Discipleship Training School Application Form (YWAM Nicoya, Guanacaste)

Consent for treatment
In case of emergency, I/we hereby agree to the performance of such treatment, including anesthesia and surgery, as the attending doctor or physician may deem necessary.
Date *

Day Month Year
Date
Applicant's signature *

Clear
Signature of parent or guardian if applicant is less than 18 years of age:

Clear
Date

Day Month Year
Date
Relationship to the applicant:
Release of Liability

Release of all claims, waiver of liability, assumption of risk, and indemnification agreement
Type a question *

In consideration of Youth With A Mission Nicoya and Juventud Con Una Misión Nicoya, Asociación Ministerios Rurales de Guanacaste,... (YWAM/JUCUM/MIRUG) organizing, arranging, and permitting me to attend and participate in the Discipleship Training School event and any related activity, I hereby waive all rights which I may now have or which may accure in the future against YWAM its respective chapters, directors, officers, agents, volunteers, and members (collectively called the "YWAM Representatives"), and I hereby release and discharge YWAM and the YWAM Representatives from all liability, and agree to indemnify and hold YWAM and the Representatives harmless from and against all liability for any and all actions, damages, causes of action, suits, costs, losses, expenses, claims, demands, damages, and judgements (collectively the "Losses and Claims"), which I, my spouse, family members, children, invitees, heirs, executors, administrators, successors, and assignees, now have or hereafter may have resulting from or araising in connection with my travel to attendance at or participation in YWAM event or related activity. I acknowledge that certain legal rights against YWAM or the YWAM Representatives may be available to me now or in the future as a result of any Losses and Claims, and that by executing this waiver and release of liability, I am forever relinquishing those rights against YWAM and the YWAM Representatives. I acknowledge that no promises, representations, or affirmations of fact were made to me by YWAM or the YWAM Representatives concerning the safety of the event or related activity, the security precautions taken in sponsoring the event, the relative safety or danger associated with traveling to the event or participating in any activity or outing related to, or connected in any way to the event and affirm that I have read and understand the forgoing provisions of this waiver and release of liability, assumption of risk and indemnification agreement and accept it's terms as a condition to my attendance at the event (Discipleship Training School).
Date *

Day Month Year
Date
Applicant's signature *

Clear
Signature of parent or guardian if applicant is less than 18 years of age:

Clear
Date

Day Month Year
Date
Relationship to the applicant:
Legal Consent for Minors

Only for applicants under 18 years of age
I hereby give my consent for give complete name of minor to travel outside his/her home country with Youth With A Mission.
Date

Day Month Year
Date
Signature of parent or guardian

Clear
Statement of Burial and Mediation
BURIAL STATEMENT

We at Youth With A Mission Nicoya, Guanacaste encourage each YWAM student and volunteer to seriously consider some possible consequences of missions work and training. Although death is extremely rare in service with Youth With A Mission internationally, it is nevertheless an experience that awaits each one of us eventually. It is important that we all prepare for such possibilities and have a clear plan of action if such instances arise during our time of study or service within Youth With A Mission.

In extensive travel in less developed countries, diseases are more prevalent, fatal accidents, sickness and mishaps can occur. YWAM Nicoya, Guanacaste does everything possible to protect staff and students while on the field, but death is something that can occur. In these countries, burial is often a real problem.

We endeavor to maintain a Christian view of death, it is not the final step, but just a passage; the person is not in the coffin, just his/her earthly shell. Therefore the priority for limited resources on outreach must be for the living.

In case of death, YWAM Nicoya, Guanacaste cannot commit to cover the expenses of burial or transport home from the country of death (developed or non-developed countries alike). We would strongly encourage burial on the field, as decay can start very quickly. Shipping a body home could cost several thousand dollars and often a special expensive coffin is required by law in some countries as well as having someone accompany the coffin on the return journey. If the family desires to see a body transported back home, the family must incur the entire cost. Any burial costs incurred while on outreach (in the country that the death and burial occurs) are the responsibility of the deceased’s family as well. Note: It is the responsibility of every individual or family (staff or volunteer) to have the Field Burial or Death Related Remains Transport Insurance, not YWAM Nicoya, Guanacaste.
I agree that in case of my death while on outreach in conjunction with Youth With A Mission Nicoya, Guanacaste, that they may carry out the burial in the location of my decease. If my family desires to see my body shipped home, they will agree to cover all expenses incurred. I hereby absolve Youth With A Mission Nicoya, Guanacaste, its staff and associates, from any responsibility for burial costs.
Applicant's name *

First Name Last Name
Applicant's signature *

Clear
Date *

Day Month Year
Date
Parent/Guardian Signature if applicant is under 18 year of age:

Clear
Relationship to the applicant:
Acknowledgement of Financial Responsibility
Do you have your complete fee for the lecture phase (amount depends on your nationality, please see information on the website)? *

Yes No
If no, how much do you have at the moment?
Do you have your complete fee for the outreach phase ($1700-$3000)? *

Yes No
If no, how much do you have at the moment?
What is your plan for raising the funds you are still missing?
Do you have any outstanding debt. If yes, please explain: *
Commitment to financial responsibility: *

I understand that payments of the required school tuition fees must be made in US or Costarican currency prior to or upon arrival, unless otherwise approved in writing by the School Leader before my departure for Nicoya, Guanacaste, Costa Rica. The outreach fees must be made in US or Costarican currency before the departure for outreach. Further, I agree to meet in a timely manner, prior to the completion of the school, all personal expenses incurred during my involvement with Youth With A Mission Nicoya, Guanacaste and University of the Nations. Any unpaid fees and personal expenses will be considered an outstanding debt and are expected to be fully paid in short order.
Date *

Day Month Year
Date
Applicant's signature: *

Clear
Refund policy

Once a student enrolls, it is expected they will continue through the entire school and complete payment.

However, YWAM Nicoya, Guanacaste will refund a student's LECTURE PHASE if a student voluntarily withdraws from the school, a student is asked to leave because of breach of code of conduct; or is unwilling to meet the academic and spiritual standards of the school.

Refund schedule is as follows:
LECTURE PHASE
Prior to the start of the school - 100%
1st week - 95%
2nd week - 75%
3rd week - 60%
4th week - 50%
5th and beyond - 0%

The early withdrawal of a student could be for different reasons, which will in turn be walked through with the school leader and the base director.

OUTREACH PHASE
All outreach fees are NON-Refundable at the commencement of the outreach.
However, unforeseen circumstances such as sickness or emergencies will be assessed on a case by case basis

Personal History Questions

Please prayerfully and concisely answer the following questions. Your answers will be significant in the application process.
Please describe your conversion experience and present spiritual relationship with the Lord. *
What areas of your character are you presently seeking God to further develop and improve? *
How do you see God's call on your life? Do you feel God is leading you into any particular area? *
Are you presently seeing a professional counsellor for any issues? Do you have any present counselling needs? *
How do you describe your relationship with your parents/family? *
How do your parents/family feel about your plans to enrol for training with YWAM in Costa Rica? *
Do you have a calling or an attraction to any part of the world? *
Does your pastor know of your calling? Are they sending you out with their blessing? *
One of our goals is to release people into ministry. Would you be willing to go into ministry and what are your thoughts about it? *

Reference forms

There are two reference forms that have to be filled out and submitted before your application is processed. Please provide the name, e-mail address and phone number of the persons filling out these forms.
PASTOR/YOUTH PASTOR REFERENCE: *

First Name Last Name
Email *
example@example.com
Phone Number *

Country Code Phone Number
FRIEND/FAMILY MEMBER REFERENCE 1: *

First Name Last Name
Email *
example@example.com
Phone Number *

Country Code Phone Number
*

If I am accepted by YWAM Nicoya, Guanacaste, I will abide by the Spirit, rules and schedule of the school and the base.
*

YWAM Nicoya is a family-friendly campus so we ask that you do not bring or consume any alcohol, illegal drugs, tobacco on the YWAM campus, at YWAM events, or ministry sites. Failure abide by this policy may result in your dismissal from the YWAM Campus and all YWAM related events. I agree to abide by the YWAM Nicoya's alcohol and drug policy for the entire duration of my time at YWAM Nicoya.
*

I hereby release University of the Nations, and Youth With A Mission Nicoya, Guanacaste, its staff, agents and volunteers 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 University of the Nations / Youth With A Mission Nicoya, Guanacaste.
I, the parent/guardian of the applicant hereby consent to this application for DTS
*

I understand that the application will not be processed until all the reference forms have been submitted.
University of the Nations is a degree granting institution (Associate, Bachelor and Master), but it is not accredited by any accrediting agency or association recognized by the United States Commissioner of Education.

University of the Nations admits students of any race, color, national and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national or ethnic origin in adiministration of its educational policies, admissions policies, scholarship and loan programs and athletic and other school-administered programs.
Should be Empty:

	1. No experience	2. Little experience, need supervision	3. Considerable experience, need help with tougher problems	4. Extensive experience, can handle difficulties, can train others	5. Professional training and experience
Electrical work
Car repair and maintenance
Construction
Carpentry
Plumbing
Landscaping/Gardens
Cooking
Event management
Accounting
Graphical Design
Computer programming
Sound equipment
Cleaning
Counseling
Administration
Motivating and training others
Hospitality
Translation
Dance
Visual arts
Music
Speaking/teaching
Work with children
Work with teens
Work with adults
Health care
Discipleship

	Have	Don't have	How many times you have received this immunisation	Date of last immunisation/booster (dd/mm/yyyy)
Diphtheria
Tetanus
Pertussis
Polio
Rubella
Measles
Mumps

Discipleship Training School Application Form (YWAM Nicoya, Guanacaste)

Contact Details

Passport & Visa Details

Family Information

Educational and Work Information

Language skills

Skills and Abilities

Consent for treatment

Release of Liability

Legal Consent for Minors

Statement of Burial and Mediation

Acknowledgement of Financial Responsibility

Health Information

Immunizations

Personal History Questions

Reference forms