Staff Application Form Application for Staff Position Step 1 of 3 0% Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country 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 Date of Birth* DD MM YYYY Birthplace*Sex*MaleFemalePhoneEmail* Marital Status*SingleEngagedMarriedDivorcedRemarriedWidowedSpouse'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.:*Nationality*Country and City where issued:*Date of Issue*Day - Month - YearDate of Expiry*Day - Month - YearScanned copy of passportAttach a scanned copy of your passport, if you do not have one, please apply as soon as your have been accepted and email a scanned copy to us.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?* 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 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. And any ongoing medication you are taking.*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, hobbies, 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?* Christian Life and CallDescribe your present relationship with God.*YWAM has a very specific call to “Know God and make Him known.” We, therefore, focus all we do to meet this aim. We have three main areas of involvement, namely Training, Mercy Ministries & Evangelism. Some of our staff go to the frontiers, some train others to get there, while others play a vital support role through being involved locally in administration and enabling others to go. On joining the Cape Town base, we expect that your heart is like ours. The following questions will help us to continue that focus in your life and enable you to reach your goals:How God called you into missionary service?*What specific area of service at YWAM Muizenberg are you applying for?*What is your length of commitment? (months, years etc)*When are you able to commence service?* DD MM YYYY If accepted, what are your expectations regarding YWAM Muizenberg?*Anything else we should know?*ReferencesIn considering your application, it is our policy to request that you submit the names of four references, one being your minister, the other being your last YWAM Leader and also the names of the two other people who will complete the two Confidential Reference Forms for you. Once you click the submit button you will receive an email with information and links to these forms for your references to fill out.My DeclarationIn applying to YWAM Muizenberg, Cape Town, I declare that the information I have submitted in the above application is correct.Digitally Signed:* Today's Date:* MM DD YYYY Username E-mail A password will be e-mailed to you.