English - YWAM Lausanne Switzerland
Transcription
English - YWAM Lausanne Switzerland
Thank you for your interest in our Discipleship Training School. Many have testified to the dynamic, life-changing time that DTS has been for them! It can be a great time of adventure and growth as you come to know God in new ways. Completing this confidential application is the first step to begin this adventure! The DTS is certainly a unique experience. At YWAM Lausanne, DTS runs for 5 months, with a 12 week classroom phase followed by an 8 week cross-cultural outreach experience. This allows you to process what you’ve learned through practical application in various communities in a country you’ve probably never been to before. Living for God becomes a lifestyle, both at home and in the nations, so get ready for an exciting and intense time of building relationship with God and others! We look forward to welcoming you into our multicultural community here at YWAM Lausanne! We stand with you in prayer that it will be a life-changing time for you. If you have more specific questions, or if we can be of any assistance, please feel free to phone us at +41 21 784 23 25 or email us at [email protected]. We look forward to receiving your application, Markus and Anita Steffen Directors All the questions on the application must be completed. If a question does not apply to you, write n/a (not applicable) in the space provided. Husbands and wives enrolling as students must complete separate application forms. This application is confidential. We encourage you to complete it as accurately and honestly as possible. Please DO NOT make plans to come until AFTER you have received an acceptace letter from us. 1. Application Form The following application form is used when applying for a DTS with YWAM Lausanne. IMPORTANT: If you need a visa permit to enter Switzerland, please contact us BEFORE completing this application and we will advise you further. 2. Additional Questions All questions must be answered and submitted with your completed application. 3. Partnership Agreements All releases, declarations and commitments must be signed before your application can be processed. 4. Medical Requirements The student health form should be completed as thoroughly as possible. You do not need a Physician’s signature for this form. 5. Personal References The following 3 people must complete 1 reference form each: 1. Pastor or spiritual leader 2. Teacher or employer 3. Friend Please ask them to complete the form and email, mail or fax it directly to YWAM Lausanne. NOTE: receiving the reference forms is usually the part that slows the application process down the most. Have them sent to us as soon as you can. 6. Photos Please send us 2 recent and clear passport-sized photos of yourself in the post or by email. These do not need to be passport photos, just passport size. 7. School Deposit You need to send your CHF 200 non-refundable school deposit only after your application has been fully processed. We will send you an email with all the information about how to make this payment. For now, simply send us your application and we’ll get the process started. 8. Passport Everyone attending a YWAM Lausanne school must have a valid passport with an expiration date of at least 1 year from the start of your school. 9. Visa If you do not have a UK or European passport (from a Schengen nation) you may need a student visa for your time at YWAM Lausanne. We will communicate with you further about this during the application process. 10. Dates Please write all dates in the format dd/mm/yyyy. Email, mail or fax all forms to**: Admissions YWAM Lausanne Chemin du Praz d’Eau 1 1000 Lausanne 25 Switzerland Tel: +41 21 784 23 25 *Fax: +41 21 784 23 20* Email: [email protected] * If you fax your application, please also send the originals to us by post mail ** Please make a copy of all forms for your records before sending them 3 1. Application Please specify the DTS that you are applying for: __________________________________________________________ 2. Name Mr Mrs Ms First name: ______________________ Middle name: ____________________ Preferred name: ____________________________________ Gender: Male Last name: ______________________ Female 3. Contact Details Permanent address: ___________________________________________________ Address 1 __________________________________________________ Address 2 _________________________ _______________________ City State / Province ________________ Zip / Postcode Select Country _______________________________ Country Current address: ___________________________________________________ Address 1 __________________________________________________ Address 2 _________________________ _______________________ City State / Province ________________ Zip / Postcode Telephone: ________________________________________ (include country code & area code) Select Country _______________________________ Country Mobile: ___________________________________________ (include country code & area code) Email: __________________________________________________________________________________________________ 4. Personal Details Day Month Select Country Year Date of birth: ____________________________ Age: _________________ Country of birth: ________________________ Marital Status (tick one): Single Engaged Day Month Year Date ___________________________________ Married Day Month Year Date _________________________________ Separated Date Day Month Year ____________________________ Widowed Day Month Year Date _________________________________ Divorced Date Day Month Year ____________________________ Spouse’s name: _________________________________________________________________________________________ Do you have any children? Yes No If yes, how many: Name(s) and birthdate(s) of children: _____________________________________________________________________ 4 5. Passport Details Full name (as it appears on your passport): First name _______________________________ Middle name _____________________________ Last name ______________________________ Select Country Country of citizenship: _____________________________ Passport number: _________________________________ Issue date: ________________________________________ Expiration date: ___________________________________ Place of issue: _____________________________________ Second nationality Select Country : _____________________ if dual citizenship Passport you will travel with when you enter Switzerland:__________________________________________________ Type of Swiss visa: ________________________________ Date of visa expiration: ____________________________ (if you currently have one) 6. Medical Insurance Policy Company: _________________________________________ Policy #: __________________________________________ Expiration date: ___________________________________ We require all staff and students to hold medical insurance during their involvement with YWAM Lausanne. The recommended minimum coverage is 1,000,000 CHF. In addition to this, YWAM Lausanne requires that everyone hold evacuation and repatriation insurance. It is important to note that most home-country medical insurances DO NOT provide this coverage. We highly recommend an internationally recognized travel insurance policy. Most of our students use MNUI’s Atlas Plan (MultiNational Underwriters) or the Banner Group’s Short Term Global Connections. Both offer sufficient coverage in all required areas. For comparison, policy details, online quotes and application, go to: http://insurance.ywamlausanne.com 7. Languages What languages do you speak and/or read? _______________________________________________________________ Mother tongue*: ___________________________________ Other Language(s): ________________________________ *If English is your second language then we will need to do a phone interview if you are applying for a school that is not translated into your mother tongue. 8. Home Church Information Name of church: ___________________________________ Pastor’s name: ____________________________________ ___________________________________________________ __________________________________________________ Address 1 Address 2 _________________________ _______________________ ________________ City State / Province Zip / Postcode Telephone number Select Country _______________________________ Country (include country & area codes): ______________________________________________________________ Pastor’s email: ____________________________________ How long have you attended this church? ___________ 5 9. Educational Background Have you completed any secondary schooling (high school)? Yes No Please list your education experience. School Name Dates Location Degrees Obtained Other 10. Work and Ministry Background Please list your work and/or ministry experience. (Please include current occupation.) Company/ Organisation Dates Location 11. Criminal Record Have you ever been convicted of a criminal offence? Yes If yes, please comment. No Job/Ministry responsibility Other 6 12. Hobbies Please share with us about your hobbies, skills and talents. _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ 13. Financial Information Do you have your complete lecture phase fees? Yes No If not, how much do you presently have toward your lecture fees? _________________________________________________ Do you have your complete outreach phase fees (if applicable)? (from CHF 3,500 - 5,000) Yes No If not, how much do you presently have toward your outreach fees? _______________________________________________ How do you anticipate to provide for the outstanding balance of your school and/or outreach fees? ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ 14. Emergency Contact Who do we contact in case of an emergency? Mr Mrs Ms First name: _________________________________________ Last name:_________________________________________ Relationship to you (i.e. parent, sibling, etc.): _______________________________________________________________________ Home telephone (include country & area codes):_____________________________________________________________________ Mobile (include country & area codes): _____________________________________________________________________________ Work telephone (include country & area codes): _____________________________________________________________________ Email:___________________________________________________________________________________________________ 7 15. Additional Questions Please answer the following questions: 1. Describe when and how you came to know Jesus personally. ________________________________________________________________________________________________________ 2. Please share some insight into your present relationship with Him. ________________________________________________________________________________________________________ 8 3. What areas of your character are you personally seeking God to further develop and/or improve? ________________________________________________________________________________________________________ 4. What are some struggles and challenges you are dealing with or have dealt with in the past? ________________________________________________________________________________________________________ 5. How are you seeking help and support to overcome your struggles and challenges? ________________________________________________________________________________________________________ 9 6. Self evaluation Below average Average Above Average Below Average Ability to follow Industrial/hard worker Ability to work with others Leadership ability Willingness to be accountable Personal appearance (self care) Concern for others Positive attitude Emotional stability Reliability Financial responsibility Response to authority figures Flexibility/openness to change Response to pressure/stress Grateful spirit Servant heart Initiative/self starter Teachable spirit Average Above Average 7. Please share some insight into your relationship with your family. Are they supportive of you attending this school? ________________________________________________________________________________________________________ 8. What are your personal purposes for doing the course? (i.e. your expectations, motivations and outcomes you are looking for?) ________________________________________________________________________________________________________ 10 9. Please share about your participation and involvement in your local church. ________________________________________________________________________________________________________ 10. Have you had any previous mission experiences or training? If so, please describe. ________________________________________________________________________________________________________ 11. What areas of ministry interest you most? (i.e. teaching, children’s ministry, kitchen, administration, mercy ministry, urban ministry, design, performing arts, communications, music, hospitality, worship, evangelism, counseling, etc.) ________________________________________________________________________________________________________ 12. Are you considering further training or ministry with YWAM after your DTS? If so, please specify. ________________________________________________________________________________________________________ 11 13. Is there any further information that you think would help us as we consider your application? ________________________________________________________________________________________________________ 14. Language Proficiency English Proficiency (only answered if you are applying for a course that is not run in your mother tongue) You will require a sufficient standard of oral and written English proficiancy in order to benefit from the training you undertake. Please complete the following questions if English is NOT your first language. If your English proficiency is not at an adequate level, you may wish to apply for our English Learning for Missions course. a. Personal Evaluation of English Proficiency: Please choose your ability in the following English skills [1=very limited in ability and 6=close to native speaker] Very Limited Close to Native Speaker 1. What is your ability to speak English?: 1 2 3 4 5 6 2. How well can you understand spoken English?: 1 2 3 4 5 6 3. How well can you write in English?: 1 2 3 4 5 6 4. What is your ability to understand written English?: 1 2 3 4 5 6 b. Independent Testing: If you have completed any of the following tests please indicate the score you received and attach a copy of your test results. · Test of English as a Foreign Language (TOEFL) Score: · International English Testing System (IELTS) Score: · Other form of testing (please specify) Score: c. Give a brief outline of your past history learning English, i.e. how long you studied English and at what level.(e.g. 3 years basic English at high school) ________________________________________________________________________________________________ 12 Other Language Proficiency a. Personal Evaluation of ___________________ Proficiency: Please choose your ability in the following language skills [1=very limited in ability and 6=close to native speaker] Very Limited 1. What is your ability to speak the language?: 1 2 3 4 5 6 2. How well can you understand the language spoken?: 1 2 3 4 5 6 3. How well can you write in the language?: 1 2 3 4 5 6 4. What is your ability to understand the language written?: 1 2 3 4 5 6 15. How did you hear about YWAM Lausanne? YWAM Lausanne website Social Media: Facebook, Instagram, Twitter, Pintrest Friends Family “Is That Really You, God?” Other ______________________________________ Close to Native Speaker 13 Community Living Standards YWAM Lausanne is for Christians who are committed to the Great Commission (Matthew 28:18-19). Your time here will be enjoyable, rewarding and challenging. We are committed to helping you grow as a disciple of Jesus and we look forward to you being here. Being a disciple of Jesus includes taking responsibility for your life and conduct, which includes living a Godly lifestyle worthy of example. As we read the Bible, there are guidelines for those conducts that are “absolute,” such as the Ten Commandments. However, there are areas that are not so clearly defined, and this is where we run into “cultural sins” as Paul describes in Romans 14. These are situations relative to the way we have individually been taught, which may or may not be considered as a sin to others. We know that only God can judge the heart, but depending on the ways in which we were raised and what our parents, pastors and other authority figures taught us, these issues can often be quite sensitive. Below are some of our standards for community living as we interpret the Scriptures. Alcohol, Drugs and Tobacco Approximately 90 percent of the evangelical community of the world (Africa, Asia and the Americas) considers alcoholic drinks and tobacco products totally off limits. Often in these contexts, alcohol and tobacco use is viewed as a sign that someone either does not know God or is turning away from Him. God has blessed YWAM Lausanne with a variety of people coming from many cultures, denominations and backgrounds, so it is important that as a family we understand and honor one another in our conversation and actions. While you are here in Switzerland and on outreach, we ask that you take the most conservative view in order not to offend the largest percent of international believers. Whatever your personal conviction may be, we ask that you refrain from drinking alcohol and using tobacco products during your school. This is not meant to be legalistic, but to live by the law of love and respect the beliefs and values of others. Therefore, if you do have a dependency on alcohol or tobacco products we would ask that you eliminate these habits before coming to YWAM Lausanne. The use of these products during your school can be grounds for dismissal. Illegal drug use is strictly prohibited and is grounds for immediate dismissal. If you have any dependency on these we ask that you seek professional help and apply for this school at a later time. Exclusive Relationships This will be a very special time for you where you can focus on God and build excellent friendships with both sexes that will last not only for 3 or 6 months, but for a lifetime. We all come from various backgrounds and cultures and have different needs and ideas of relationships. To remain focused through the duration of the school we ask that no “boyfriend/girlfriend” relationships be developed. We find that this provides a healthy environment where students are able to relax and enjoy developing Godly friendships without all the confusion of a dating relationship. Time spent on the school is like no other as it is a great investment that will continue to influence you for the rest of your life. Because of this, there is no room for relationship difficulties to become a distraction. If you are able to refrain from the use of tobacco, alcohol and exclusive relationships for the duration of your school please sign the Community Living Standards section on page 15. If you have any questions or if you have trouble understanding anything in this document, please feel free to contact us. 14 Payment and Refund Policy Payment policy All payments must be made in Swiss Francs (CHF). To check current exchange rates go to: www.xe.com. In addition to the following costs you will also need full medical insurance coverage as outlined in the previous section. (See “Medical insurance policy” on page 4) Payment Description Payment Required By 1 School Deposit: CHF 200 The school deposit is required for your final acceptance to be approved and is non-refundable. This deposit will transfer to your overall school fee on registration day. Send your CHF 200 school deposit only after your application has been fully processed. We will send you an email with all the information about how to make this payment. For now, simply send us your application and we’ll get the process started. 2 School Costs: CHF 3,590 + CHF 200 school deposit This covers tuition, food, accommodation, pick-up and drop-off from the Lausanne train station. It does not include: visas, personal expenses or transportation to the Lausanne train station from the airport. The School cost of CHF 3,590 + CHF 200 school deposit are due the day your school starts. Remember, if you are wiring money make sure to allow 7 days for banks to process your transaction. 3 Transportation and Other Outreach Costs: CHF 2,500 This is for airfare, accommodation, food, administration expenses and other ground fees. These outreach costs are payable during the 6th week of the school. 4 Remaining Outreach Costs: CHF 500 - 2,500 (approx.) Depending on your outreach location, your outreach expenses may be greater than the CHF 2,500 The remaining outreach costs are payable during the 10th week of the school. NOTE: Students will not be able to begin their course unless they are able to make these payments. However, if you contact our admissions office and explain your financial situation, a different payment schedule may be arranged. Refund Policy Payment of the refund will be: 1. Paid directly to the student unless a written request is made by the student to make payment to someone else. 2. Paid in Swiss Francs (CHF). Any bank fees will be deducted from the total refund. 3. Paid to the student within 6 weeks of notice. However, this is only possible if all recipient money transfer details are correct. Description Notification Departure Refund Policy Lecture phase: In the event of a departure from the lecture phase of your school before the 22nd day, for the reason of: (a) voluntarily withdrawal, (b) violation of visa conditions or (c) violation of community or outreach living standards, the following refund schedule will apply. 1 School Deposit (non-refundable) n/a CHF 200 is non-refundable 2 School Cost If student withdraws for reason of: (a) voluntarily withdrawal (b) violation of visa conditions (c) violation of community living standards Before Registration Day: 100% of course costs - CHF 3,790 Registration Day to Day 10: 50% of course costs - CHF 1,895 Day 11 to Day 21: 25% of course costs - CHF 948 Day 22 to the end of Lecture Phase: 0% Outreach phase: In the event a departure after joining an outreach team for the reason of: (a) voluntarily withdrawal, (b) violation of visa conditions or (c) violation of community or outreach living standards, the following refund schedule will apply: 3 Transportation and Other Outreach costs Refund is dependent on carriers (i.e. airline companies) refund policy. Before Outreach Officially Begins: 100% of the total general outreach costs Beginning of Outreach to Day 20 Day: 50% of the total general outreach costs 21 to Day 40: 25% of the total general outreach costs Day 41 and Later: 0% 15 Partnership Agreements Waiver and Release of Liability I do hereby release Youth With a Mission Lausanne, 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/their course of involvement with Youth With a Mission Lausanne. Day Signature X _________________________________________________________________________ Date ________________________ Month _______________________ Year ______________________ Community Living Standards I confirm that I have read and understand the Community Living Standards stated on page 13. During the time I’m attending a school at YWAM Lausanne, I will keep the highest moral standards and maintain a clear personal witness through proper conduct. I will not drink alcoholic beverages, use any type of tobacco product or illegal drugs and I will not start an exclusive relationship. I understand that if I do not abide by these conditions, I may be asked to leave. Day Signature X _________________________________________________________________________ Date ________________________ Month _______________________ Year ______________________ 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, I hereby agree to such treatment, anesthetics and operations to be performed upon myself as in the opinion of the attending physician(s) deemed necessary. Signature X _________________________________________________________________________ Day Date ________________________ Month _______________________ Year ______________________ Financial Responsibility I confirm that I have read and understand the payment and refund policy stated on page 14. I am fully aware of my financial obligations, both to the Lord and to the leadership of YWAM Lausanne. I also confirm that my acceptance into the school requires that my lecture phase fees must be made on or before my arrival. I therefore accept full responsibility for all fees and personal expenses incurred during my involvement with YWAM Lausanne. Signature X _________________________________________________________________________ Day Date ________________________ Month _______________________ Year ______________________ Declaration I declare that all the information contained herein is true, correct and complete to the best of my knowledge. Signature X _________________________________________________________________________ Day Date ________________________ Month _______________________ Year ______________________ If applicant is under 18 years of age then the signature of parent or guardian is also required. Signature X _________________________________________________________________________ (parent/guardian) Day Date ________________________ Month _______________________ Year ______________________ 16 Confidential Student Health Form To the applicant: Please complete the following questions as thoroughly as possible. You do not need a physician’s signature for this form. Name: School: ____________________________________________ Month/Year: _______________________________________ Physical Assessment: Height (cm): _______________________ Weight (kg): ________________________________________ Health history: Have you had or do you now have any of the following? (check yes or no) Yes No Yes No Yes No Skin Conditions Hepatitis Addiction Eye Trouble Jaundice Ear Trouble Kidney Disease Allergies Shortness Of Breath Anemia Environmental Asthma Tumor or Cancer Food Heart Trouble Recurrent Headache Drug Arthritis Epilepsy Back Trouble Fainting Spells Females Only Dislocated Joints Mental Health Trouble Are you pregnant? Broken Bones Anxiety Ulcers Depression Intestinal Troubles Eating Disorders Recurrent Diarrhea Paralysis Gall Bladder Trouble Sleeping Disorder If you answered “yes” to any of the above, please describe in detail below. Use a separate paper if needed. ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ Are you under a doctor’s care for any condition? Yes No Please describe: ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ 17 Are you currently taking any medications? Yes No If yes, please give details (eg medication and reason for prescription) ________________________________________________________________________________________________________ Do you have any physical or health conditions which would require special attention? ________________________________________________________________________________________________________ How would you rate your current overall health condition? Poor Fair Good Excellent Immunizations: Please fill out the following chart with immunization dates to the best of your knowledge. Kind 1st Dose 2nd Dose 3rd Dose 1st Dose 2nd Dose 3rd Dose Diphtheria Year Year Year Year Year Year Tetanus Year Year Year Year Year Year Pertussis Year Year Year Year Year Year Polio Year Year Year Year Year Year Rubella Year Year Year Year Year Year Mumps Year Year Year Year Year Year Hepatitis A Year Year Year Year Year Year Hepatitis B Year Year Year Year Year Year Yellow Fever Year Year Year Year Year Year Dietary needs: Do you have a medical condition that influences your diet or any special dietary needs we need to know about? (i.e. gluten-free diet, peanut allergy, vegetarian, etc.) ________________________________________________________________________________________________________ Signature X _________________________________________________________________________ Day Date ________________________ Month _______________________ Year ______________________ If applicant is under 18 years of age then the signature of parent or guardian is also required. Signature X _________________________________________________________________________ (parent/guardian) Day Date ________________________ Month _______________________ Year ______________________ 18 Pastor/Spiritual Leader Reference Instructions for student: Please fill in your name, email address, school applying for and date of school before sending to your referee. Instructions for reference: Please save and email or fax this form to us at: [email protected] or to+41 21 784 23 20 1. Name of Applicant ___________________________________________ School______________________________________________________ Date of the school _________________________________________________ 2. Email Address of Applicant ___________________________________ The above applicant has applied for admission to a training course with Youth With A Mission Lausanne. In order to adequately evaluate the applicant for admission, we would appreciate you supplying the information requested on this form. Your statements will help us to effectively meet the needs of the applicant should he/she be accepted for a YWAM Lausanne school. The contents of this form will remain confidential once submitted, but will be accessible to the applicant upon request. 3. Referee Details Mr Mrs Ms First Name ____________________________________________________ Street _________________________________________________________ State/Province _________________________________________________ Relation to Applicant ___________________________________________ Phone (H) _____________________ Mobile _________________________ Last Name ______________________________________________________ City ______________________________________________________________ Select Country Zip/Post code _____________________ Country ________________________ Length you’ve known the applicant ________________________________ Email ___________________________ Occupation ______________________ 4. Character Profile Below Average Average Above Average Below Average Ability to follow Industrial/hard worker Ability to work with others Leadership ability Willingness to be accountable Personal appearance (self care) Concern for others Positive attitude Emotional stability Reliability Financial responsibility Response to authority figures Flexibility/openness to change Response to pressure/stress Grateful spirit Servant heart Initiative/self starter Teachable spirit 5. Does the applicant display high moral standards? Yes No Comment: _____________________________________________________ Average Above Average 12. Please comment briefly on the applicant’s family background. ________________________________________________________________ ________________________________________________________________ 6. How would you describe the applicant’s relational skills with other church members and pastors? 13. What has the applicant’s church involvement been? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 7. Where do you think the applicant needs further character growth? 14. How would you describe the applicant’s present relationship ________________________________________________________________ with God? ______________________________________________________ ________________________________________________________________ ________________________________________________________________ 8. What skills, talents and strengths have you observed? ________________________________________________________________ ________________________________________________________________ 9. Would you choose to work with this person? Yes No Comment_______________________________________________________ 10. What type of environment does the applicant function best in? ________________________________________________________________ ________________________________________________________________ 15. Is there any further information that you think would help us as we consider the applicant’s application? ________________________________________________________________ ________________________________________________________________ 16. Is your church supporting the applicant prayerfully and financially? _____________________________________________________ ________________________________________________________________ Signature ______________________________ 11. Would you recommend this applicant for acceptance by YWAM Lausanne? Yes No ________________________________________________________________ ________________________________________________________________ Day Date____________ Please do not send any updates. Month 2013 ____________ __________ 19 Employer/Teacher Reference Instructions for student: Please fill in your name, email address, school applying for and date of school before sending to your referee. Instructions for reference: Please save and email or fax this form to us at: [email protected] or to+41 21 784 23 20 1. Name of Applicant ___________________________________________ School______________________________________________________ Date of the school _________________________________________________ 2. Email Address of Applicant ___________________________________ The above applicant has applied for admission to a training course with Youth With A Mission Lausanne. In order to adequately evaluate the applicant for admission, we would appreciate you supplying the information requested on this form. Your statements will help us to effectively meet the needs of the applicant should he/she be accepted for a YWAM Lausanne school. The contents of this form will remain confidential once submitted, but will be accessible to the applicant upon request. 3. Referee Details Mr Mrs Ms First Name ____________________________________________________ Street _________________________________________________________ State/Province _________________________________________________ Relation to Applicant ___________________________________________ Phone (H) _____________________ Mobile _________________________ Last Name ______________________________________________________ City ______________________________________________________________ Select Country Zip/Post code _____________________ Country ________________________ Length you’ve known the applicant ________________________________ Email ___________________________ Occupation ______________________ 4. Character Profile Below average Average Above Average Below Average Ability to follow Industrial/hard worker Ability to work with others Leadership ability Willingness to be accountable Personal appearance (self care) Concern for others Positive attitude Emotional stability Reliability Financial responsibility Response to authority figures Flexibility/openness to change Response to pressure/stress Grateful spirit Servant heart Initiative/self starter Teachable spirit 5. Does the applicant display high moral standards? Yes No Comment: _____________________________________________________ 6. How would you describe the applicant’s relational skills with others? ________________________________________________________ ________________________________________________________________ ________________________________________________________________ 7. Where do you think the applicant needs further character growth? _______________________________________________________ ________________________________________________________________ ________________________________________________________________ 8. What skills, talents and strengths have you observed? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 9. Would you choose to work with this person? Yes No Comment_______________________________________________________ ________________________________________________________________ 10. What type of environment does the applicant function best in? ________________________________________________________________ ________________________________________________________________ Average Above Average 11. Would you recommend this applicant for acceptance by YWAM Lausanne? Yes No ________________________________________________________________ ________________________________________________________________ 12. Please comment briefly on the applicant’s family background. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 13. How would you describe the applicant’s present relationship with God? ______________________________________________________ ________________________________________________________________ ________________________________________________________________ 14. Is there any further information that you think would help us as we consider the applicant’s application? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Signature ______________________________ Day Date____________ Please do not send any updates. 2012 Month ____________ __________ 20 Friend Reference Instructions for student: Please fill in your name, email address, school applying for and date of school before sending to your referee. Instructions for reference: Please save and email or fax this form to us at: [email protected] or to+41 21 784 23 20 1. Name of Applicant ___________________________________________ School______________________________________________________ Date of the school _________________________________________________ 2. Email Address of Applicant ___________________________________ The above applicant has applied for admission to a training course with Youth With A Mission Lausanne. In order to adequately evaluate the applicant for admission, we would appreciate you supplying the information requested on this form. Your statements will help us to effectively meet the needs of the applicant should he/she be accepted for a YWAM Lausanne school. The contents of this form will remain confidential once submitted, but will be accessible to the applicant upon request. 3. Referee Details Mr Mrs Ms First Name ____________________________________________________ Street _________________________________________________________ State/Province _________________________________________________ Relation to Applicant ___________________________________________ Phone (H) _____________________ Mobile _________________________ Last Name ______________________________________________________ City ______________________________________________________________ Select Country Zip/Post code _____________________ Country ________________________ Length you’ve known the applicant ________________________________ Email ___________________________ Occupation ______________________ 4. Character Profile Below average Average Above Average Below Average Ability to follow Industrial/hard worker Ability to work with others Leadership ability Willingness to be accountable Personal appearance (self care) Concern for others Positive attitude Emotional stability Reliability Financial responsibility Response to authority figures Flexibility/openness to change Response to pressure/stress Grateful spirit Servant heart Initiative/self starter Teachable spirit 5. Does the applicant display high moral standards? Yes No Comment: _____________________________________________________ 6. How would you describe the applicant’s relational skills with others? _________________________________________________________ ________________________________________________________________ ________________________________________________________________ 7. Where do you think the applicant needs further character growth? _______________________________________________________ ________________________________________________________________ ________________________________________________________________ 8. What skills, talents and strengths have you observed? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 9. Would you choose to work with this person? Yes No Comment_______________________________________________________ ________________________________________________________________ 10. What type of environment does the applicant function best in? ________________________________________________________________ ________________________________________________________________ Average Above Average 11. Would you recommend this applicant for acceptance by YWAM Lausanne? Yes No ________________________________________________________________ ________________________________________________________________ 12. Please comment briefly on the applicant’s family background. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 13. How would you describe the applicant’s present relationship with God? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 14. Is there any further information that you think would help us as we consider the applicant’s application? ________________________________________________________________ ________________________________________________________________ Signature ______________________________ Day Date____________ Please do not send any updates. 2012 Month ____________ __________