General Application

Application for Training Schools

Youth With A Mission - Los Angeles

School applying for: *
Year: *
How did you hear about this school? *
Personal Information
Name: * First Last
Preferred Name:
Present Address: *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone: * - (###) - ### ####
Email: *
Permanent Address: *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Sex: * Male Female
Date of Birth: * / MM / DD YYYY
Citizenship: *
Passport/Visa Information
Passport Number: *
Passport Expiration: * / MM / DD YYYY
Place of Issue: *
Visa Type:
Date of Issue: *
Visa Expiration: / MM / DD YYYY
Family Information
Marital Status: * Single Engaged Married Divorced
If engaged:
Has your fiance applied to this same school? yes no
Has he/she completed a DTS? yes no
Does he/she intend to? yes no
If married, spouse's name:
Name, age, and sex of any child or dependent accompanying you:
Name of parents or legal guardians:
Do your parents or legal guardians approve of you applying for this school? yes no
If no, please explain:
Are your parents living? yes no
Separated? yes no
Divorced? yes no
Church Information
Home Church: *
Church Address: *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Church Phone: * - (###) - ### ####
Pastor's Name: * First Last
Church Email:
How long have you attended there?
Are you a member? yes no
Does the pastor approve of you applying for this YWAM school? * yes no
If no, why?
Any previous YWAM or other missions experience? To where and how long?
In Case of Emergency, Contact:
Name: * First Last
Address: *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone: * - (###) - ### ####
Work Phone: * - (###) - ### ####
Email: *
Relationship: *
Education and Occupational Skills
Highest level of education completed: *
Names and dates of Secondary (High) Schools attended: *
Names and dates of Post-Secondary Schools (college, university, technical, etc) attended:
What was your major? Did you receive a degree? If so, what type?
Other YWAM schools, Education, or Certificates:
What languages do you speak (list in order of fluency)?
If English is your second language (on a scale of 1-5; 5 being best), how well do you:
Speak?
Write?
Other skills or technical abilities?
Music abilities / other artistic talents like drama or dance?
Hobbies:
Health Condition
How would you describe your health condition? * Excellent Good Fair Poor
If fair or poor, please explain:
Are you presently taking any medications? * yes no
If so, what is (are) the medication(s)?
Describe any dietary needs you may have:
Date of last medical exam: * / MM / DD YYYY
Do you drink alcoholic beverages? * yes no
If so, how often and how much?
Do you have any physical or emotional health issues?
If yes, would these limit your ability to participate in this school?
Personal History
Have you been involved in: Religious Cults Other Religions Occultism Use of Drugs Alcoholism Homosexuality
If so, are there any details that you need and/or want to share that we should be aware of?
Financial Information
Do you have the complete school fees at the present time? * yes no
If no, how much do you have?
From what sources will you receive the remainder?
Do you have any outstanding debt? * yes no
If so, please explain the nature of the debt, how much it is, and how you are planning to make payments?
Give names of any dependents you may have and to what extent you are obliged to them financially

General Application

General Application

Personal Information

Passport/Visa Information

Family Information

Church Information

In Case of Emergency, Contact:

Education and Occupational Skills

Health Condition

Personal History

Financial Information