YWAM – Northern Arizona: TRIBAL WINDS

DISCIPLESHIPTRAINING SCHOOL: APPLICATION GUIDELINES

Thank you for applying to the TRIBAL WINDS - DTS. In order for us to process your application, we must receive each of the following items:

  1. School Application Form. Please answer every question. If one does not apply to you, write N/A in the blank. Married couples must each fill out their own complete forms.
  1. Deposit Fee. A non-refundable deposit fee of $100, which will apply to the tuition, is to be sent in with the application. Make all checksto:YWAM-Northern Arizona.
  1. Confidential Health Form. The final physician’s section is optional. Each adult and child must have this completed.
  1. Consent For Treatment/Liability/Photo Release Form. Each applicant must sign this form in each section.
  1. Supplemental Questions. Please prayerfully and concisely answer the following questions on a separate piece of paper. Please print or type.
  1. Describe your conversion experience and present relationship with the Lord.
  2. Describe any other important spiritual experiences you have had in your walk with the Lord.
  3. How would you describe your relationship with your family? Include how they feel about your plans to do this school and work among Native Americans.
  4. Describe your relationship with your local church; include areas of service and leadership experience. Are they supportive of you entering this school?
  5. Are you presently employed or going to school? Please give details.
  6. Describe your long-term goals. Has God indicated to you about your life’s calling? Please specify.
  7. Have you had any missions experience? Cross-cultural? Do you believe that you are called to Native missions? Please specify.
  8. Have you ever been involved in: a felonious crime, drug or alcohol abuse, occultic activities, or homosexual practices? Explain. (NOTE: this will not necessarily affect your acceptance.)
  9. How did you hear of TRIBAL WINDS? Why have you chosen this school?
  10. Please describe any experience you have had on Indian reservations or amongst Native Americans.
  11. Are there any special circumstances or other information we should know?
  12. Please list the names, relationship, and addresses of your three references.
  1. Three Reference Forms. Please fill out the top portion of each reference form and give one to your pastor or spiritual leader, one to an employer or teacher, and one to a mature Christian friend. Please give each reference a stamped envelope addressed to TRIBAL WINDS, Attn: DTS, POBOX 30776, Flagstaff, AZ, 86003-30776.
  1. A Recent Photo. Passport or Wallet size please. (Optional: for the purpose of prayer.)

NOTE: Husbands and wives must complete separate applications.

NOTE FOR NON-U.S. CITIZENS

All payments of registration and tuition fees should be made in US Dollars rather than in the currency of your own country. You may go to your bank and request a US Dollars money order or cashier’s check to pay those fees. The check must have magnetic numbers at the bottom of it. Otherwise, we have to send the check away and it will take around six weeks for it to be returned – often times with a service charge taken out. You will need to make up the balance. If you are unable to get these checks in your country, we will process your funds, but be prepared to pay extra costs as needed.

Also, be sure to begin the process of acquiring your passport, and making travel arrangements early to avoid any delays. Do not purchase tickets before you receive our acceptance. Our outreach will be within the USA.

STUDENT GUIDELINES AND EXPECTATIONS

The following is a general list of what is expected of students during their time during the lecture phase and on outreach. Please prayerfully consider these guidelines as you apply.

  1. We ask that all students and staff attend church on Sunday mornings. (Transportation provided)
  1. We require full attendance and participation in quiet times, classes, mealtimes, work duties, worship and small group meetings. Emergency leaves of absence will have to be approved by your school or small group leader.
  1. The use of alcohol and illegal drugs and tobacco is prohibited during the school and on base grounds. Use of tobacco is discouraged as being unhelpful to students and others.
  1. Because we want you to see this school as a time set apart for you and the Lord, we request that you keep all male/female relationships at a friendship level during the school.
  1. We expect you to be responsible with your financial commitments.
  1. This DTS is a specialized school. We believe that aspects of native cultures can be glorifying to God, our Creator. We want you to seriously consider full-time service to native missions.
  1. We normally do not allow secular music to be played on base grounds. We ask that during work hours and in public areas that only music be played which enhances the atmosphere of fellowship and peace.
  1. You are responsible for keeping your living space neat and clean. Beds must be made daily and all clothing, shoes, towels, etc. be put away.
  1. Decent standards of dress and hygiene are required at all times.
  1. Please remember to remain accountable to your local church during and after the school.


YWAM TRIBAL WINDS:SCHOOL APPLICATION FORM

PERSONAL INFORMATION

Date of application______

Deposit Enclosed $______

Mr./Mrs./Miss______

Last/Family NameFirstPreferred NameMiddle Name

Course Applying For____DTS-2010______Starting Date______

Passport Number ______Exp. Date______Issuing Country______

Current Address______Current Until______

Street/PO Box Day/Month/Year

______

CityState/Prov.Zip CodeCountry

Email Address______Phone Number______

Permanent Address______

Street/ PO Box

______

City State/Prov Zip CodeCountryPhone

Age____ Birth date ______Birthplace______

Month/Day/YearCity State/Prov. Country

Sex: M___ F___ Social Security Number______

Driver’s License Number______State______Type of License______

Prominent Ethnic Background

Asian or Pacific IslanderAfrican/African American North American Indian or Alaskan Native

HispanicWhite/North American Other______

Marital Status:Single Engaged (Date_____) Married (Date_____)Separated (Date_____) Divorced (Date_____) Remarried (Date_____) Widowed (Date_____)

Spouse’s Name______Birth date______Age______

Month/Day/Year

Dependents:

Name (First/Middle/Last)Birth date (Month/Day/Year)SexGrade in School

______

______

______

______

Have you made arrangements for your children’s schooling?  Yes No (Talk with us about this need.)

EMERGENCY INFORMATION

In Case of Emergency, contact______Relationship______

Address______

StreetCityState/Prov.Zip CodeCountryPhone

Home Church______Denomination______Pastor’s Name______

Address______

EDUCATION/EMPLOYMENT SKILLS

Highest Level of Education Completed______

Post-Secondary School(s) Attended______

Languages Spoken (In order of fluency) 1______2______3______

Military ServiceYesNo (Specify)______

Present Employer/Occupation______

Other Occupational Skills______Years Experience______

Musical Abilities/Other Talents______

PREVIOUS YWAM EXPERIENCE

Have you ever been involved in a YWAM program before?YesNo

If so, specify ______Base ______Year ______Leader______

How long have you been a ‘born again’ Christian?______

Why do you desire to attend this school?______

______

Are you presently ordained or licensed? YesNo Specify______

What are your plans after you complete the training?

Native Missions placement YWAM TRIBAL WINDS StaffWork With Home Church

Full-time Missions(other org.)Further EducationUncertain Other ______

FINANCIAL INFORMATION

Do you have the total school fees?YesNoIf not, how much do you have?______

From what sources will you receive the remainder?______

Do you have any outstanding debt? If so, explain______

ACKNOWLEDGEMENT OF FINANCIAL RESPONSIBILITY

I understand that the payment of the required school tuition fees must be in US currency prior to completion of school, unless otherwise approved in writing by the School Leader. Further, I agree to meet in a timely manner, prior to the completion of school all personal expenses incurred during my involvement with Youth With A Mission.

I CERTIFY THAT ALL INFORMATION IN THIS APPLICATION IS COMPLETE AND ACCURATE. IF ACCEPTED BY YOUTH WITH A MISSION, I WILL ABIDE BY THE SPIRIT, RULES, AND SCHEDULE OF THE PROGRAM.

Signature______Date______

CONFIDENTIAL REFERENCE FORM

TO THE APPLICANT: Please complete the information below and provide a stamped envelope addressed to YWAM: TRIBAL WINDS-DTS, PO Box 30776, Flagstaff, AZ, 86003-30776. This is a confidential evaluation, therefore it will not be shown to you.

Name of Applicant______Phone______

Address______

Course Applying For______Starting Date______

The above applicant has applied for admission to the DiscipleshipTraining School at Youth With A Mission, TRIBAL WINDS. YWAM was founded in 1960 and now has centers in over 900 locations on all six continents. Its purposes include training, challenging and channeling Christians to fulfill Christ’s command to “Go therefore, and make disciples of all nations.” TRIBAL WINDS is a training base from which skilled workers are raised up and sent out focused on the unreached peoples of Native North America and the Pacific Rim. We are encouraging graduating students to make a full-time commitment to this work.

Serious consideration will be given to your comments; therefore we ask that you complete this form carefully. Your prompt attention in completing this form (within 7 days) is important. Thank you for your assistance.

What is your relationship to the applicant?  Employer  Teacher  Pastor  Friend

How well do you know the applicant?Very wellWellCasually

How long have you known the applicant?______Years______Months

How long has the applicant attended your church or worked for you?______

Has the applicant been a faithful? Yes No (Explain) ______

Please check the following and comment where necessary:

Superior Above Average AverageBelow AverageInferior

Comments______

______

Mental AbilityQuick to comprehendAverageSlow

IndustryHard workerAverageLacks Persistence

ReliabilityMeets obligationsAverageNeglects obligations

TeamworkWorks well with othersAverageOften causes friction

FlexibilityOpen to changeAverageUnyielding

Christian CharacterWell balancedAverageUnstable

DispositionCheerfulAveragePassive

PunctualityPunctualAverageOften Late

Financial ResponsibilityHonors obligationsAverageNeglectful

Christian ServiceDedicatedAverage Casual

Comments______

______

1. To what extent is the applicant active in Christian service?______

______

2. Which of the following would best describe the applicant’s Christian experience?

Mature Contagious Genuine and Growing Over-emotional Superficial

Comments______

  1. Does he or she display high moral standards?______

______

4. What do you feel the applicant’s motives are for applying to this program?

Christian ServiceDesire to spread GospelReceive help/ministryAdventure

Desire to help othersTravelEscape unpleasant home situation

Other (Specify)______

  1. Please comment of the applicant’s family background.______

______

  1. What do you consider to be the applicant’s strong points? (Include special abilities)______

______

  1. What could YWAM do to aid in the applicant’s personal development?______

______

  1. Is your congregation/group standing behind the applicant with enthusiasm and prayer?

______

  1. Would you recommend the applicant for acceptance to this YWAM Program?

Yes With some reservation (Explain) No (Explain)

______

10. Please add any other pertinent remarks. (i.e. medical, psychological, drug or alcohol abuse, homosexual or occult practices, etc)

______

______

______

Signature______Date______

Name (Please print)______Phone______

Address______State______Zip______

Would you like to receive further information on YWAM TRIBAL WINDS?YesNo

CONFIDENTIALHEALTH FORM

TO THE APPLICANT: This information is treated confidentially. When you complete the first part of this form, please answer all questions in ink or by typing in English.

Course Applying For______Date______

Social Security Number______

Name______Phone______

Do you have medical coverage? YesNo

Permanent Address______Insurance Company______

Policy Holder______

______Policy Number______

Name, relationship, and address of next of kin______

______Phone______

Person to contact in case of emergency______

Address______Phone______

PERSONAL HISTORY: Please answer all questions. Explain positive answers below or on a separate sheet.

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

YesNo YesNoYesNo

Skin conditions Heart troubleJaundice

Eye trouble High blood pressureHepatitis

Ear trouble Low blood pressureIntestinal troubles

Head injury ArthritisRecurrent diarrhea

Headaches Back problemsGall bladder problems

Epilepsy Dislocation of jointsMental/nervous disorders

Fainting spells Broken bonesStomach/Duodenal ulcer

Anemia Kidney diseaseVenereal disease

Weakness DiabetesTumor cancer  Paralysis   SURGERY FEMALES ONLY

Insomnia AppendectomyIrregular periods

Shortness of breathTonsillectomySevere cramps

Hay Fever, Asthma  Hernia repairExcessive flow

Allergies (Specify)  Other (Specify)Are you pregnant?

Other Illness or conditions______

Are you presently under doctors care for any condition?______

Are you taking any medication at this time?______

Are you allergic to any drugs?______

Do you have a history of emotional instability or psychiatric treatment?______

Do you now or have you ever received any compensation for disability from any source?______

Do you have any physical impairments, handicaps, or health conditions which require special attention, such as special diet? Explain: ______

Current Weight______lbs Are you underweight? Yes No Are you overweight? Yes No

Blood Type______O, A, AB, (+ or -), etc.

Would you rate your health as: ExcellentGoodFairPoor

Do you wear contact lenses or glasses?YesNo Specify ______

Have you been tested for HIV?YesNo Specify______

SURGERIES PERFORMED

DATETYPE OF SURGERYOUTCOME AND LONG TERM EFFECTS

X-RAYS PERFORMED

DATETYPE OF X-RAYRESULT

PHYSICIANS REFERENCE (Optional)

The above named person has applied for service with Youth With A Mission. This program will require good health and endurance. Please review the ‘Personal History’ information on the opposite side, fill out the portion below and make any additional comments. Thank you.

Blood Pressure______Pulse______

Are there any abnormalities of the following systems?

YesNoPlease Describe

Ears, Nose, Throat______

Eyes______

Neurological______

Cardiovascular______

Respiratory______

Musculoskeletal______

Would the applicant be able to walk 3-4 miles per day?YesNo

PHYSICIAN RECOMMENDATION: Acceptable without limitations

Acceptable with limitations______

Not Acceptable ______

Doctor’s Signature______Date______

Doctor’s Name (please print)______Phone______

Full Address______

______

RELEASE FORM for Each Applicant and Accompanying Child

Name______Course applying for______

Address______

CONSENT FOR TREATMENT

In case of emergency, I/we hereby agree to the performance of such treatment, including anesthesia and surgery, as the attending physician may deem necessary on the above person.

Applicant’s Signature______Date______

Signature of parent or guardian is required if applicant is under 18 years of age

Parent Signature______Date______

RELEASE OF LIABILITY

I/We hereby release Youth With A Mission – Northern Arizona, its staff, agents and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss which may be sustained by said person(s) during the course of involvement with Youth With A Mission – Northern Arizona.

Applicant’s Signature______Date______

Signature of parent or guardian is required if applicant is under 18 years of age

Parent Signature______Date______

LEGAL CONSENT FOR MINORS

I hereby give my consent for______, to travel outside Complete name of minor

the United States with Youth With A Mission.

Parent Signature______Date______

PHOTO RELEASE

I authorize and give full consent to YWAM Tribal Winds to copyright or publish all photographs in which I appear in while enrolled as a student .

Applicant’s Signature ______Date ______

Signature of parent or guardian is required if applicant is under 18 years of age

Parent Signature______Date______