Application Form

YWAM Greater Philadelphia Staff Application

This application is the first step of a wonderful adventure with the Lord... “To know God and make Him known.” Our prayer is that you will find His best for your life and be changed more into His likeness. In order for us to process your application, we must receive each of the following items.
1. Staff Application Form: Please answer every question. If one does not apply to you, write N/A in the blank. A Upload a recent photo of yourself, and sign the application form.

2. Confidential Health Form: This form must be printed off filled out and signed by a physician.

3. Consent For Treatment/Liability Release Form: Each applicant must sign this form (on the back of the Health Form) If the applicant is under 18 years of age, a parent or legal guard- ian must also sign the form.

4. Acknowledgement of Financial Responsibility Form: This section must be signed and if you are under 18, be sure to have a parent/guardian sign this form, also.

5. Passport: Those who do not have a passport yet should apply for one immediately.

6. Visas: International Staff - when accepted you will receive a special letter with which for- mal application for an B-1 Visa can be made in the US Consulate or Embassy. Full details will be given when accepted. Please do not make any visa application without the ac- ceptance letter.

7. Supplemental Questions.

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Marital Status *

Children Accompanying You: Name (First, Middle, Last) Birth date (M/D/Y) Sex Grade in School *

Emergency Contact

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Home Church Information

Church Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Consent Forms

Release of Liability: I/We do hereby release Youth With A Mission, its staff, agents and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss which may be sustained by said person(s) during the course of involvement with Youth With A Mission Pittsburgh. *

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Consent for Treatment: In case of an emergency, I/we hereby agree to the per- formance of such treatment, including anesthesia, and surgery, that the at- tending doctor or physician may deem necessary. *

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Medical Insurance Information

Insurance Company *

Policy Number *

Phone Number *

Passport Information

Passport Number *

Country of Issue *

Expiration Date *

Education Information

High School (that you graduated from required) *

Date of Graduation *

Any other Degrees or Certifications *

Where did you do DTS? *

School Leaders Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Other YWAM Schools you have completed: Name of school, where, Dates *

Additional Information

How did you hear about YWAM Greater Philadelphia? *

What reasons influenced your decision to apply for a staff position with YWAM Greater Philadelphia? *

Have you ever been involved in another YWAM outreach or training program? *

Yes

No

If Yes please specify which schools? trainings and when. *

Do you have adaquate monthly support for your needs? *

Do you have outstanding debt? *

Yes

No

If yes please explain *

Supplemental Questions

Describe your conversion experience and present relationship with the Lord. How long have you been a Christian? *

. Describe your relationship with your local church, include areas of service and leadership. Does your pastor approve of your being a YWAM staff member? *

Describe other significant spiritual experiences you have had in your walk with the Lord. *

Are you presently employed or in school? *

Describe your long-term goals. Has God spoken to you about your life’s calling? Specify *

Have you had any missions experience (outside of your DTS and YWAM schools)? If so, where and what type(s) of ministry were you involved in? *

How would you describe your relationship with your family? Do your parents approve of you serving on staff with Youth With A Mission? *

Have you ever been involved in: a felonious crime, drug or alcohol abuse, occultism or homosexual practices? Explain (Note: This will not affect acceptance.) *

Do you believe you could live under pioneer conditions: different food and culture, dormitory housing, or small quarters for families? *

What areas of your character are you presently seeking God to further develop and improve? *

Please list the names and addresses of your three references *

If you were not accepted as part of our staff, what would you do (next steps or alternatives)? *

Upload a Photo of yourself

I hereby verify that to my knowledge this form is filled out accurately. *

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