1. School Application Form. Please answer every question, if one does not apply to you, write N/A in the blank.
2. Registration Fee. A non-refundable registration fee of $35 for singles or $45 for a Married couple is to be sent in with the application. All monies should be in US currency or the equivalencies in Haitian. Please send US checks to: YWAM Haiti, PO Box 236, Akron, PA 17501. Made out to “YWAM Haiti” with a separate note indicating your name and that it is for your application fee.
3. Confidential Health Form 1 must be completed by you. Health Form 2 must be completed by a physician.
4. Consent For Treatment / Liability Release Form. Each applicant must sign this form. If the applicant is under 18 years of age, a parent or legal guardian must also sign the form.
Full Name
School Applying For
Phone Number
Email Address
Present Address
Permenant Address
Birthdate
Gender
Height
Weight
Marital Status
Ethnic Background
Birthplace (City & Country)
Citizenship
Passport Number
Expiration Date
Children Accompanying You (Name, Birthdate, and Gender)
Home Church Name
How Long Have You Attended?
Church Address
Pastor's Name
Church Phone Number
Name
Relationship To You
Address
Phone Number
Highest Level of Education Completed
Secondary YWAM Schools Attended
Languages Spoken (Most Fluent to Least)
Military Service (Specify)
Present Employer
Other Occupational Skills
Musical Abilities and Other Talents
Short Term YWAM Outreaches. (Type, Date, Leader, & Location)
YWAM Functions (Name & Date)
How Long Have You Been A Born Again Christian?
Why Do You Desire To Attend This School?
Are You Ordained?
What Are Your Plans After Completing This Training?
Do You Have All The Finances For The School?
If No What Percent Do You Have?
From What Sources Will You Receive the Remainder?
Do You Have Any Outstanding Debts? (If yes explain)