Une école — YWAM Châtel

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a place for healing and restoration

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Home
About
Accueil
Training
- DTS
- FCM
- ATCM (MMBC)
- ABC
- MA in Trauma & Restoration
- Seminars
Seminars
Personal Restoration
Apply
Contact
Présentation
Formation
- FCM (IBC)
- ATCM (MMBC)
- ABC
- CFC
- séminaires
Inscription
Contact

Application Form for Students and Staff

Select *

What are you applying for?

Date *

YYYY

Name *

First Name

Last Name

Sex *

Male

Female

Home Address *

Phone *

Country

(###)

###

####

Email *

Birth Date *

YYYY

Birth Place *

Predominant Ethnic Background *

Emergency

Emergency Contact Name *

Address *

Passport Information

Country of Citizenship *

Full Name*

*as on passport

City & Country issued *

Passport Number *

Date Issued

YYYY

Expiry Date

YYYY

Visa Information

Type of Visa *

Visa Issue Date *

YYYY

Visa Expiry Date *

YYYY

City and Country Visa was issued *

Have you ever been refused a visa? *

(If "yes" please provide the country and details)

Yes

Marital Status

Current Status *

Do you expect any change to the above status in the near future? *

(If "yes" please give details below)

Yes

Name, Sex, and Birth Dates of children accompanying you

Church Information

Church Name *

Pastor Name *

Address *

Phone

Country

(###)

###

####

Pastor Email *

How long have you been attending? *

Does your pastor know you are applying for this program? *

Yes

Health Declaration

Are you currently on any kind of medication? *

(If "yes" please explain)

Yes

How is your overall health? *

Are there specific health problems (allergy, diet, back problems, etc.) that we should be aware of? *

(If "yes" please explain)

Yes

I hereby certify that the above declaration is correct

Typing your name below will be equivalent to a signature

Full Name

First Name

Last Name

Consent for Treatment

Typing your name below will be equivalent to a signature

Name *

First Name

Last Name

Date *

YYYY

Financial Information

Do you currently have any debts we should be aware of? *

(If "yes" please explain)

Yes

Will you have all the finances for the school on arrival?

Lecture Phase *

Yes

Outreach Phase *

Yes

Languages

What languages do you speak, read, and write?

Please specify whether you are FLUENT / CONVERSATIONAL / RUDIMENTARY *

Educational and Professional Background

Which schools have you completed with Youth With a Mission?

School / Date / Place / Outreach Countries / Date / Credits

Which studies have you completed outside of YWAM?

What is your professional background?

Skills

Occupational Skills *

Years of Experience *

Musical ability or other skills *

Liability Release

Please complete and sign the following sections. Understand that they are necessary to protect us from possible legal action.

I/we hereby release Youth With A Mission, its agents, employees and volunteer assistants, from any liability whatsoever arising out of any injury, theft, damage, disability or loss of health, property, emotional stability or life, which may be sustained by said person during the course of involvement with Youth With A Mission.

Name *

In place of a signature

First Name

Last Name

Date

YYYY

Place

Declaration

I confirm that I have understood the Youth With A Mission tuition policy. I commit myself to paying all expenses incurred during my involvement with Youth With A Mission. I have completed all parts of the application for admission to Youth With A Mission and if I am accepted, I will abide by the spirit, policy, and schedule of the program.

Name *

In place of a signature

First Name

Last Name

Date *

YYYY

Place *

We’re looking forward to receiving your application forms and hope to welcome you here in Châtel soon.

Thank you!

YWAM / JEM Châtel is a ministry of Youth With a Mission (YWAM) International and University of the Nations (UofN)
© 2019 YWAM / JEM Châtel