Church Planting and Leadership Seminar Application for Church Planting and Leadership Seminar Step 1 of 3 0% Name First Last Sex Male Female Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Date of Birth DD MM YYYY BirthplaceSexMaleFemalePhoneEmail Marital StatusSingleEngagedMarriedDivorcedRemarriedWidowedSpouse's Name Spouse's Date of Birth DD MM YYYY Please list names and details of children accompanying you:Surname, First Name, Birth Date and SexPassport InformationName as listed on Passport Passport No.:NationalityCountry and City where issued:Date Issued DD MM YYYY Date of Expiry: DD MM YYYY Financial InformationDo you have any outstanding debt?YesNoWhat is the amount you owe and how do you propose to meet your obligations:Are you financially obligated to any dependents?YesNoDo you have guaranteed monthly support?YesNoAmount of Monthly Support? Save and Continue Later Education and ExperienceSummarize your school, post school and Christian education history listing the names of the institutions and the qualification obtained.List your job experience over the last 5 years, giving the period of employment, name of employer and position held.Give details and dates of full-time positions held in the church or Christian organisations.Give details of YWAM Schools / Training programs you have successfully completed. Please show YWAM location, name of school, School Leader and dates.Give details of YWAM staff positions you have previously held, showing YWAM location, position held, Base Leader and dates.HealthGive a detailed description of any physical disabilities you suffer from.Give details of any medication you are presently taking or doctor’s treatment you are under.Give details of any psychiatric treatment such as nervous breakdown, depression including manic depression you have received. Have you been in Burnout or had M.E. (chronic fatigue) the last two years. Do you still need help in this area?Skills and InterestsWhat are your interests and hobbies?List your abilities and talents.What languages do you speak, read and write (in order of fluency)?Personal BackgroundAre there any past experiences (i.e. drug or alcohol addiction, homosexuality, extramarital activity etc.) which we should know about as we consider your application?Please give relevant history if you have been divorced, separated or remarried.Are you still receiving help in any of the above areas? Would you appreciate counsel should you be accepted on staff? Save and Continue Later Christian Life and CallPlease describe how you came to know Jesus personally.Please describe your present personal relationship with the Lord. Are there areas of your character that you are presently seeking to further develop and improve?How did God lead you to apply to this school?Do you feel that God is leading you or have a specific interest in any particular area of ministry (children, arts, music, teaching, sports, administration, hospitality, maintenance, etc.)?Please describe any previous mission experience or training.Please describe your involvement with your local church. Are they supportive of your participation in YWAM?How would you describe your relationship with your family? Are they supportive of your participation in YWAM?Have you ever been involved with the following: smoking, alcohol abuse, drug use, sexual immorality, occultism or religious sects, illegal activity? If so, how would you describe this area of your life today? If you have been convicted of a crime, please describe.Do you feel that you can live in possibly unfamiliar conditions: i.e. mixed cultures & races, different food, limited living space, no running water? If not, please share.Is there anything else you would like to share with us about yourself?Have you been called to the mission field? Yes No Is your call long term or short term?Give a brief account of your calling.Why did you apply for this CPLS?What are your expectations for the CPLS?What are your ministry gifts? (e.g. evangelist, teacher, healthcare worker, etc.) and goals, and how will the CPLS help you achieve them? Save and Continue Later Username E-mail A password will be e-mailed to you.