Leadership Training Seminar Application Personal Information Name: Last First Middle Current Address: City and State: Zip or Postal Code: Permanent Address (if different from your present address): City and State: Zip or Postal Code: Telephone Number: Home ( ) Work ( ) Email: Age: Birth date: / / Birth place: Sex: Mo day year Citizenship: Passport Number: Expiration Date: Marital Status (circle): Single Engaged Married Separated Divorced Widowed If married, spouse's name: Emergency contact: Name: Telephone: Relationship: Address: Phone: 360-385-3498 Fax: 360-379-4833 Email: info@ywamdb.com DTS Application Form, Page 1 of 6 (12/16) Emergency contact Email Please direct all forms to: Registrar, Youth With a Mission PO Box 989, Port Hadlock WA 98339 Phone: 360-385-3498 Fax: 360-379-4833 Email: info@ywamdb.com LTS Application Form, Page 1 of 3 (02/17)
Leadership II. Education, Training Work Background Seminar Application and Skills Church and Ministry Background How long have you been a Christian? Year of baptism: Current Church Denomination/Affiliation: Months/ years attended: Pastor's Name: Church Address: City and State: Zip and Postage Code: Church Telephone Number: Does your pastor support your decision to be part of this training program? Yes No If your answer is no, please explain: Give details of YWAM schools and training have you done in the past. List YWAM staff positions you have held. List any involvement in other ministries or missions you have been involved in: Place/country Year Length of time Church/Organization Types of Ministry Your Role (team member, leader etc.) Please direct all forms to: Registrar, Youth With a Mission PO Box 989, Port Hadlock WA 98339 Phone: 360-385-3498 Fax: 360-379-4833 Email: info@ywamdb.com LTS Application Form, Page 2 of 3 (2/17)
Leadership Training Seminar Application What languages do you speak, in order of fluency? 1. 2. 3. If English is your second language, circle (5 being the best) how well you: Speak: 1 2 3 4 5 Write: 1 2 3 4 5 How would you evaluate yourself in the following areas? Leadership skills Ability to communicate Adaptability to new environment Teamwork Teachability Emotional stability Very Good Good Fair Not Very Good Poor ON A SEPARATE PIECE OF PAPER, please answer the following questions in your own words. (Please type if you can). 1. Explain why you believe God is leading you to this training. 2. What visions, dreams, goals and ideas are on your heart for the future? 4. What are the areas in your spiritual life that you are feel you are the strongest? 5. What are the areas in your spiritual life that you are weakest and would like to grow? 6. What areas of leadership training would benefit you the most? 7. What are some of the things you would like to see happen/accomplish during your time at this seminar? Please direct all forms to: Registrar, Youth With a Mission PO Box 989, Port Hadlock WA 98339 Phone: 360-385-3498 Fax: 360-379-4833 Email: info@ywamdb.com LTS Application Form, Page 3 of 3 (2/17)
Leadership Training Seminar (LTS) Program Financial Information Cost of Seminar Application Fee $ 50 Cost of School $ 450 Total: $ 500 Payment Schedule Due with application $ 50 Seminar fees due with acceptance to LTS $ 100 Seminar fees due upon arrival $ 350 Total: $ 500 Any seminar fees paid through PayPal are subject to a 3% deduction Please direct all forms to: Registrar, Youth With a Mission PO Box 989 Port Hadlock WA 98339 Phone: 360-385-3498 Fax: 360-379-4833 Email: info@ywamdb.com LTS Financial (01/17)
Leadership Training Seminar (LTS) Application Form Confidential Reference Form YWAM Leader Applicant: Please complete the following information and supply a self-addressed, stamped envelope, addressed to the Registrar at YWAM Discovery Bay, for the person filling out this form. Applicant's name: Leadership Training Seminar applying for: I, the above named applicant, waive any right I have to read or obtain copies of this reference form knowing that this waiver is not required for admission. Applicant's signature: Date: / / Day Month Year To the person filling out this form: The above applicant has applied for admission to the Leadership Training Seminar with Youth With A Mission, Discovery Bay. We would appreciate it if you supplied the information requested on this form in order to aid us in evaluating the applicant's suitability as an LTS student. Serious consideration will be given to your comments. Therefore, we ask that you complete this form carefully. All evaluation forms will be kept in strict confidence and will not be shown to the applicant. Please be sure to mail this form directly to the Youth With A Mission base address indicated below. Your earliest response will be appreciated, as the applicant cannot be considered until this office receives this reference. Please feel free to use additional paper to answer any of the questions. Thank you for taking the time to help us in this way. We sincerely appreciate your cooperation. How long have you been acquainted with the applicant? Years Months What is your relationship to him/her? (YWAM School Leader, Base Leader) Please direct all forms to: Registrar, Youth With a Mission PO Box 989 Port Hadlock WA 98339 Phone: 360-385-3498 Fax: 360-379-4833 Email: info@ywamdb.com LTS YWAM Leader Ref. Page 1 of 4 (01/17))
Leadership Training Seminar (LTS) Application Form Evaluation of Applicant's Emotional and Spiritual Maturity Please rate this applicant by placing a check under each of the following categories: Physical Condition Attractiveness Intelligence Frequently incapacitated Avoided by others Learns and thinks slowly Somewhat below par Tolerated by others Average mental ability Fairly healthy Liked by others Alert: has good mind Good health Well-liked by others Brilliant: exceptional Responsiveness Emotional Resilience Christian Character (to the feelings and needs of others) (in trying situations) Relatively superficial Slow to sense how others feel Gets angry, impulsive Over-emotional Reasonably responsive Withdraws Genuine but mild Understanding & thoughtful Gets discouraged easily Rich and growing Exceptionally responsive Meets constructively Warmly contagious Leadership (ability to inspire others & maintain their confidence) Makes no effort to lead Tries but lacks ability Has some leadership promise Outstanding ability to lead Willingness to Serve Reluctant to serve Insists of having own way Eager to serve as needed Motives confused Achievement (ability to formulate, execute, and carry plans to conclusion) Starts but does not finish Does only what is assigned Meets average expectations Superior creative ability Teamwork Frequently causes friction Usually willing to serve Works well with others Usually cooperative Evaluation of Applicant's skill, Training as a Leader To be answered only by those who are qualified to evaluate applicant's leadership skills. Incompetent Highly competent Doubtful Superior in competence Adequate What other skills, talents or gifting Please direct all forms to: Registrar Youth With a Mission PO Box 989 Port Hadlock WA 98339 Phone: 360-385-3498 Fax: 360-379-4833 Email: info@ywamdb.com LTS YWAM Leader Ref. Form, Page 2 of 4 (01/17)
Leadership Training Seminar (LTS) Application Form Listed below are some of the qualities that describe a leader. Please use the letters W, D, A, M, or S to rate as follows: W=Weak; D=Developing; A=Average; M=Mature; S=Strong *Please comment if Weak is denoted. Positive, contagious spirit Ability to motivate others Social poise Teachable attitude Ability to communicate Emotionally stable Able to make decisions Assurance of God' s calling Self-confidence Able to receive criticism Respect for strong conviction of others Able to deal with inter-personal problems Listed below are some of the tendencies that, if present in the applicant, may hinder the Leadership training experience for the applicant and other students. Please underline words or descriptions that may pertain to the applicant. Easily embarrassed, offended or discouraged Frequently worried, anxious, nervous or tense, given to moods Prejudiced toward groups, races, or nationalities Impatient, intolerant, argumentative, domineering, cocky or critical of others Given to exclusive and absorbing infatuations Unable to cope with stress, erratic in attitudes or action Uncontrolled anger Lack of respect for leadership or structure (i.e. rules) If the applicant seems relatively free from all such tendencies, check here. Please specify on a separate sheet if you have noted any of these or similar limitations in the applicant. Is the applicant financially responsible? Yes No If no please explain: Describe any significant physical, psychological, or addictive behavioral problems the applicant has faced: What do you feel YWAM can do to aid the applicant's leadership development? Please direct all forms to: Registrar Youth With a Mission PO Box 989 Port Hadlock WA 98339 Phone: 360-385-3498 Fax: 360-379-4833 Email: info@ywamdb.com LTS YWAM Leader Ref. Form, Page 3 of 4 (01/17)
Leadership Training Seminar (LTS) Application Form Please use a separate sheet of paper to elaborate if the answer if yes to any of the following three questions: 1. Has the applicant proven on any occasion to be unreliable, dishonest, or to have questionable character? 2. As far as you know, has the applicant ever been arrested for any offense? 3. To your knowledge, has the applicant ever been involved in drug abuse, promiscuity, or the occult? What is your overall evaluation of the applicant's promise as a Leadership Training Seminar student? Is definitely unsuited Is not suited at this time Is a good prospect, but I do have some reservations Is an average prospect Is an above average prospect Is an exceptional prospect I declare that the contents of this confidential reference are correct to the best of my knowledge. Your Name: (please print) Title: YWAM Base: Date: / / Street Address: City and State: Zip or Postal Code: Signature: Telephone: ( ) Please direct all forms to: Registrar, Youth With a Mission PO Box 989 Port Hadlock WA 98339 Phone: 360-385-3498 Fax: 360-379-4833 Email: info@ywamdb.com LTS YWAM Leader Ref. Form, Page 4 of 4 (01/17)