YWAM Milano Application Form

How to complete this application

Thank you for your interest in this school! It is our intention that the application process serve as a valuable tool in helping you, your church and us in YWAM, prayerfully evaluate whether this is the right course for you at this time.
Please answer all of the questions on this application form. It will help us if you type your answer or print clearly in black or blue ink. Husbands and wives enrolling as students must complete separate application forms.

Please note the information requested on this form is restricted to details relevant to our consideration of your application at this stage.

REFERENCES

As part of this application three Reference Forms will be sent to the Referees you have selected: your church leader, a mature Christian friend, and to your Employer or Teacher. Fill in the sections with your name and email address. The reference forms will be sent automatically to your referees.

MEDICAL REPORT

A Medical Report Form is included, part to be completed by you and part by your doctor.

PASSPORT/VISA INFORMATION

This information is needed for the lecture phase and the field placement phase of the DTS.

ADMINISTRATION FEE

A non-refundable fee of €50 (which covers the cost of processing your application) should be included when you return this form. Foreign students can send this by bank draft in EURO only.

FINALLY... We pray that God will guide you clearly as you complete this form.

YWAM Milano Application Form
Position/School Applying for*
Name (as appears on your passport)*

PrefixFirst NameMiddle NameLast Name
Preferred Name
Gender*

MaleFemale
Nationality*
Date of Birth*

DayMonthYear
Date
Place of Birth
Passport Number
Date of passport issue

MonthDayYear
Date
Date of passport expiration

MonthDayYear
Date
Email*
example@example.com
Mobile Phone Number

Country CodeArea CodePhone Number
Phone Number

Country CodeArea CodePhone Number
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Permanent Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Marital Status
Spouse/Fiancé's Name

PrefixFirst NameMiddle NameLast Name
Preferred Name
Is your Spouse/Fiancé also applying for the school?

YesNo
If not, please comment
Will any children be accompanying you?

YesNo
Children's details

Church Affiliation
Church Leader's Name

PrefixFirst NameLast Name
Church Leader's Email
example@example.com
Church Leader's Phone Number

Country CodeArea CodePhone Number
Church Leader's Mobile Phone Number

Country CodeArea CodePhone Number
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does your church support the idea of you attending a Youth With A Mission (YWAM) School*

YesNo
Comments

Secondary School (Education between 11 and 18 years)
University/College/Higher or Further Education (post 18 years)
List any other training or qualifications you have received
What is your employment History and Occupation
Position
Employment Length
Briefly describe what your work entails
Briefly describe other past work experiences

Languages

Please identify the languages you speak and indicate your proficiency
English Proficiency*
Second Language
Second Language Proficiency
Third Language
Third Language Proficiency

Gifts and Hobbies

Please indicate your gifts including any drama, musical or artistic talents you have, as well as your hobbies.
Gifts*
Hobbies*
Please describe any achievements you feel are highlights over your lifetime so far*

Christian Life and Experience

Please prayerfully answer the following questions.
Describe your conversion experience or explain how God became real and personal to you.*

What experience do you have with sharing your faith?*

What church involvement have you had? *

Have you had any leadership experience?*

Briefly describe any experiences you have had in other cultures.*

How would you describe your Christian life and your relationship with God at the present time? *

Do you feel God has called you into some kind of full time Christian service? Please explain.*

How might you see using your skills/gifts/training in a missions context?*

How did you hear about YWAM and this particular school?*

What is your reason for applying for this particular school?*

What are your hopes and expectations for yourself during this school?*

How do you think you would cope with challenging situations like: different food and culture, dormitory housing or small quarters for families?*

Have you had any previous YWAM involvement? If so where and when?*

Finances

All financial amounts need to be in EURO (€)
List current financial obligations and how you expect to fulfil them?
Are you leaving a job to attend the YWAM school?*

YesNo
If you are accepted for the school, how much notice do you need to give?
Give names of dependants you have and to what extent you are obligated to them financially?
Are there any current personal issues which would be relevant to this application that you would like to share with us?

Criminal Offences
Have you ever been cautioned, charged or convicted of a criminal offence in any country, or do you have any cases pending?*

YesNo
If yes, please explain
Have you ever been the subject of a police investigation in any country that did not lead to a conviction?*

YesNo
If yes, please explain
Has any allegation ever been made against you which has been reported to, and investigated by Social Services/The Social Work Department in any country?*

YesNo
If yes, please explain
Has any disciplinary action ever been taken against you or written warning given in any country, by any employer or any charitable or other organisation or body working with children or young people in relation to your behaviour with children?*

YesNo
If yes, please explain

Liability, Consent, Commitment and Termination of Involvement
RELEASE OF LIABILITY
In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/ medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
Please read the release of liability carefully*

I agree
CONSENT FOR TREATMENT - an emergency provision
In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/ medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
Please read the consent for treatment carefully*

I agree
FINANCIAL POLICY

INTRODUCTION

This sheet is designed to explain the financial costs of attending this school and how that money is spent. It also gives a breakdown of when fees become payable.

WHAT THE FEES COVER

The fees cover the cost of tuition, board and lodging during the lecture and debrief phase. In detail they cover:

Student Registration with the University of the Nations
Speaker expenses (travel and a small honorarium)
Food for all meals
Rental costs for the student’s apartments

WHAT THE FEES DO NOT COVER

VISA
Flights
Vaccinations
Laundries, personal expenses

No staff member receives any income from the school.

APPROXIMATE OVERALL COSTS

School of Biblical Christian Worldview - €3,950.00

Student Cost (Total of 3 months of school)

In addition to the above you should allow some money for leisure etc.

SUMMARY - DUE DATES FOR PAYMENT

Registration fee - €50 due with application (Covers the cost of processing your application.)
Balance of Lecture and Debriefing phase fee one week before the arrival.
Outreach fee, complete payment by week 4.

COSTS FOR CHILDREN

Contribution for children per day are based mainly on food costs but also include a nominal amount for utilities.

Age	Cost
0-2	Free
3-4	€5
5-11	€8
12-17	€10

SPECIAL CIRCUMSTANCES

Youth With a Mission is a faith mission. Therefore, we are open to prayerfully considering applications from those who through unemployment or other circumstances are lacking the total finances. If, together with the church, we felt it right that they are to attend the DTS we would work out a financial scheme on an individual basis. Without such an arrangement in place before the school starts we are unable to accommodate students who do not have their fees in full. Please do not hesitate to contact us if this applies to you.

IMPORTANT – all fees are payable in EURO ONLY.

HELP If you have any questions or if anything is unclear please write to: sbcw.ywammilan@gmail.com

Please read the financial policy carefully*

I agree
TERMINATION OF INVOLVEMENT
I have completed all portions of this application truthfully and to the best of my knowledge, and if accepted by Youth With A Mission Milan, I will, under God, abide by the spirit, authority and schedule of the programme.

I understand that the Discipleship Training School consists of both the lecture phase and the field placement phase, and that by completing this application, I am making a commitment to both phases of the school.

I confirm that I have read the Financial Policy Sheet and understand that payment of my school fees must be made before my arrival at the school – Lecture Phase and at the 4th week of the School – Outreach Phase (unless prior arrangements have been made). I therefore undertake to pay all personal expenses during my involvement with YWAM.
Youth With A Mission Milan reserves the right to terminate my involvement with them, if I am found to have misled YWAM in any way or if my conduct is prejudicial to the good running of the school or to the reputation of YWAM. I have read this from and accept the terms set in it.
Please read the termination of involvement carefully*

I agree
I do hereby release YWAM, its agents, staff and volunteer assistants from any liability whatsoever arising out of injury, illness, damage or loss which may be sustained by said person during the course of participation with YWAM.
Please read the release of liability carefully*

I agree
COMMITMENT
- I have completed all sections of the application form and have answered honestly to the best of my knowledge.
- If accepted into YWAM, I will, under God, abide by the spirit, authority, schedule and rules of the program.
- I understand that the Discipleship Training School consists of both the lecture phase and the field placement phase, and that by completing this application, I am making a commitment to both phases of the school.
- I understand that some of the finances are due ahead of the school and I commit to pay all my fees when required (unless prior arrangements have been made). I undertake to pay all personal expenses during my involvement with YWAM.
Please read the commitment carefully*

I agree

MEDICAL HISTORY

Please answer the following questions as fully as possible
List all the SERIOUS ILLNESSES and OPERATIONS you have had in the past. (This means any illness requiring hospital admission, treatment from your doctor for an illness lasting more than one month, or any illness that may have an effect on your health.) Please also state the outcome and whether there are any residual problems
List any SERIOUS ILLNESSES in your FAMILY
Describe any CURRENT MEDICAL PROBLEMS for which you are receiving treatment, or which may affect your health
What is your HEIGHT?height (cm)
What is your WEIGHT?weight (kg)
List any MEDICATIONS which you take, either on a regular basis, or only when needed and why
Describe any current psychiatric problems for which you are receiving treatment or have received treatment in the past (ex. anxiety, depression, panic attacks, eating disorders, other psychiatric disorders).
APPLICANT’S RELEASE OF MEDICAL INFORMATION
I applicant's name , give permission for the release of relevant medical information to Youth With A Mission prior to training or service with the mission.
I agree*

I agree

Please read the following statements fully.
LAW ON PRIVACY
Privacy Code

EU Regulation 2016/679 GDPR (General Data Protection Regulation) EU Directive 2016/680

YWAM Milan - GIM Milan is committed to protecting the privacy of its members and declares itself responsible for the security of its members' data. We will be clear and transparent about the information we collect and what we will do with this information. All personal data is collected and processed in compliance with EU data protection laws.

The data controller is Ms Paola Filetti Cod. Fisc. FLTPL….. as Secretary of Youth With a Mission Milan - Youth in Mission

What data we collect for personal data means all information relating to the user that allows us to identify it, such as name, contact details, email address, identity document / passport.

For what we use personal data, why and for how long the data of the member can be used to perform the services required on the activities of the Association, to contact the member with information on the activities of the Association. The member will have the opportunity to choose whether to accept or refuse to receive the communications referred to above, indicating his choice here I accept not accept

We may also process your personal data to comply with a legal obligation.

We will keep the data only as long as you are a member. When you are no longer a member, we will delete or destroy your data securely.

Sharing Your Personal Data Your personal data may be shared with the following third parties for the purposes described in this Privacy Policy: Government Authorities, Law Enforcement Agencies, Legal Advisors and Other Professionals, Courts and Law Enforcement Agencies in all the countries in which we operate.

Data Protection Officer We have appointed a Data Protection Officer (DPO) is Mr. Luigi Tommasi Cod. Fisc. TMMLF… .... as President of Youth With a Mission Milan - Youth in Mission Milan

to verify compliance with this statement. Furthermore, the member has the right to file a complaint with a supervisory authority at any time.

Data protection rights

Under certain circumstances, by law you have the right to:
- ask us if we have personal information about you and, if so, what such information is and why we process it / use it
- Request access to your personal information (commonly known as "data access request"). This allows you to receive a copy of the personal information of the user in our possession and to check its correct processing.
- Request for rectification of personal information in our possession. This allows the user to correct any incomplete or inaccurate information.
- Request cancellation of your personal information. This allows you to request to delete or remove personal information where there are no valid reasons for continuing to process it. The member also has the right to ask to remove or remove his personal information if he has exercised his right to object to the treatment.
- Request cancellation of your personal information. This allows you to request to delete or remove personal information where there are no valid reasons for continuing to process it. The member also has the right to ask to remove or remove his personal information if he has exercised his right to object to the treatment.
- Oppose to the processing of personal data in which a legitimate interest (or third parties) is invoked and there are elements relating to a specific personal situation that lead to oppose the treatment. You can oppose the processing of your personal data for direct marketing purposes by unsubscribing from our mailing list by writing an email to the association's secretary paola.filetti@ywammilano.org
- Request the limitation of the processing of personal information. This allows us to ask ourselves to suspend the processing of personal data, for example if we want to verify the accuracy or the reasons.
- Request the transfer of personal information in electronic form and structured to the user or to another party (commonly known as the right to "data portability"). This allows you to take your data in our possession in an electronically usable format and transfer them to another part in an electronically usable format.
- Withdrawal of consent. In the limited circumstances in which you may have consented to the collection, processing and transfer of your personal information for a specific purpose, you have the right to revoke it for such specific treatment at any time. Upon receipt of the consent revocation notification, we will no longer process the user information for the originally agreed purpose or purpose other than on the basis of another legitimate basis. You can revoke your consent to our use of personal data or unsubscribe from our newsletter by writing an email to the association secretary.
Please read the law of privacy carefully*

I agree

References
Please provide the name and email address for three refereree's.
- Church Leader
- Teacher / Employer
- Mature Christian Friend
Church Leader Name

First NameLast Name
Church Leader Email
example@example.com
Teacher/Employer Name

First NameLast Name
Teacher/Employer Email
example@example.com
Christian Friend Name

First NameLast Name
Christian Friend Email
example@example.com
If you need to make any changes to your application please use the back button.

Click submit to send in your application.
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How to complete this application

YWAM Milano Application Form

What is your employment History and Occupation

Languages

Gifts and Hobbies

Christian Life and Experience

Finances

Criminal Offences

Liability, Consent, Commitment and Termination of Involvement

RELEASE OF LIABILITY

CONSENT FOR TREATMENT - an emergency provision

FINANCIAL POLICY

TERMINATION OF INVOLVEMENT

COMMITMENT

GENERAL HEALTH

FOR WOMEN ONLY

MEDICAL HISTORY

APPLICANT’S RELEASE OF MEDICAL INFORMATION

LAW ON PRIVACY

References