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YWAM DTS Application (part 2 of 2)

YWAM DTS Application (part 2 of 2)

The second part of the YWAM Madison DTS application. We are working on a way to streamline this application. There are several "conditions" functioning in the application. Form Preview
  • YWAM Madison Student Application: DTS (page 2)

    Thanks for completing the first part of the application. This is the second and final page of the application.
  • Basic Information:

  • References:

    Please enter the information for your references. This way, we can contact them if we have not received their reference forms. We must receive all three references to begin processing your application.
  • Passport:

    Please enter your passport information. If you do not yet have a passport, enter "N/A."
  • In Case of Emergency Contact:

  •  -
  •  -
  • Criminal Record:

  • Military Service:

  • Financial Information and Accountability:

  • Home Church Information:

    Please enter your church information. If you do not attend church, please enter "N/A" in the fields.
  •  -
  • Missions Background and Interest:

  • Work Experience:

  • Please list your two most recent occupations. (If not applicable, please type "NA.")
  • Education Experience:

  • University of the Nations

  • Confidential Health Form

  • Every student is required to have basic health insurance while on outreach. Each student will also get travel insurance, which will cover any emergency evacuations. Both the health insurance and travel insurance will cost about $1-$2/day while traveling outside of the USA.

  • Personal Health History

    Please answer all questions. Comment on all positive answers in the space below. Your answers will remain confidential.
  • Getting to Know You Questions

    Please take your time, thoughtfully completing the following questions. Your answers do not need to be restricted to a couple of lines.
  • Signature of Agreement

  • In the event of injury or illness of the undersigned (Applicant) while in association with YOUTH WITH A MISSION, I/we hereby agree to the performance of such treatment, anesthetics, and operations as, in the opinion of the attending physician, is deemed necessary.
  • I/we hereby release YOUTH WITH A MISSION, INC., its agents, employees, and volunteer assistants from any liablity whatsoever arising out of an injury, damage, or loss which may be sustained by the undersigned (Applicant) during the course of involvement with YOUTH WITH A MISSION, INC.
  • <ul> <li>I certify that all information in the application is complete and accurate.</li> <li>I understand that if any information given is found to be false it could result in my removal or exclusion from the course.</li> <li>If accepted by Youth With A Mission, I will abide by the spirit, rules, and schedule of the program.</li> <li>I understand that payment of required tuition fees must be made upon or before arrival. I am fully aware of my financial obligation, both to the Lord and to the students and staff at Youth With A Mission. I therefore commit myself to paying all personal expenses incurred during my involvement with Youth With A Mission.</li> </ul>
  • Clear
  • Clear
  • YWAM Madison DTS Financial Policy

    Please read and sign the following financial policy.
  • Financial Accountability Agreement

  • Clear
  • The End!

  • This is the end of the DTS application. When you're ready to send us your answers, click "submit" below. (You may wish to copy/paste your responses in a word processor in case your connection is lost during the submission process. Or you can also print your completed form.)

    After you click submit, you will be taken to our website. You will also receive an automated email to the address you provided, which will have a copy of your answers and a link you can use to edit this application.

    If you have any problems submitting your application, or do not recieve a confirmation email, please contact us at admissions@ywammadison.org or 608-255-0500.


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