YOUTH WITH A MISSION – Chiloé

              Casilla 359

              Castro, Chiloé

                 

The following application, when answered, must be mailed through regular via air mail.

 

STUDENTS APPLICATION FORM

“YOUTH WITH A MISSION DISCIPLESHIP TRAINING SCHOOL”

 

Your application will be considered when all the documents listed below have been received by YWAM-Chiloé.

 

Documents needed for consideration:

  1. Application form completed and signed.
  2. Two recent pictures.
  3. Inscription cost. [$25.00 (American dollars)]
  4. Reference from parents, guardians, or spouse.
  5. Reference from an immediate supervisor or a school professor.
  6. Reference from your Pastor.

 

CONFIDENTIAL INFORMATION:  WRITE IN PRINT OR TYPE

 

I D E N T I F I C A T I O N

 

1.  Name:                                                                     Sex:

2.  Address:                                                                  Apt. No.

     City                                                                         Zip Code

     Country                                                                   Telephone

3. Place of Birth:                                                           Date of Birth:

4.  Nationality                                                   S.S.N.:

5.  Passport No.                                   Expiration Date:                        Expiration of Visa:

6.  Single          Married            Divorced          Widowed         Newly Married

7.  Wedding Date:                                            Spouse Name:

8.  Do you have children?  If yes, write names, dates of birth, and sex.

            Name                           Day/Month/Year                      Passport No.                Sex

 

 

 

 

       Will they accompany you to the DTS?

 

9.  In the event of an emergency contact:                                   Telephone:

 

 

 

 

C H R I S T I A N   E X P E R I E N C E

 

  1. Give a brief testimony of your conversion experience and your current relationship with God.

 

 

 

  1. Give your definition of evangelism and explain your evangelism commitment within your community and culture:

 

 

 

  1. What are you expecting to gain/accomplish with this training?

 

 

  1. How did you learn about Youth With a Mission?

 

 

  1. Have you participated in YWAM activities before?  If yes, mention what type of activity.

 

  1. Is your Pastor aware of your filling out this application?

 

What is his/her opinion on your participation of a DTS?

Enthusiastic                   Positive                        Neutral             Negative

 

7.  Name of Pastor(s):                                            Telephone:

            Pastor’s Address:

8.  Name of church                                                 Telephone:

      Church Address:

  1. List the churches which you have attended during a considerable period of time since your childhood until present day.  Mark with an x those in which you have been a member.

Church             City/State/Country                    Years of Participation

 

 

 

 

  1. Think: How will your participation in a DTS benefit your church?

 

 

 

 

  1. Do you have some biblical formation? (give details whether your answer is yes or no)

 

 

 

  1. Have you been officially received as a member of your church?

 

  1. What experience have you had in Christian work or leadership?

 

  1. What are your habits in regards to your devotional life?  (everyday, on special occasions, hardly ever, only in church)

 

    1. In regards to prayer:

 

 

    1. In regards to reading and studing the bible:

 

 

 

  1. What books and Christian magazines have influenced you most?

 

 

  1. How would you describe your level of commitment with the Church, considering your attendance of meetings, your participation in programs and your attendance and offerings?

Fervently                      Variable                       Other (explain)

 

 

E D U C A T I O N

 

  1. Last level accomplished in your education?  (high school, technical, university, other)

 

 

  1. List the schools, institutions, or educational centers which you have attended after completing High School:

School                                City/Country                 Year                 Certificate/Diploma/Degree

 

 

 

 

  1. What is your maternal language?

Which other languages do you speak?

English              Spanish            French              Other:

 

Understand:                  Well                 Regular             With Difficulty

Speak:                          Well                 Regular             With Difficulty

Write:                           Well                 Regular             With Difficulty

 

 

 

H E A L T H    A N D   F A M I L Y

 

  1. Give a brief sketch of your family, who the members are, your relationship with them, the activities of each one, their relationship with God, and relevant family facts.

 

 

 

 

 

 

 

  1. Do you have a special commitment to someone (girfriend/boyfriend)?

How long have you been togethere?

Do you plan to attend the DTS togethere?

 

  1. If you are divorced, separated, living with someone, or are a single parent, please give details of your situation including dates of wedding, divorce, separation, etc.

 

 

  1. Have you ever used the following:

How long?                    What amounts?             What years?

            Tobacco?

            Alcohol?

            Drugs?

           

  1. Have you been involved with occultism, rock music, witchcraft, horoscope, hypnotism, witch doctors, palm reading, tarot cards, telepathy, clairvoyance spiritism, satanism, oriental religions, yoga, sects (Mormons, God Children, Jehovah Witness, International Road, Ajai), prostitution, etc.?  If so, please circle or write the activities in which you have participated in even though it may have been just a game at the time.

 

  1. Have you undergone psychiatric treatment?  If yes,  indicate the dates, treatment received, and your current situation.

 

7.  How do you consider your health?   Good               Normal             Bad

 

  1.  Do you have a health problem or some physical limitation that could affect your participation in the school or in doing some necessary chores?             

If yes, please explain.

 

 

9.  Do you have some contagious illness at the moment?      If yes, what is the name?

 

  1. Do you require medication or some medical attention?  If yes, what is the reason, the dose, and how frequently?

 

  1. Has the doctor given you a special diet?

L E G A L   R E C O R D

 

  1. Are you involved in some trial or legal process?  Do you have a military or police record?  If yes, please explain.

 

 

W O R K   E X P E R I E N C E

 

  1. What is your profession or educational knowledge?  Example:  automobile mechanic, nurse, administrator, locksmith, plumber, etc.

 

  1. What is your current occupation?

 

  1. Do you have some formation in music talent?     If so, in what specifically.

 

  1. Do you have some hobbies?     What are they?

 

*Note:  Students will be assigned some practical chores as part of their character formation other than their regular responsibilities.

 

  1. Please circle the areas in which you have been trained or have experience: 

Carpentry, electricity, bricklayer, painting, photography, printing,  graphic art, secretary, accounting, cook, plumber, computers, dancing, car repair, repair of electrical devices, professional nursery worker/daycare, business, etc.  Other?

 

  1. Have you visited or lived in another country?  If yes, where and when?

 

 

 

F U T U R E   P L A N S

 

  1. What is your missionary calling?

 

 

 

 

  1. Do you have a personal commitment to meet after the school?  If yes, please specify.

 

 

  1. What are your future expectations or plans.

 

 

 

 

A P P E A L

 

It is required that the person applying be financially responsible to assume the costs of the DTS.  Every member of the YWAM DTS staff trusts that God will provide him/her with the means to cover his/her payments and personal expenses for the school.  The same is expected of each future student.  If you do everything within your means (using your savings, working, selling things which are not needed, etc.), we believe that the Lord will make the impossible possible with His guidance.  If you pray in faith and continue in the direction which He has planned for you then where God guides, He will also provide.

 

F I N A N C E S

 

  1. Do you have debts or commitments to pay other than the DTS?

If so, how do you plan to cancel those debts?

 

 

  1. Are there people who depend on you financially?  If so, who are they and to what degree is your commitment to them?

 

  1. At this time, do you have all the finances for the DTS school?  If not, are you working to gather the rest?

 

Please choose one of the following possibilities:

 

_____I will pay the total upon my arrival.

_____I have assured support and shall pay a percentage upon my arrival and the other percentage before the DTS outreach.

_____I have assured support and shall pay in monthly payments of US$_________.

 

All payments must be cancelled before the beginning of the missions outreach. 

 

I understand that payment is required by the DTS upon my arrival.

Yes                        No

 

Please READ CAREFULLY

 

  1. I agree in obeying the complete set of rules given by YWAM.
  2. I agree on giving the down payment of the school and in the form agreed upon.
  3. I understand that there may be difficult living situations and that I must adjust and submit to such areas as:  the type of housing/lodge, the means of transportation, the particular foods, etc. AND I AM WILLING.

 

 

     _________________________________________

                                                                                      SIGNATURE

 

 

This application, when answered, must be mailed through regular via air mail.  You may also send the application by fax to the following number:  011-56-65-633542, however, the original application must still be sent by regular air mail.

 

Once completed please send to:

 

YOUTH WITH A MISSION – CHILOE

Discipleship Training School

Casilla 359

Castro, Chiloé

Chile

 

Phone: 011-56-65-684726

E-mail:  misiones@jucumchiloe.org

          DTS Director: Rosio Lopez Atarama