Teachers for Africa
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 Please fill out the form below and remember there is a $25 USD fee for the processing your on-line application. You can mail this to our address in Namibia on the "Contact" page of this website. Make checks payable to YWAM. Also, be sure to e-mail the individuals who will fill out your reference's. There is an on-line form they can fill out and the link is at the bottom left hand side of the "Schools" page on this website. We will provide you with a response after the completion of the references and receipt of processing fee. Please fill out this form as completely as you can and it will remember your info if you return to it from the same computer if "cookies" are turned on in your browser.

1) 
 
Email:
First Name:
Last Name:
Title:
Company:
Street address:
City:
State (US):
Zipcode (US):
Country:
Time zone:
Phone:
Fax:
 
2)  Permanent Address: (if different)
 
 
3)  Martial/Family Status
 
Single  Engaged  Married  Seperated  Divorced 
Remarried  Widowed 
 
4)  Applicant's date of birth
 
 
5)  Applicant's gender
 
Female  Male 
 
6)  Applicant's ethnic background
 
American Indian/Alaskan Native  Asian/Pacific Islander 
Black  Central Asian/MiddleEastern 
Hispanic  White 
 
7)  Applicant's height/weight
 
 
8)  Spouse's Name
 
 
9)  Spouse's date of birth (dd.mm.yy)
 
 
10)  Is spouse accompanying you?
 
Yes  No 
 
11)  Are children accompanying you?
 
Yes  No 
 
12)  Names, dates of birth, and gender of children accompanying you.
 
 
13)  In case of emergency contact: (name, relation to you, address, phone, fax, and email.)
 
 
14)  Applicant's known allergies (to drugs, etc.)
 
 
15)  Home church: (Church name, Denomination, Pastor's name, Church mailing address, phone, fax and email)
 
 
16)  How long have you attended there?
 
 
17)  Country of Citizenship
 
 
18)  Passport number
 
 
19)  Full name as listed on passport
 
 
20)  City/country/date passport issued
 
 
21)  Passport expiry date
 
 
22)  How Well do you speak english?
 
elementary speaking  limited proficiency 
minimum professional   full professional proficiency 
mother tongue 
 
23)  Please state your mother tongue
 
 
24)  "Education Information" State highest level of education completed (if college graduate give name of college and what degree you were granted)
 
 
25)  Occupation and years of experience
 
 
26)  Special interests
 
arts  athletics  music  public speaking  writing 
 
27)  Have you completed a DTS?
 
Yes  No 
 
28)  Other skills/talents/hobbies/interests
 
 
29)  Have you attended other YWAM schools/courses?
 
Yes  No 
 
30)  If yes, please list (Schools/Course/Outreach) - (Location) - (Leader) - (Dates)
 
 
31)  Are you pursuing a degree with University of the Nations?
 
Yes  No 
 
32)  If yes, what degree level?
 
Associate  Bachelor  Master  Doctorate 
 
33)  Which U of N college and what degree?
 
 
34)  Have you ever been on YWAM staff?
 
Yes  No 
 
35)  If yes, please list position, location, supervisor and dates.
 
 
36)  Are you currently in YWAM? If yes only have most recent YWAM leader complete a reference. If you are not in YWAM, have pastor, friend, and supervisor/teacher complete references.
 
Yes  No 
 
37)  Pastor's name and address:
 
 
38)  Work supervisor or teacher name and address:
 
 
39)  Friend's name and address: (Note: If you are currently in YWAM, you will only need one reference–the one from your YWAM leader. YWAM Leader's name and address.)
 
 
40)  What specific field of ministry are you interested in?
 
 
41)  To date, what has been your experience in this area?
 
 
42)  What are your objectives for coming to the School of Reformation and Transformation?
 
 
43)  Do you have outstanding debts (including for YWAM courses)?
 
Yes  No 
 
44)  If yes, please explain:
 
 
45)  Will you be paying your total course fees upon arrival?
 
Yes  No 
 
46)  If no, how will you take care of them?
 
 
47)  Applicant's Declaration: "I commit to pay all expenses incurred during my involvement with Youth With A Mission. I declare that all information in this application is correct to the best of my knowledge. I will abide by the spirit, policies, and schedule of this YWAM program."
 
True  False 
 
48)  Applicant's full name and today's date (dd.mm.yy)
 
 
49)  Please describe your conversion experience and your current relationship with the Lord.
 
 
50)  What do you see as God's direction for you at this time?
 
 
51)  What are your goals (both spiritual and vocational)?
 
 
52)  Describe your relationship with your local church (include areas of service and/or leadership).
 
 
53)  Are there any other significant experiences you would like to tell us about?
 
 
54)  Describe your relationship with your family.
 
 
55)  Do your parents support your involvement in Youth With A Mission?
 
Yes  No 
 
56)  Have you ever been involved in a felonious crime, drug or alcohol abuse, occultic activities, or homosexual practices? (Note: This will not affect acceptance.)
 
Yes  No 
 
57)  If yes, please explain:
 
 
58)  Is there anything else we need to know about your situation?
 
 
59)  If accepted how do you plan to travel to Namibia?
 
 
60)  Do you have the funds for this trip?
 
Yes  No 
 
61)  How did you hear about Teachers for Africa?
 
 
62)  By clicking the "Submit Answers" button below, you certify that all information in this application is complete and accurate. If accepted by Youth With A Mission, you will abide by the spirit, rules and schedule of the program. In accordance with biblical principles, you agree to resolve any and all disputes with Youth With A Mission, YWAM Directors or staff by means of reconciliation or mediation, and waive any right to pursue action by way of litigation. You confirm that you understand that payment of the required school tuition fees must be made upon or before arrival. You also confirm that you are fully aware of your financial obligations, both to the Lord and to the students and staff at the school. You therefore commit yourself to paying all personal expenses incurred during your involvement with Youth With A Mission.
 
True  False 
 

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