APPLICATION FORM DETAILS:
The following items must be submitted with all applications:
Your REGISRATION FEE must be sent with your application. This fee is non-refundable.
Your application will not be processed without the registration fee.
Please fill in the date columns DAY / MONTH / YEAR
 
In order for us to process your application, we must receive each of the following items:
[] School Application Form.
Please answer every question. If one does not apply to you, write N / A in the blank.
[] Registration Fee. A non-refundable registration fee must be sent with the application.
All FOREIGN STUDENTS must satisfy all VISA requirements. We will send you a letter of
introduction for your VISA. Let us know of any difficulties you might encounter as you
prepare to come Ghana. Registration and tuition fees should be paid promptly.
[] Confidential Health Form. This form must be signed and stamped by a physician.
[] Consent For Treatment / Liability Release. Each applicant must sign this form.
[] Supplementary Questions.
Please prayerfully and concisely answer the following questions on a separate piece of paper.
1. Describe your conversion experience and present relationship with the Lord.
2. Describe other significant spiritual experiences you have had in your walk with the Lord.
3. How would you describe your relationship with your family? Include how they feel about
. . your plans to attend this YWAM program.
4. Describe your relationship with your local church; include areas of service and leadership.
5. Are you presently employed or in school? Please specify.
6. Describe your long-term goals. Has God spoken to you about your life's calling? Specify.
7. Have you had any mission experience?
. . If so, where and what type of ministry were you involved in?
8. Have you ever been involved in: a felonious crime, drug or alcohol abuse, occultism or
. . homosexual practices, Please explain. (Note: This will not affect acceptance.)
9. What areas of your character are you presently seeking God to further develop and improve?
10. How did you hear about the YWAM base in Ghana?
11. Please list any special circumstances or situations we should know about.
12. Please list the names and addresses of your three references.
[] Three Reference Forms. Please full in the top information of each reference form and give
One to your Pastor or Spiritual leader, One to an Employer or a Parent/guardian,
and One to a mature Christian friend.
Please give each reference a stamped envelope addressed to:
Youth With A Mission, Admissions Dept., P.O.BOX CS 8138, TEMA, GHANA
[] 2 Recent Photographs (passport-size).
Husbands and wives enrolling as students must complete separate forms.
 
 
 
 
 
 
 
INFORMATION SECTION:
Name: Mr/Mrs/Miss:__________________________________________________________
Present Address: ____________________________________________________________
________________________________________________________ Until:____/____/_____
Permanent Address: _________________________________________________________
________________________________________________________ Until:____/____/_____
Telephone: (___)____________ Fax: (___)___________ Email: ______________________
Sex: Male [] Female []
Birthdate: ___/___/___ Place of Birth: __________________________________________
 
Passport Details: Citizenship: _____________________ Passport Number: _______________
Date of Expiry: ___/___ /___ Place of Issue: ___________________ Date of Issue: ___/___/___
Predominant Ethnic Background: _________________________________________
Height:________ (Feet)
Weight: ________ (Kg's)
Driver License Number: ___________________________________ Date of Issue: ___/___/___
Place of Issue: _____________________ Expiry Date: ___/___/___; Type: ___________________
 
Marital Status: Single []; Engaged (Date:_____________) []; Separated (Date:_____________) [];
Divorced (Date:_____________) []; Remarried (Date:_____________) [];
Widowed (Date:_____________) []; Married (Date:_____________) [].
 
Family Details:
How many children do you have? [_] How many of them are accompanying you? [_]
Name of Child: _____________________Birthdate: ________ Sex M / F Grade in School: _____
Name of Child: _____________________Birthdate: ________ Sex M / F Grade in School: _____
Name of Child: _____________________Birthdate: ________ Sex M / F Grade in School: _____
Name of Child: _____________________Birthdate: ________ Sex M / F Grade in School: _____

 

CHURCH INFORMATION
Home Church: _______________________________________________________________
Pastor's Name: _______________________________________________________________
Pastor's Address: _____________________________________________________________
How long have you atttended that Church: ________________________________________
Telephone: (___)____________ Fax: (___)___________ Email: _______________________
Does your Minister / Pastor approve of you attending a YWAM school? Yes [];
Yes, with some reservation []; No []; If (No), explain why.________________________________

 

 

IN-CASE OF EMERGENCY
Name and Relationship to you: __________________________________________________
Address: ____________________________________________________________________
Telephone: (___)____________ Fax: (___)___________ Email: _______________________
Medical Insurance Co: ______________________ Insurance Number: _________________
Parents Name: _______________________________________________________________
Address: ____________________________________________________________________
Telephone: (___)____________ Fax: (___)___________ Email: _______________________

 

 

EDUCATION AND WORK ABILITIES
What kind and level of education have you completed: _______________________________
Degree received: ______________________ Majors received: ____________________________
Post Secondary school (s) attended: _______________________________________________
What languages do you speak? 1 _______________ 2 _______________ 3 _______________
If English is your second language, how well do you speak and write it? _______________________
Musical skills or Other talents: ___________________________________________________
Present employer: _______________________________ Occupation: _____________________
Other Occupational skills: ___________________________________ Year Exp: ______________

 

PREVIOUS YWAM EXPERIENCE
Have you been involved in a YWAM Short-term outreach or training pogram? Yes []; No [].
If so, please specify: ______________________________________Leader: ________________
Any other YWAM Function: ____________________________________________________
How long have you been a 'Born-again' Christian: __________________________________
Why do you desire to attend this school: __________________________________________
____________________________________________________________________________
Are you presently ordained or licensed? Yes[]; No[]. Specify: __________________________
What are your plans after completing this training? YWAM staff []; Mercy Ships []; Travel [];
Work with home church []; Back to job []; Full-time Missions and where _________________;
Further Education []; Teaching []; Train others []; Uncertain [];

 

FINANCIAL INFORMATION
Do you have the total School fees? Yes []; No[]; If No, what percentage do you have _________%
From what source(s) will you receive the remainder: ____________________________________
Do you have any debt outstanding Yes []; No []; if yes, please explain _______________________
 
I CERTIFY THAT ALL INFORMATION IN THIS APPLICATION IS COMPLETE AND
ACCURATE . IF ACCEPTED BY YOUTH WITH A MISSION, I WILL ABIDE BY THE SPRIT,
RULES, AND SCHEDULE OF THE PROGRAM. I CONFIRM THAT I UNDERSTAND THAT
PAYMENT OF THE SCHOOL TUITION FEES MUST BE MADE UPON OR BEFORE MY
ARRIVAL AT THE SCHOOL.
I ALSO CONFIRM THAT I AM FULLY AWARE OF MY F INANCIAL OBLIGATIONS, BOTH
TO THE LORD AND TO THE SCHOOL. I AM FULLY AWARE THAT IF I DON'T PAY MY
FEES, I WILL NOT BE ISSUED WITH MY U of N CERTIFICATE. I THEREFORE COMMIT
MYSELF TO PAYING ALL PERSONAL EXPENSES INCURRED DURING MY
INVOLVEMENT WITH YOUTH WITH A MISSION.
 
Signature ______________________________________________________ Date: ___/___/___

 

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