Discipleship Training School (DTS) Application

Discipleship Training School (DTS) Application

This form will take around 15 minutes to complete
DTS Theme
Start Date of DTS
Full Name Full Name Title First Middle Last Suffix
Please insert your name as seen on your passport.
Preferred Name/Nick Name
Gender
Date of Birth Date of Birth / DD / MM YYYY
Age
Must be a number greater than or equal to 16.
Preferred Contact Number

This could be your mobile or home phone number. Please include the international code, but leave out any symbols. Ex: 61362652108
Email Address
Physical Address Physical Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mailing Address (if different to Physical Address) Mailing Address (if different to Physical Address)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
City/Town of Birth

According to your passport.
Country of Birth

According to your passport
Country of Citizenship

According to your passport
Marital Status
Maiden or Former Surname (If Applicable)
Is your spouse accompanying you on this course?

Is your spouse accompanying you on this course? Yes, as a student Yes, not as a student No

If yes, as a student, they will need to fill out a separate application form.
Spouse's Name -If applicable Spouse's Name -If applicable Title First Last Suffix
If you are bringing children, please note their name/s, birthdate/s, M/F, grade they are in school, passport details and citizenship:

If your spouse is also attending the school, only fill in the details on one application form and write "See 's application form"
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?
Why do you want to do this school?
How did you learn/hear about this school?
Do you have a medical condition that we should be aware of?

Do you have a medical condition that we should be aware of? Yes No
If yes, please give details including the condition and the way it impacts your daily life:
Have you ever been convicted of a crime?

Have you ever been convicted of a crime? Yes No
If yes, please give details including the crime and date you were convicted:
Please provide the name and email address of two referees. We will contact them and ask them to complete a reference for you.

The first should be from a pastor or spiritual leader. The second can be a friend, teacher or employer.

Pastor/Spiritual Leader's Name Please provide the name and email address of two referees. We will contact them and ask them to complete a reference for you.

The first should be from a pastor or spiritual leader. The second can be a friend, teacher or employer.

Pastor/Spiritual Leader's Name First Last
Pastor/Spiritual Leader's Email
Friend's Name Friend's Name First Last
Friend's Email
Please upload a photo of yourself to help us find you at the airport.

Attach Files
Declarations

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 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 I agree that in the case of my death while in Youth With A Mission Tasmania Australia, Youth With A Mission Tasmania 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 Tasmania Australia 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 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 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.

Please check all of the boxes
Please sign below

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
If under 18, please have your parent or legal guardian sign in your place:

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Parent/Guardian's Full Name Parent/Guardian's Full Name Title First Last Suffix