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.
School Applying For
Birthplace (City & Country)
Children Accompanying You (Name, Birthdate, and Gender)
Home Church Name
How Long Have You Attended?
Church Phone Number
Relationship To You
Highest Level of Education Completed
Secondary YWAM Schools Attended
Languages Spoken (Most Fluent to Least)
Military Service (Specify)
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)