• SOLD OUT Application

  • Thank you for applying to Youth With A Mission Charlotte!
    May you know the Lord's grace as you seek His direction. In order for us to process your application, we must receive all of the following completed forms.
     
    1. Student Application Form: Please answer every question. If one does not apply to you, write N/A in the blank. Married couples enrolling as stuends but complete separate applications.

    2. Application Fee: A nonrefundable Application Fee of $35.00 USD for singles and $50.00 USD for married couples is to be included with your application. Your application cannot be processed without it.

    3. Three Reference Forms: One of these forms is to be given to your pastor and one to your DTS leader. Ask them to complete the form and email or mail it directly to YWAM Charlotte.

    4. Confidential Health Form: This needs to be filled out by both you and your physician.

    5. Consent for Treatment/Liability Release Form: The applicant must sign this form. Parents must also sign if the applicant is under 18 years of age.

    Please direct all forms to:

    Youth With A Mission Charlotte

    418 East Franklin Street - Monroe, NC 28112

  • Personal Information

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  • Personal History

  • Financial Information

  • I understand that payment of the required school tuition fees must be made in US currency prior to my arrival, unless otherwise approved in writing by the school leader before my departure for North Carolina. I also confirm that I am fully aware of my financial obligations, both to the Lord and to the students and staff of the school. I therefore, commit myself to paying all personal expenses during my involvement with Youth With A Mission. I certify that all information in this application is accurate and complete. If accepted by Youth With A Mission, I will abide by the spirit, guidelines and schedule of the program.

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  • Educational Background

  • Language Proficiency

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  • Employment Background

  • Church Background

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  • Previous YWAM experience

  • Passport & Visa Information

  • In Case of Emergency Contact:

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  • Health History Form

  • To the applicant: During this program you may find yourself at times in a geographical location without ready access to medical facilities. In order to provide the best possible care for you during your time with us we are obligated to ask the following questions. This information is treated confidentially and separate from your academic records. Please complete this form in English.

  • Confidential Health Form

  • Every student is required to have basic health insurance while on outreach.

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  • Personal Health History

  • Please answer all questions. Comment on all positive answers in the space below. Your answers will remain confidential.




  • Consent for Treatment

  • In the event of injury or illness of the undersigned (Applicant) while in association with YOUTH WITH A MISSION, I/we hereby agree to the performance of such treatment, anesthetics, and operations as, in the opinion of the attending physician, is deemed necessary.

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  • Liability Release

  • I/we hereby release YOUTH WITH A MISSION, INC., its agents, employees, and volunteer assistants from any liability whatsoever arising out of an injury, damage, or loss which may be sustained by the undersigned (Applicant) during the course of involvement with YOUTH WITH A MISSION, INC.

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  • Signature of Agreement

  • I certify that all information in the application is complete and accurate. I understand that if any information given is found to be false it could result in my removal or exclusion from the course.

    If accepted by Youth With A Mission, I will abide by the spirit, rules, and schedule of the program. 

    I understand that payment of required tuition fees must be made upon or before arrival. I am fully aware of my financial obligation, both to the Lord and to the students and staff at Youth With A Mission. I therefore commit myself to paying all personal expenses incurred during my involvement with Youth With A Mission. 

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