Discipleship Training School (DTS) Application Form Application form for Discipleship Training School (DTS) YWAM South Australia "*" indicates required fields Step 1 of 9 11% Applicant Name* First Last Preferred or Nick Name Gender* Female Male Date of Birth* Day Month Year Preferred Contact Number*This could be your mobile or home phone number. Please include the international code. Eg: 61412345678Email Address Current Residential Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Current Postal Address*If the same as Residential then "As above"City/Town of Birth*Place of birth according to your passport. Country of Birth*According to your passport. Country of Citizenship*According to your passport. Passport Number*A passport is required for overseas missions. If you do not have a passport, please begin the process of getting one before beginning the school and write N/A in the space. Passport Expiry Date*A passport is required for overseas missions. If you do not have a passport, please begin the process of getting one before beginning the school and enter today's date in the field. Day Month Year Copy of PassportPlease attach a copy of your passport.Accepted file types: pdf, png, jpg, jpeg, gif, tif, doc, docx, Max. file size: 100 MB.Marital Status*SingleMarriedEngagedSeparatedDivorcedWidowedMaiden Name or Former Surname (If Applicable)* Is your spouse accompanying you on this course?*If yes, as a student, they will need to fill out a separate application form. Yes, as a student Yes, not as a student No Spouse's Name* First Last If you are bringing children, please write their names, birth dates, gender, grade they are in school, passport details and citizenship:If your spouse is also attending the school, only fill in children's details on one application form and write "See {Name}'s application form"If you have any questions about this application or technical issues then please email us at [email protected] Name of Emergency Contact*This will be the person we will contact in the case of an emergency. First Last Their Relationship to you* Their Preferred Contact Number*Please include the international code. Eg: 61412345678Their Email Address In case we cannot reach your emergency contact, is there someone else we can try?Enter their contact details or write "No"Have you studied in Australia before?*Please select "Yes" even if you have not completed these studies. Yes No What is your USI?If you have studied in Australia before, you will have a Unique Student Identifier (USI). This is a combination of 10 numbers and letters that is unique to you. If you are unsure if you have one or what your USI is, visit the following website: www.usi.gov.au What is the highest grade you completed at high school?*Year 12 or equivalentYear 11 or equivalentYear 10 or equivalentYear 9 or equivalentYear 8 or belowDid not go to schoolIn what year did you complete that school grade?*Please enter four digits. E.g. 2021 Higher Education:Have you completed any tertiary or adult education courses? Bachelor Degree or higher degree Advanced Diploma or associate degree Diploma or Associate Diploma Certificate IV (or Advanced Cert/Technician) Certificate III (or Trade Certificate) Certificate II Certificate I No further education Other Course/s Other Course Name/s: Please provide details of the courses you have successfully completed:*If you have any questions about this application or technical issues then please email us at [email protected] Are you an Australian citizen or a permanent resident?*NoAustralian CitizenPermanent ResidentAre you of (Australian) Aboriginal or Torres Strait Islander Origin?*NeitherAboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderEmployment Status:*Of the following categories which BEST describes your current employment statusFull-time employedPart-time employedSelf Employed- not employing othersEmployerVolunteer – unpaid workerUnemployed – seeking full-time workUnemployed – seeking part -time workNot employed – not seeking employmentReasons for Applying:*Of the following categories which BEST describes your reasons for applying to study?To get involved in ministry / get a jobTo developed existing ministry / businessTo start my own ministry / businessChange in ministry / careerMinistry / job promotionRequirement of my workWant extra skills for my ministry / jobTo get into another course of studyPersonal interest / self-developmentOther reasonsOther Reasons Details: Hopes for the CoursePlease describe what you are hoping to learn or anything else you hope to gain from this course.Have you ever been convicted of a crime?* No Yes If yes, please give details including the crime and date you were convicted:*Please upload a copy of your Police Background Check.Please note that if you do not upload a Police Background Check at this time, you will be required to submit one to us at a later date in order to complete your application. We cannot process your application until we have received a valid Police Background Check, Working with Children Check or equivalent documentation.Accepted file types: pdf, png, jpg, jpeg, gif, tif, doc, docx, Max. file size: 100 MB.If you have any questions about this application or technical issues then please email us at [email protected] Have you started or completed a DTS at another centre?* No Yes If yes, please give details of DTS:*Please include the Date, Weeks completed, Location/centre and the DTS Director/Leader.Have you had any previous involvement with YWAM?* No Yes Please provide details of your previous involvement with YWAM:*Please give details including description of involvement, locations and dates.Please describe any talents, skills, gifts etc that you have:*Example: Musical - Can play guitar and sing at an intermediate level.How does your family feel about your decision for missions?*If you have any questions about this application or technical issues then please email us at [email protected] What is the language you primarily communicate in? English Other If you speak MORE than one language, what other languages do you speak? Please rate your ability to communicate and take in information in English:Reading Very Well Well Not Well Not at all Writing Very Well Well Not Well Not at all Listening Very Well Well Not Well Not at all Speaking Very Well Well Not Well Not at all If English is NOT your first language, have you:If you have completed any of these options, you will be asked to provide evidence below. TOEFL = Test of English as a Foreign Language. IELTS = International English Language Testing System. Successfully completed another YWAM / UofN course at any of our locations world-wide where English is the primary language? Completed TOEFL test with a score or 5.5 or higher in the last 12 months? Completed IELTS test with a score of 4.5 or higher in the last 12 months? Studied in an English speaking school for at least 1 year None of the above Please upload a copy of your grades/transcript in English, OR a reference letter from your School Administrator in English.Accepted file types: pdf, png, jpg, jpeg, gif, tif, doc, docx, Max. file size: 100 MB.Please upload a copy of your TOEFL or IELTS test score results in English.Accepted file types: pdf, png, jpg, jpeg, gif, tif, doc, docx, Max. file size: 100 MB.Please upload a copy of your YWAM / UofN Course Certificate in English.Accepted file types: pdf, png, jpg, jpeg, gif, tif, doc, docx, Max. file size: 100 MB.Please note that if you have not met any of the requirements above, you will be contacted by one of our staff to complete an English Eligibility Interview prior to the commencement of the course.* I agree to be contacted by one of YWAMSA's staff to complete an English Eligibility Interview prior to the commencement of this course.If you have any questions about this application or technical issues then please email us at [email protected] Do you have the funds to cover all the fees for this course?* Yes - For both Lectures and field assignment (Outreach) Yes - For Lectures only No How much of the school fees do you have?*Please enter amount in Australian Dollars (AUD$)How do you intend to gather the funds to pay the rest of the fees?*Do you have any pledged support? Yes No How much has been pledged towards your school fees?*Please enter amount in Australian Dollars (AUD$)Do you have any regular ongoing financial obligations or debts? No Yes What are your regular ongoing financial obligations or debts?*Please select all that apply. Credit Card Debt Phone Plan Mortgage Loans (car, student etc) Family / Friends Memberships/Subscriptions Other Other Regular Financial Obligation: If so, what are the monthly payments?*Please enter monthly total amount in Australian Dollars (AUD$)Do you have any other outstanding debts? No Yes If so, what is the total amount owed?*Please enter amount in Australian Dollars (AUD$)Please explain how you intend to meet these obligations/debtsIf you have any questions about this application or technical issues then please email us at [email protected] Have you ever had any of the following Medical Conditions?*Please tick all that apply. If you have not had any of the following, tick "NONE of the Above". Skin Trouble Eye Trouble Ear Trouble Head Injury Recurring Headaches Migraines Epilepsy / Seizures Fainting Spells Chronic Fatigue Weakness Paralysis Insomnia Sleep Apnoea Other Sleep Disorder Shortness of Breath Hay Fever/Asthma Heart Trouble High Blood Pressure Low Blood Pressure Rheumatism/Arthritis Back Problems Dislocated Joints Broken Bones Anorexia/Bulimia Other eating disorder Anxiety/Depression Other Mental Illness Stomach/Duodenal Ulcers Gall Bladder Problems Jaundice Intestinal Troubles Recurring Diarrhoea Chronic Constipation Diabetes Kidney Disease Anaemia Tumour Cancer Venereal Disease NONE of the Above Please give details on each of the Medical Conditions ticked*Do you consider yourself to have a disability, impairment or long-term condition?* No Yes If yes, please indicate any that apply:* Hearing/Deaf Intellectual Mental Illness Physical Learning Acquired Brain Injury/Impairment Vision/Blindness Medical Condition Other Other Disability:* Have you ever had any of the following Communicable Diseases?*Please tick all that apply. If you have not had any of the following, tick "NONE of the Above". Chicken Pox Pertussis (Whooping Cough) Hepatitis Measles/Rubella Scarlet Fever HIV/AIDS Mumps Tuberculosis NONE of the Above Please give details on each of the Communicable Diseases ticked*Do you have any allergies?* Yes No Please select the type of allergy/ies you have Food Drugs/Medication Insect Stings (E.g. Bees) Other Other allergy/ies Please give details on each of allergy ticked*Have you ever had surgery?* Yes No Please give details including the date and type of procedure and any ongoing complications*Are you pregnant?* Yes No When is your approximate due date? Do you experience:*Please tick all that apply. If you have not had any of the following, tick "NONE of the Above". Severe Menstrual Cramping Excessive Menstrual Flow Irregular Periods Extreme Mood Swings associated with PMS NONE of the Above Are you currently taking any medication?* Yes No Please give details including medication and dosage.*Are you medically required to eat a special diet?*Please include any dietary requirements/needs that are relevant for our Kitchen Staff (i.e. lactose-free, gluten-free, vegetarian, vegan, etc.). Yes No Please give details of special dietary requirements:*Is there any family medical history that we should be aware of?* Yes No Please give details of relevant family medical history:*Do you suffer any condition currently under the care of a doctor?* Yes No Please give details of current medical care:*Have you ever received compensation for disability from any source?* Yes No Please give details of compensation:*Please give details if there is anything not mentioned above that you would like to tell us about:If you have any questions about this application or technical issues then please email us at [email protected] Describe your Christian conversion experience and 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?*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?* Please upload a clear picture of yourself so that we can recognize you. This helps us identify you at the airport.Accepted file types: pdf, png, jpg, jpeg, gif, tif, doc, docx, Max. file size: 100 MB.If you have any questions about this application or technical issues then please email us at [email protected] Declarations:HiddenDeclarations are below:* I have completed the application* 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.*I will abide by YWAM rules* If I am accepted by Youth With A Mission, I will abide by the spirit, rules and schedule of the school.*YWAM may keep my police check info* I give permission for a copy of my/our police clearance to be kept on file at YWAM .*YWAM is not liable* I do hereby 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*YWAM absolved of burial costs* I agree that in the case of my death while in Youth With A Mission South Australia, Youth With A Mission South Australia 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 hereby absolve Youth With A Mission South Australia and its entire staff of the burial costs.*Agree to receive treatment deemed necessary* In the event of an emergency in which I am rendered unconscious and my nearest responsible relative or guardian cannot be contacted, I hereby agree to such treatment, anaesthetics and operations to be performed upon myself as in the opinion of the attending physician/s is deemed necessary*Agree to meet financial obligations* 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 responsibility for my fees, tuition and personal expenses incurred during my involvement with Youth With A Mission.*Are you 18 or over?* Yes No I am 18+ and this is my application* I do hereby certify that I am the above named applicant and that I am 18 years old or older.*I am the applicant's parent or legal guardian and agree to this application* I, as named below, do hereby certify that I am legally responsible for the above named applicant (as they are under 18 years of age) and that I agree to this, their application.*Name of Parent/Legal Guardian, if applicant is under 18 years old.* First Last If you have any questions about this application or technical issues then please email us at [email protected]
