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Leadership Training School
Application
Form
September
2021
2021 / Cape Town, South Africa
School | Leadership Training School (LTS) - Application form
This is the application form for the Leadership Training School (LTS)
Step
1
of
10
- Personal information
0%
Name
*
First
Last
Sex
*
Male
Female
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Date of Birth
*
Day
Month
Year
Age
*
Birthplace
*
Phone
*
Email
*
Please upload a picture of yourself
*
Max. file size: 6 MB.
Passport Information
Do you have a valid passport?
*
Yes
No
Name as listed on Passport
*
First
Last
Passport No.:
*
Nationality
*
Country and City where issued:
*
Date Issued
*
Day/Month/Year
Date of Expiry
*
Day/Month/Year
Marital Status
*
Single
Engaged
Married
Divorced
Remarried
Widowed
Spouse's Name
*
First
Last
Spouse's Date of Birth
*
Day
Month
Year
Please list names and details of children accompanying you:
*
Surname, First Name, Birth Date and Sex
Please give contact information for an emergency contact.
*
First and last name, location, relationship to you, phone number and email
Education and Experience
Summarize your school and post-school education and any relevant work experience.
*
What languages do you speak, read and write (in order of fluency)?
*
General Health Information
(Our programme will require good health and endurance) Are there any abnormalities of the following systems?
Ears/Nose/Throat
*
Yes
No
If yes, please describe fully.
*
Eyes
*
Yes
No
If yes, please describe fully.
*
Neurological
*
Yes
No
If yes, please describe fully.
*
Cardiovascular
*
Yes
No
If yes, please describe fully.
*
Respiratory
*
Yes
No
If yes, please describe fully.
*
Musculoskeletal
*
Yes
No
If yes, please describe fully.
*
Dermatological
*
Yes
No
If yes, please describe fully.
*
Urological
*
Yes
No
If yes, please describe fully.
*
Any other medical condition not mentioned above?
*
Do you smoke?
*
Yes
No
Please specify what, how much and how often
*
Do you drink alcohol?
*
Yes
No
Please specify what, how much and how often
*
Please specify what, how much and how often (Please note that all our Discipleship Training Schools are dry, in other words we do not permit the consumption of alcohol for the remainder of the school)
Are there any past experiences (i.e. addictions, self harm, etc) which we should be aware of as we consider your application?
*
Yes
No
Please give relevant history if you have been divorced, separated or remarried.
*
Give details of any medication you are presently taking or doctor’s treatments you are under.
*
Christian Life and Call
Please describe briefly how you came to know Jesus
*
Why are you applying for the Leadership Training School (LTS)? Why now?
*
Do you feel that God is drawing you towards any specific area of ministry?
*
How would you describe your relationship with your family? Are they supportive of your participation in YWAM?
*
What do you think you might want to do after SOP?
*
Financial Information
Do you have any outstanding debt?
*
Yes
No
What is the amount you owe and how do you propose to meet your obligations:
*
Are you financially obligated to any dependents?
*
Yes
No
Do you have enough funds to pay for the school?
*
Yes
No
If not how do you plan to raise the funds needed?
*
Do you have committed monthly income or support?
*
Yes
No
Financial Declaration
Will you be arriving with all your school fees?:
*
Yes
No
If no please tell us how much you will have in Rand on arrival to the school (ZAR):
*
Do you have financial support for doing the school (if so how much?):
*
Do you have any outstanding debt?:
*
Yes
No
If yes how and when will this be repaid?:
*
Digital Signature (type your name)
*
First
Last
Date
*
MM slash DD slash YYYY
Partnership Agreement
Waiver and Release of Liability // l do hereby release Youth With A Mission, its agents, employees, and volunteer assistants from any liability whatsoever arising out of any injury, damage, or loss which may be sustained by myself or other persons during my course of involvement with Youth With A Mission.
*
Yes I Agree
Consent for Treatment // In the event of an emergency in which I am rendered unconscious and my nearest responsible relative or guardian cannot be contacted, hereby agree to such treatment, anesthetics, and operations to be performed upon myself as in the opinion of the attending physician (s) is deemed necessary.
*
Yes I Agree
Financial Responsibility // l confirm that I have read and understand the YwAM Muizenberg Financial Policy. understand and accept that thepayment of the required school fees must be made prior to or at registration, unless otherwise approved in writing by the Training Director before my arrival in Muizenberg. Further, responsibility and agree to meet prior to the completion of the school all personal expenses incurred during my involvement with Youth With A Mission.
*
Yes I Agree
Declaration // l declare that all information that I have supplied in my application is true, to the best of my knowledge. accurate, and complete
*
Yes
Digital Signature (type your name)
*
First
Last
Date
*
MM slash DD slash YYYY
If the applicant is under 18 years of age, then the signature of a parent/quardian is also required.
Parent Guardian Name
First
Last
Relation
Digital Signature (type your name)
First
Last
Date
MM slash DD slash YYYY
Reference Form
Along with your application we also require one Mentor, Pastor or Leaders Reference form to be submitted. Please send the links on the following page to your references and have them submit the form as soon as possible.
https://ywammuizenberg.org/join-leadership-training-school-lts/
Please click the submit button
Thank you so much for taking the time to fill out this application form. If for any reason the application is unable to submit, please try one more time. If that doesn't work, Please contact us at: lts@ywammuizenberg.org Thank you!
Thank you for filling in this form
If you have any questions let us know
