Form

DTS Application form

First Name*

Last Name*

Phone Number*

🇺🇸

Email*

Street Address

State/Region*

Current Country:*

Course Details:

Please select which DTS you are applying for:*

How did you hear about YWAM Nelson?:*

Have you ever been involved with Youth With a Mission before? If yes, please detail below:*

What is your motivation for applying for this course?:*

Please describe your current relationship with Jesus:*

What would you like to learn from this course?*

Language:

What is your home language?*

List any other languages you speak?

If English is your second language, please rate your abilities below:

How long have you been speaking English?

Personal Details:

Date of birth:*

Age:*

Gender:*

Nationality/Passport Country:*

Upload Photo of Yourself UPLOAD*

Relationship Status: *

(please note if you and your spouse are each applying, then you each need to fill out a separate application)

Do you have children?*

If you chose yes, are your children coming with you?

If your children would be joining you, please list their Names, Age, and Gender

Occupation:

Emergency information - who should we contact in case of emergency?

Whats your highest level of education?*

Have you ever been convicted of, or charged with, a criminal offence? *

Have you ever been diagnosed with any ongoing physical conditions? *

Have you ever been diagnosed with any form of mental illness?*

Please add any other relevant remarks concerning medical, psychological, drug/alcohol/nicotine use (addictions or vaping) or other areas of your life we should know more about to be of service to you. *

Do you take medication? (If so, please list medication below):*

Do you have any dietary restrictions or allergies?*

Do you have a current passport? *

Yes

In process

Do you have the full lecture phase fees?*

Yes- I am fully funded

Partially funded

I have no funds yet

Do you have the full outreach fees?*

Yes- I am fully funded

Partially funded

No funds yet

Character references:

As part of the application process for our courses we require two character references, with one being from either a pastor, leader or trusted Christian mentor in your life.

It’s advisable to include trusted people in your decision-making process. Those who fill in your reference form should have a genuine interest in your life and insight into the steps that you are taking.

Please note, by providing this reference information you are confirming that these individuals are willing to be contacted regarding your application.

Referee 1 (pastor, mentor/spirtual leader):

Referee name:*

Referee's phone number:*

Referee's email:*

Relationship to you:*

Referee 2 (friend):

Name of second Referee:*

Second Referee's phone number:*

Second Referee's email:*

Relationship to you:*

Almost there.....

Any final comments before submitting your application?

Feel free to include anything you believe is important for us to know prior to acceptance.