YWAM Myrtle Beach DTS Student Application

DTS Student Application

Basic Information
Full Name (As it appears in your passport)*

First NameLast Name
E-mail*
Gender*

MaleFemale
Birth Date*

MonthDayYear
Marital Status*
Do you have children?*

YesNo
If yes, how many? How old are they?
Permanent Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Prefrence*

Cell PhoneHome PhoneEmailPostal mail
How did you hear about the Discipleship Training School (DTS)?*
Cell Phone*

Area CodePhone Number
Home Phone*

Area CodePhone Number
Applying For*
Upload recent photo (max file 2MB) (Optional)

Upload a File

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Student Application (page 2)

References
References:

Please enter the information for your references. This way, we can contact them if we have not received their reference forms. We must receive all three references to begin processing your application.
#1 - Pastoral Reference Name:*
Pastoral Reference's Email and Phone Number:
#2 - Employer or Teacher Reference Name:*
Employer or Teacher's Email Adress and Phone Number:
#3 - Christian Friend Reference Name:*
Christian friend's Email and Phone number:
Passport:

Please enter your passport information. If you do not yet have a passport, enter "N/A."
Do you have a passport?*

YesNoApplied for
Country of Citizenship
Passport Number
Issue Date:

MonthDayYear
Expiration Date:

MonthDayYear
City and Country of Issue:
Visa Information

If this does not apply to you please fill in Not Applicable.
Do you have a U.S. visa?*

YesNoAppliedNot Applicable
What type of visa? (if currently holding a U.S. visa)
Visa Issue Date:

MonthDayYear
Visa Expiration Date:

MonthDayYear
City and Country of Issued Visa:

Emergency Contact

In the case that a Emergency was to take place who would you want us to contact?
Full Name:*

First NameLast Name
Relationship to You:*

MotherFatherFriendSpouseOther
Cell Phone Number:*

Area CodePhone Number
Home Phone Number:*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Background Information:
Have you ever obtained psychological counseling? *
If yes, please provide a detailed explanation, including dates.
Have you ever been convicted of a felony:*
If yes, please provide a detailed explanation, including dates.
Have you ever been convicted of a sexual crime?*
If yes, please provide a detailed explanation, including dates.
Military Service:
Are you, or were you, in any military service?*
If yes, please explain.

Home Church Information:

Please enter your church information. If you do not attend church, please enter "N/A" in the fields.
Church Name*
Denomination*
Pastor's Name*

First NameLast Name
Church Phone Number*

Area CodePhone Number
Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How long have you attended?*
How long have you been following Jesus as the Lord of your life?*
Have you had church leadership experience? If so, what experience have you had? (Sunday school teacher, board member, etc)*
Are you ordained or licensed as a minister?**

Work Experience:
Company*
Position*
Start Date:*

MonthDayYear
End Date (If still employed here just enter today's date):*

MonthDayYear
Company
Position
Start Date:

MonthDayYear
End Date:

MonthDayYear
Education Experience:
What grade level have you completed of Secondary/High School?*
When did you Graduate?*

MonthDayYear
School*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please list any other education you have received such as certificates, training courses, seminars, etc.:
Please identify and rank your English language proficiency on a scale of 1-10 (1:Barely – 10:Native Language)
Have you previously applied to a YWAM DTS?*
Have you previously been on any international missions trips?*
If yes, provide trip details. (With whom did you go, when, where, etc...)

Getting to Know You Questions

Please take your time to thoughtfully complete the following questions. (There is no word limit.)
Reflecting on your past learning experiences as a student, what did you most enjoy? What were your greatest challenges?*
Describe your relationship with your family members. What is your home life like? What is your family's church background? How has your family impacted your relationship with God?*
If you are widowed or divorced, please relate pertinent details of any past marriages or present marriage separation. (Write N/A if not applicable)*
What role does the Bible play in your life presently? What are some of the things God is teaching you through the Bible?*
What Christian media (books, magazines, podcasts, movies, websites, blogs, etc.) has impacted your growth as a Christ-follower? Please describe.*
How does your family feel about you attending YWAM's DTS?*
Describe the circumstances and events that led you to surrender to Jesus and make Him the Lord of your life.*
Describe your current relationship with the Lord. What has been the greatest help in your relationship with God in the past six months? What has been the greatest hinderance?*
What areas of your character (beliefs, thoughts, attitudes, behaviors, etc.) is God presently refining to make you more like Christ? What things do you see in your life that need to come into alignment with God's will?*
Briefly describe any long-term goals you have for your life? (College, Career, Ministry goals, etc...)*
What most influenced your decision to apply?*
What expectations do you have in attending a YWAM DTS?*
List anything else that we should know about your situation (such as special circumstances or needs).*

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.
- 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.
- I/we hereby release YOUTH WITH A MISSION, INC., its agents, employees, and volunteer assistants from any liablity 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.
I agree to all of the above statements.*

Yes
Applicant's Electronic Signature (type your full name):

First NameMiddle NameLast Name
Signature

Clear
Todays Date

MonthDayYear
Parent/Legal Guardian's Signature (if Applicant is under 18):

First NameMiddle NameLast Name
Signature

Clear
Today's Date:

MonthDayYear
YWAM Myrtle Beach DTS Financial Policy

Please read the following financial policy.
Financial Accountability Agreement
If accepted to the DTS you will be expected to pay your full tuition on or before the first day of class. If you will not be able to do so, you must inform the admissions department upon your acceptance.*

The following payment plan is availalbe for those who cannot pay their tuition in full at the beginning of the school.

Payment Plan
$3,500 must be paid on or before the first day of class.
$2,000 is due on the 5th week of Lecture Phase
$1,500 is due on the 9th week of the Lecture Phase

*Note: The cost of the school may be adjusted for international students. This is to be determined by YWAM Myrtle Beach on a case by case basis.
Do you plan to pay your complete school fees on or before the first day of class?*
If no - I understand that I am only eligible for the Payment Plan if I can guarantee my payments in a manner approved by the school staff.

Yes
Please explain how you will make these payments (e.g. credit card, parents, pledged support, etc.):*
This is the end of the DTS Student Application. When you're ready to send us your answers, click "submit" below. (You may wish to copy/paste your responses in case your connection is lost during the submission process. Or you can also print your completed form.)

After you click submit, you will see a "thank you" page showing your form was received. You will also receive an automated email to the address you provided, which will have a copy of your answers and a link you can use to edit this application.

If you have any problems submitting your application, or do not recieve a confirmation email, please contact us at info@ywammyrtlebeach.com or +1 (208) 921-9226. Ask for Joe DeZwaan.

Thanks!
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DTS Student Application

Student Application (page 2)

References:

Passport:

Visa Information

Emergency Contact

Background Information:

Military Service:

Home Church Information:

Work Experience:

Education Experience:

Confidential Health Form

Personal Health History

Getting to Know You Questions

Signature of Agreement

YWAM Myrtle Beach DTS Financial Policy

Financial Accountability Agreement

The End!