School of Biblical Studies Chiang Rai Application Form

GENERAL INFORMATION:

First Name:Last name:

Preferred Name to be called:

Date of Birth: (day) (month)(year) Age:

Country of Birth:

Country of Citizenship:

Do you have a Passport? Yes No

If yes, when does it expire? (day)(month)(year)

Marital Status (please check one):

Single, Married, Separated, Divorced, Engaged

Spouse's name:

Anniversary: (day)(month) (year)

Number of children accompanying you:

Name:Birth date: (day) (month)(year) Passport: Yes/No

LIVING ADDRESS:

P.O. Box / Street:

City:

State / Province:

Postal / Zip Code:

Country:

Home Phone:

Fax:

E-mail:

MAILING ADDRESS:

P.O. Box / Street:

City:

State / Province:

Postal / Zip Code:

Country:

IN CASE OF EMERGENCY, CONTACT:

First Name:Last name:

Relationship:

P.O. Box / Street:

City:

State / Province:

Postal / Zip Code:

Country:

Home Phone:

Cell Phone:

E-mail:

HOME CHURCH:

Name:

Pastor's Name:

P.O. Box / Street:

City:

State / Province:

Postal / Zip Code:

Country:

Home Phone:

Cell Phone:

E-mail:

Length of Attendance: year(s)

YOUR YWAM HISTORY:

Have you done a DTS? Yes No

Location: Year:

School leader's name:

School leader's email:

Have you done secondary YWAM schools? Yes No

If yes, what school?

School leader's name:

School leader's email:

If you have done more schools, list their information below:

What school?

School leader's name:

School leader's email:

What school?

School leader's name:

School leader's email:

ABOUT YOU:

Occupational Skills:

Musical Ability or other Talents:

Miscellaneous information:

How did you hear about the base?

What reasons most influenced your decision to apply for the SBS in Chiang Rai?

On a separate piece of paper or written in using a word processor, please answer the following questions:

Can you please give a short testimony of how you came to know Jesus as your Lord and Savior?
How was your DTS? What did you like most about it? What did you least like about it? What did you learn through your DTS? What was one experience that marked your life in DTS?
What is your family background like? Are they Christians? Do they support what you do? How is your relationship with your parents and siblings?

Do you plan to pursue a University of the Nations degree? Yes No

FINANCIAL SUPPORT:

Do you have your complete school fees? Yes No

If yes, how do you wish to pay? Cash / Bank Transfer / Paypal (add 5%)

If No, how much do you have at this time?

$ / THB

If No, how do you plan to pay for your schooling?

Do you have any outstanding debt? (Please explain)

HEALTH PART A:

Have you ever had, or do you have, any of the following?

Yes / No / Yes / No
Skin disease: / Epilepsy
Eye Trouble: / Stomach/Duodenal Ulcer
Ear Trouble: / Gall Bladder Problems
Head Injury: / Fainting Spells
Asthma: / Mental/Nervous Disorder:
Tuberculosis: / Jaundice:
Paralysis: / Intestinal Troubles:
Hepatitis: / Shortness of Breath:
Hay Fever: / Diabetes:
Kidney Disease: / High Blood Pressure:
Anemia: / Recurrent headaches:
Venereal Disease: / Tumor/Cancer:
Heart Trouble: / Rheumatism/Arthritis:
Broken Bones: / Dislocation of Joints:
Surgery: / Insomnia:
Appendectomy: / Recurrent Diarrhea:
Tonsillectomy: / Recurrent Urinary Infections:
Hernia Repair: / Low Blood Pressure:
Epilepsy: / Allergy to Penicillin:
Easily Fatigued / Allergy to Sulfonamides:
Back Problems: / Allergy to Serum:

Are you at present under a doctor’s care for any condition?

Yes No

If yes, please explain:

If you use any type of medication regularly, name the medication and

Explain the condition:

Allergy to Foods: (Specify)

HEALTH PART B:

When this application has been accepted we will send you another form for your doctor/physician to fill out.

CONSENT OF BURIAL

I agree that in the case of my death while in Youth With A Mission, YWAM may have to carry out the burial in the location of death. If my family desires to see the body shipped home I understand that my family would need to pay for all expenses incurred in case my insurance would not cover the costs.

I HEREBY ABSOLVE YOUTH WITH A MISSION AND ITS ENTIRE STAFF AND ASSOCIATES FROM ANY RESPONSIBILITY FOR REPATRIATION COSTS.

By checking this box I agree to the terms mentioned above:

I AGREE

Once you have finished filling in this form please click “save as…” under the file menu. Then save it as you would like. Please email this form to us at:

or mail to:SBS Chiang Rai

PO Box 85 Bandu Post Office

Muang, Chiang Rai, Thailand 57100

Thank you for your application and reference forms. We will respond as soon as possible. Sincerely,

SBS Staff

YWAM School Leader’s Reference Form

APPLICANT'S NAME (please print or type): ______

School /Date Attended: / ______

The applicant has applied for service with the YWAM Chiang Rai base in Thailand. We need your honest evaluation to the questions below because often the missionary work takes place in a cross cultural, isolated, pioneering situation that is a difficult and challenging task that can be emotionally stressful. Therefore, it is important that the applicant is a mature Christian who can maintain open, close relationships in a spiritually demanding setting. Thank you for your comments.

Does the applicant have the strength of character and maturity to minister cross-culturally while working in physically, spiritually and emotionally demanding conditions?

In your estimation, is the applicant properly motivated with an attitude of serving where most needed?

Do you have questions, reservations and/or cautions about the applicant's desire for service in foreign Missions?

Please rate the applicant's understanding of, and commitment to the "basics" of YWAM as a mission. If “Fair” or “Poor”, please explain on a separate sheet.

Excellent / Good / Fair / Poor
Lordship of Christ
Priority of Relations w/God
Humility/Openness
Accountability
Team ministry (as opposed to individual ministry)
Quality Interpersonal Relationships
Faith and Finances
Worship
Commitment to Prayer/intercession

Does the applicant need constant supervision or is he/she self-motivated?

How well do you think the applicant can maintain the balance of working independently while having a team approach to ministry?

What leadership or supervisory skills does the applicant have?

Has he/she held any positions of responsibility under your direction?

Please note both his/her strengths and weaknesses in character and action.

Does the applicant have a past history of emotional instability or subsequent psychiatric treatment?

Has he/she had past involvement in eastern religions or other spiritual activities which could be difficult to handle ?

Can he/she relate easily or have positive working relationships with non-Christians?

SIGNATURE ______

DATE (Day/Month/Year) ______

NAME (print or type) ______

POSITION IN SCHOOL ______

SCHOOL LOCATION ______

PASTOR'S REFERENCE FORM

APPLICANT'S NAME (please print or type): ______

The above named person has applied to our mission for work with YWAM Thailand. Will you kindly aid us in judging the applicant's fitness for such cross-cultural service by supplying the information requested in this form? We suggest that you answer only those questions about which you are reasonably certain. We shall appreciate an early reply giving your candid appraisal of the applicant. It will be kept strictly confidential. If another leader in your church has had more personal involvement with the applicant, please feel free to have him/her fill out this form in your stead. We also want to let you know that upon acceptance there is a 3-month probation period. The applicant will be accepted as "full time YWAM Thailand staff" upon successful completion of an initial 18 month internship phase during which he/she will do Thai language and culture studies and serve an existing ministry team as "intern staff".

How long have you known the applicant?

Were you aware of the applicant's intentions to join us?

Is the applicant faithful in attendance in the church?

How long has he/she attended your church?

Has he/she been faithful in responsibilities in your church? If yes, in what capacity?

Do you think a short-term/long-term missionary experience at this point would be helpful or unwise for the applicant? Please explain:

To help us understand your perspective of the applicant, would you desire the applicant to be on your church's staff? If so, in what capacity do you think he/she would best function? If not, please explain.

Has he/she shown initiative in being involved in church outreach programs?

Has the applicant ever been the source of dissension or disunity in the church? ____Yes ____No
If yes, was it a one-time occurrence or is it a continuing pattern?

What has been the applicant’s most valuable contribution to the church?

Is the applicant prejudiced for or against any groups, races, or nationalities? ____Yes ____No
If yes, please describe:

How does he/she cooperate when not in a leadership position?

If the applicant has leadership abilities, in what areas does he/she do well?

Establishing rapport / Personal Discipling / Classroom teaching
Counseling / Innovating / Leading worship
Evangelizing / Working with adults / Organizing
Motivating / Leading others / Supporting other leaders

To the best of your ability, please rate the applicant's understanding of the following. If “Fair” or “Poor,” please explain on a separate sheet.

Excellent / Good / Fair / Poor / Unknown
Lordship of Christ
Priority of Relations w/God
Humility/Openness
Accountability
Team ministry (as opposed to individual ministry)
Quality Interpersonal Relationships
Excellent / Good / Fair / Poor / Unknown
Worship
Faith in finances
Commitment to Prayer/intercession

If the applicant is married:

a. How would you describe the relationship of husband and wife?

Excellent Good Fair Poor No observation

b. How would you describe the relationship with the children?

Excellent Good Fair Poor No observation

Please give any information you can concerning the home situation of the applicant.

Is there any indication that the applicant’s decision to enter this service has been significantly influenced by: (If yes, please elaborate on a separate sheet of paper.)

a) a desire for travel or cultural development? Yes No

b) a desire to escape a difficult personal, family or vocational situation? Yes No

c) an emotional involvement with someone who is going to the field? Yes No

As a pastor, do you feel that serving with YWAM Thailand is in line with what you believe to be God's long term call on the applicant? Do you have any pastoral counsel for us in helping the applicant to adjust to a foreign culture or new ministry situation?

Do you as a church assume responsibility for the applicant upon joining YWAM Thailand in any of the following capacities (please, clarify on a separate sheet of paper): prayer, finances, other?

How has the congregation's response to the applicant as a potential missionary been?

Enthusiastic Warm Indifferent Cool

What are the expectations you want the applicant to fulfill towards your church while serving in Thailand

Are there any requests you would make of us as a mission regarding the applicant?

SIGNATURE: ______DATE: ______

NAME (please print or type): ______

POSITION: ______

NAME OF CHURCH: ______

ADDRESS: ______

______