Staff Application
Please print in BLOCK letters.
PART 1- Personal Details
Tick what you are applying for /DTS Staff Logistical Staff Mission Building
Start Date month/yearName / Title: /
Family/Surname:
/ Preferred:Legal First name:
/ Middle Name:Permanent Address
/ Street Address:City:
/State/Province:
/ Post/Zip Code: / Country:Current Address
(if different from above)
Contact Info / Home phone: / Work Phone:
Fax number: / Email:
Emergency Contact
(in case of an emergency) / Name:Phone:
Address:
Email:
Relationship:
Birth Details
/ Date of Birth (day/spell month/year): / Country of Birth: / City of Birth: / Age:Nationality / Country of Citizenship:
Passport details / Passport number: /
Expiration Date:
/ Place of issue:Write name as found in passport:
Languages Spoken / Home Language: / Other Languages:
How well do you speak English? (circle one)
Not at all Not well Well Very Well
Marital Status
(circle one) / Single Married Divorced Engaged Remarried Widowed / Spouse’s name (if applicable):
Children’s Details
(names, birth details, passport number, citizenship)Part 1- Personal Details (continued)
Education / Level of Education: (circle one)
Middle School High School University Higher none
What year did you finish?
Any other training or education?
Occupational Skills/ Employment History / What is your current working status:
In part time employment
In full time employment
Self-employed, not employing others
Employer
Employed – unpaid worker in family business
Unemployed- seeking full-time work
Unemployed- seeking part-time work
Not employed- not seeking employment
What type of employment have you had in the last 12 months? What type of occupational skills do you hold?
Have you ever been convicted of a crime? / Yes
No / Details:
Do you have any current or recent struggles with substance abuse? (drugs, alcohol, smoking, etc.) / Yes
No / Details:
Musical Abilities
Other Skills or TalentsDisabilities / Do you have any of the following disabilities?
Hearing/Deaf
Physical
Intellectual
Learning
Mental Illness
Acquired brain impairment
Vision
Medical condition
Other / If yes, please explain further here, or on the medical evaluation:
HaveyouhadanytrainingwithYWAM?
(what, when, where?)
Do you have the complete school/staff fees? /
(If no, how much do you presently have in US dollars?)
Part 1- Personal Details (continued)How do you anticipate the provision of the remaining amount? /
(Do you have financial support?)
If English is not your first language, have you:(if you’re applying for staff, skip this part) / Studied for more than 2 years in an English speaking school?
Studied English for more than 3 years in school, with a passing grade of at least 80%?
Undertaken TOEFL or IELTS and completed with a passing grade?
Successfully completed another YWAM school primarily delivered in English
*Please attach documentation
Study Reasons
(if applying for staff, skip this part) / What is the reason for your study with us:
To get a job
To better my existing business/ministry
To start my own business/ministry
To try a different career
To get a better job or promotion
It was a requirement of my job/ministry
I want extra skills for my job/ministry
To get into another course of study
Other reasons
For personal interest or self-development
Youth With A Mission Metro Detroit
PO Box 20174, Ferndale, MI 48220
Phone: +1 (248) 891-9969
email: .
Web page: