Youth Reach Youth Application Form

Youth Reaching Youth Application Form
Being called to minister for God is a high calling and should be undertaken with prayer. We need to recognize that the chief concern of Christians is to glorify and honour Christ through a holy life and to have a deep concern for the lost (1 Corinthians 2:2).
Read and follow the instructions carefully prior to submitting your application.
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Gender:

MaleFemale
Birthdate:*

MonthDayYear
Mobile No. :*

Area Code [Eg. 876]Phone Number [Eg. 456-7777]
E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Church
Denomination
Church Address :

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Church Phone Number :

Area Code [Eg. 876]Phone Number [Eg. 456-7777]
Number of years you have been a Christian
Check the box that indicates education level you have completed*
Please list below : All School Attended, Year/s attended and Graduation year.*

0/300
Please list subject/s achieved and grade, if any (CXC, CAPE, SSC, etc)

0/300
Who do you live with? Please write the names & contact numbers of Parents/Guardians.*
Cell Number of Guardian*

Area Code [Eg. 876]Phone Number [Eg. 456-7777]
Home Number of Guardian

Area Code [Eg. 876]Phone Number [Eg. 456-7777]
Who has been supporting you financially?*
How does this person/family feel about your plan to join YRY?*
What is your biggest concern about joining this programme?*
In what youth leadership position or activities have you participated in or do you currently participate? Please indicate any leadership positions you have held or currently hold.*
Describe volunteer activities, interests and hobbies*
Have you ever been in trouble with the law?*

YesNo
If Yes, Please explain.
Have you ever been suspended/expelled from school, fired from your job or put under church discipline? If yes, why?
Do you have any children or is one on the way?*

YesNo
How would you describe your health/medical?
How would you describe:
A. Your ability to relate to your peers? (Do you have friends?)
B. Your ability to relate to authority?
Which area in the field of youth development would you like to see changed five years from now and how do you propose to help to achieve this change?*
What do you hope to gain by being a part of the Youth Reaching Youth Mission?*
Will you be able to commit to the programme for one year? (Must be available between the hours of 8:00 a.m. – 4:00 p.m. Mondays – Fridays and be willing to minister on weekends).*

YesNo
If No, Please state reason
Please state your vocational goal/s.
Please state how you heard about the programme:*
If other, Please state how.
Referral Code (Please enter current Youth Leader full name) :
II. City & Guilds subjects:

Stages 1, 2 or 3
Have you done City & Guild subjects?*

YesNo
If you've answered "YES", skip and continue to the NEXT section.

If you've answered "NO", list subjects in the text box below and stage(s) achieved or currently pursuing. However, if there is none, type "None" in the text box.
Please state subjects:
If you wish to pursue a higher stage, then select 2 (Mathematics and English) City & Guilds subjects you want to pursue (Stages 1, 2 and 3).
Check the box that indicates the 2 subjects
III. Choose an Associate of Arts Degree course:

Conditions apply.
Associate of Arts Degree Course
IV. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received.
TRN*
NIS*
Date
E-Signature:*
Type your Full Name "John Doe"
Please print, sign and take with you on day of your interview.
Pastor's Reference Form
Should be Empty:

Youth Reaching Youth Application Form

I. Personal Data:

II. City & Guilds subjects:

III. Choose an Associate of Arts Degree course:

IV. Applicant's E-Signature