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Community Development School Application
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Personal Information
Name
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First
Last
Gender
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Male
Female
Date of Birth
*
Age
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What country are you from?
*
Address
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Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone Number
*
Please include country and area code
Email
*
Marital Status
*
Choose an option
Single
Married
Engaged
Divorced
Widowed
Separated
Will your spouse be joining you?
*
Choose an option
Yes
No
Your spouse will need to complete their own application
*
Okay
Do you have children?
*
Choose an option
Yes
No
What are the ages of all your children?
*
Will all your children be accompanying you?
*
Choose an option
Yes
No
Please list the full names, gender, date of birth and nationality of each of the children accompanying you.
*
Please provide understanding why some or all of your children will not be accompanying you.
Passport Details
Do you have a current passport?
*
Choose an option
Yes
No
It is highly likely that you will need a passport for the outreach phase of the CDS. We ask that you obtain a passport before arriving for your CDS.
*
Yes
Do you have or have you ever had a French Visa?
*
Choose an option
Yes
No
Type of Visa
*
Expiry date of French Visa
*
What is your country of citizeship?
*
Do you have dual nationality?
*
Choose an option
Yes
No
Country
*
Insurance
Do you already have health insurance for the CDS?
*
Choose an option
Yes
No
You will need health insurance for the duration of CDS and in order to apply for your visa.
Details of your Health Insurance - Provider's Name, Policy Type and Policy Number
*
Financial Support
Do you have your complete Lecture Phase fees?
*
Choose an option
Yes
No
How much do you presently have?
*
How do you anticipate the provision of the outstanding balance of your lecture fees?
*
Do you have your complete Outreach Phase fees?
*
Choose an option
Yes
No
How much do you presently have?
*
How do you anticipate the provision of the outstanding balance of your outreach phase fees?
*
Do you have any debts you are required to make payments on during the CDS?
*
Choose an option
Yes
No
Please give details
*
Emergency Contact
Who do we call in case of an emergency involving you.
Name
*
First
Last
Relationship to you
*
i.e father, mother, sister, friend, etc.
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Mobile Phone
*
Please include country & area code
Work Phone
This field is not required if not available. Please include country & area code
Home Phone
This field is not required if not available. Please include country & area code
Email
*
Email
Confirm Email
Language/s Spoken
Home Church Information
Do you have a home Church?
*
Choose an option
Yes
No
Name of Church
*
Church Contact
*
First
Last
Role of Contact at the Church
*
Church Contact's Phone Number
*
Church Contact's Email
*
Email
Confirm Email
Church Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Please describe how you experience Christian fellowship
*
Education
Have you graduated High/Secondary School
*
Choose an option
Yes
No
Total number of years of Primary/Secondary Schooling
*
University/Tertiary Education
If applicable, please list name/s of degree/s, institution/s, and date/s attained
Skills
Language/s spoken
*
Please indicate the level of fluency
Past and Current Occupation/s
*
Additional Skill & Talents
*
Personal Questions
Why did you decide to do a CDS and what are you hoping to get out of the school?
Where and when did you do your DTS?
Did you have any other involvement with YWAM in the past? (besides DTS) If so what was your involvement?
*
Mention location and dates of school or other engagement.
Please describe how you became a Christian and your present personal relationship with the Lord
*
Do you feel that God has given you, or is leading you into any particular area of ministry?
*
Please describe how you have been involved in you local church and/or local ministries..
*
Have you ever been involved in the following:
*
Drug abuse
Alcohol abuse
Occult practice
Sexual immorality
Smoking
None of the above
Regardless of your answer, it is unlikely that it will disqualify you from being accepted.
Please describe to what degree and duration you were involved in the above activities. Include any steps you have taken of repentance, restoration and/or recovery.
*
Have you broken the law or have been convicted of any crimes? If so, please elaborate.
*
Not including speeding fines.
Do you have a current Police Check (within the last 6 months)?
*
Yes
No
For each person that comes to join us we require a copy for a Police Check completed in the last 6 months. Once you have obtained it please take a photo and email it to us.
*
Yes
What problems or difficulties do you have in your life that we should be aware of?
*
Youth With A Mission is an international, interdenominational, multicultural mission that is called to mobilise all of God's people in a spirit of unity to accomplish the Great Commission. Are there people of different race, denomination, or culture that you find it hard to accept as fellow sisters and brothers in the Lord?
*
No
Yes
Please explain
*
You will likely be living under pioneering conditions with people of different races, cultures, foods and lifestyles. Living quarters will be dormitory style and will be small for families, often with children housed in the same room as their parents. Do you see yourself having any difficulties living under these circumstances?
*
Yes
No
What difficulties do you see being a problem?
Is there anything else that you would like to tell us about yourself that would help us to know you better?
Personal Medical History
Have you ever had, or do you have, any of the following medical conditions:
*
Eye Trouble
Recurrent Headaches/ Migraines
Chronic fatigue
Hepatitis A, B or C
Hay fever / Asthma
Anaemia
Rheumatism / Arthritis
Kidney disease
Ear Trouble
Epilepsy
Paralysis
Dislocation of joints
Stomach/Duodenal Ulcer
Recurrent Diarrhoea
Skin Conditions
Heart trouble
Chronic constipation
Venereal disease
Head injury
Fainting spells
Insomnia
HIV positive
Jaundice
Back problems
Shortness of breath
High or low blood pressure
Diabetes
Tumour / Cancer
Broken bones
Other
None
Please give more detail on each condition you have ticked, including your history, medication you may be taking currently and how it affects you now.
*
Allergies
*
No allergies
Sulphonamide
Dairy
Penicillin
Gluten
Nuts
Other
Please give details on any allergies you have
*
Do you have or have you had any of the following:
*
Irregular periods
Excessive flow
Severe cramps
Are you pregnant
None of the above
Please give details on any of the conditions ticked above
*
Have you been medically diagnosed with a mental health or nervous disorder under any of the following categories
*
Anxiety
Eating disorder
Psychotic
Behavioural disorder
Depression
Developmental disorder
Sleep disorder
Addiction
Bipolar
Personality disorder
Dissociative disorder
None of the Above
Please give details on any of the disorders you ticked above, including the specific type of disorder, past and on going treatment, and how you are currently doing.
*
Have you ever had professional counselling?
*
Yes
No
Please explain the type and duration of counselling. Also the reason and outcome of the counselling
*
Is there any other prescribed medication that you are currently taking?
*
Yes
No
Including if you are currently or have previously taken, anti-depressants
Please specify the medication and any condition being treated by a health care professional
*
Communicable diseases - have you had any of the following:
*
Chickenpox
Mumps
Scarlet fever
Measles (Rubella)
Pertussis
Tuberculosis
Other
None of the above
Please specify what other communicable disease you have had
*
Have any of your relatives ever had any of the following
*
Arthritis
Diabetes
HIV/AIDS
Stomach Disease
Asthma / Hay Fever
Epilepsy/Convulsions
Kidney Disease
Cancer
Heart Disease
Mental Illness
None of the above
Please specify their relationship to you
*
Declaration - I declare that all the information contained herein this application is true, correct and complete to the best of my knowledge. I understand that if any of it was not filled out truthfully, it could be grounds for dismissal during the school.
*
I agree
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