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
____________
__________