pregnant? * YES NO When is your Estimated Date of Delivery? Are you currently taking any medication? * YES NO Please give details Are you medically required to eat a special diet? * YES NO Please give details (e.g Dairy free and gluten free) Is there any family medical history that we should be aware of? * YES NO Please give details Do you suffer any condition currently under the care of a doctor? * YES NO Please give details Please give details Have you ever received compensation for disability from any source? * YES NO Please give details Please give details if there is anything not mentioned above that you would like to tell us about. How long have you been a Christian? * Describe your Christian experience and your present spiritual relationship with the Lord * What areas of your character are you presently seeking God to further develop and improve? * Do you feel that God has given you, or is leading you into, any particular area of ministry? * What church involvement have you had? * Do you have any outstanding debts? If so, how much? * If you don't, put N/A Do you have any ongoing financial obligations? * YES NO Please explain how you intend to meet these obligations/debts. Do you have the complete fees for the course? * YES NO Partially How much of the course fees do you have? * How do you expect/intend to gather the money to pay the rest of the fees? * Do you have pledged support? * YES NO How much has been pledged towards your school fees? Please acknowledge that you understand that, as a staff member, this course will incur fees on top of your weekly ministry commitment. * YES, I understand How do you feel you adapt and respond to changes in situations and new environments? * Why do you want to do this school? * How did you learn/hear about this school? * Declarations * I have completed all portions of this application for admission to the school, course or field assignment for which I am applying truthfully and to the best of my knowledge. If I am accepted by Youth With A Mission, I will abide by the Spirit, rules and schedule of the school. I give permission for a copy of my/our police clearance to be kept on file at YWAM. I do hearby release Youth With A Mission, INC, its agents, employees and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss, which may be sustained by myself or other persons during my/their course of involvement with Youth With A Mission. I agree that in the case of my death while in Youth With A Mission Tasmania, Youth With A Mission Tasmania may carry out the burial in the location of the deceased. If my family desires to have the body shipped home, my family will pay for it. I hearby absolve Youth With A Mission Tasmania and its entire staff of the burial costs. In the event of an emergency, in which I am rendered unconscious and my nearest responsible relative or guardian cannot be contacted, I hearby agree to such treatment, anesthetics and operations to be performed upon myself as in the opinion of the attending physician(s) is deemed necessary. I confirm that I understand payment of the required school tuition and fees must be made on or before my arrival, unless otherwise arranged with leadership 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 responsibilities for my fees, tuition and personal expenses incurred during my involvement with Youth With A Mission. Thank you!
