1. General Information
1a)
First
Name:
1b)
Middle Name:
1c)
Last Name:
1d)
Preferred Name:
1e)
Address:
1f)
City:
1g)
State or Province:
1h)
Country:
1i)
Postal code/ZIP:
1j)
Phone 1:
1k)
Phone 2:
1l)
Fax:
1m)
Email Address:
1n)
Gender:
1o)
Date of Birth:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
1p)
Birthplace:
1q)
Citizenship:
1r)
Passport #:
Exp.
1s)
Marital Status:
1t)
Name
of Spouse or Fiance(é):
1u)
Date of Marriage:
(prospective date if engaged)
1v)
List
Name, Age and Sex of any children that will be accompanying you:
1w)
Please
relate pertinent details of any past marriages or present marital separation:
2. Church Information
2a)
Home Church:
2b)
Denomination:
2c)
Size:
members
2d)
Church Address:
2e)
2f)
Church
Phone Number:
2g)
Pastor's
Name:
2h)
How
long have you
attended there?
2i)
How
do your spiritual leaders feel about you doing a DTS?
2j)
Please
list the Names/Addresses/Phone #'s & Relationship of your 3 references.
3. Education (High School, College, University)
& Work Experience
3a)
Are you presently
in school?
3b)
Highest Level
of Education Completed:
3c)
Post-Secondary
School(s) Attended:
3d)
Work
Experience for the last 5 years. Please list your Position/Company/Dates/Reason
for leaving.
3e)
Which
job did you enjoy the most and why?
3f)
What
are some of your talents & hobbies?
3g)
How
do you like to spend your free time?
3h)
Have
you had any previous involvement with YWAM? Please describe.
3i)
What
types of leadership experiences have you had?
3j)
What
other missionary organizations have you been involved with?
3k)
Describe
any formal Bible training you have received.
3l)
Are you
presently Ordained or Licensed?
If so, please
specify:
3m)
What
languages do you speak? (in decreasing order of fluency)
3n)
Have
you worked with people of other cultures, races and religions? Please
give details.
4. Family History
4a)
Please
describe your family of origin and the circumstances of your childhood
& teenage years, etc.
4b)
Please
mention any adverse issues which affected you, i.e. family mental disorder,
marital instability, child abuse, alcoholism, drug abuse, or general family
dysfunction and how you have been dealing with these issues.
4c)
Is your
family supportive of your decision to do a DTS?
5. Christian Experience
5a)
Make
a statement about your conversion and the events/steps leading up to that
time.
5b)
Comment
on your devotional life. Include such issues as prayer, Bible reading,
Bible study, worship, and devotions with spouse or children.
5c)
Describe
your spiritual growth since your conversion. Comment on events or spiritual
experiences in your life which led to a new level of understanding and/or
commitment. Are you meeting your expectations for personal spiritual growth?
5d)
Describe
your involvement with your local church and in other Christian settings.
Comment on areas of ministry, service, leadership, experience, gifts and
abilities.
5e
How
have you helped others come to know Christ?
6. DTS Information
6a)
State
briefly how God called you to do a DTS.
6b)
What
do you hope to accomplish through doing a DTS?
6c)
What dreams and visions are on your heart for now and the future?
6d)
Please
list the top 3 nations where you would like to do your outreach and state
why.
7. Personal
7a)
What
experiences have you had in being self-relient & responsible for yourself?
7b)
How
do you think you deal with difficulties, disappointments, thwarted plans,
etc.?
7c)
What
experiences have you had in adjusting to a different life style?
7d)
How
do you relate in new social settings?
8. Confidential
8a)
Las
Vegas is known around the world as "sin-city". Our concern is that we
would not bring you into a place where you may stumble. Therefore, please
indicate if you think you may have difficulty dealing with any of the
following areas.
NOTE: All answers are confidential and will not
necessarily exclude you from DTS eligibility!!!
8b)
For
any areas you checked, please explain.
9. Financial Information
9a)
Are
you able to come to DTS free from debt? If "no", please explain if this
debt will hinder your financial obligations to a DTS.
9b)
Do you
have any other financial commitments?
9c)
Do you
presently have the finances to cover your DTS fees and outreach costs?
If "no", how much do need to raise?
10. Legal Information
10a)
Have
you ever been or are you involved in any current current/pending law suits
or legal proceedings?
10b)
Have
you ever been accused or convicted of a felony? If "Yes", please
explain.
10c)
Please
list any special circumstances or situations we should know about.