STAFF APPLICATION

STAFF APPLICATION
We are excited you want to staff with us! We look forward to walking with you toward greater faith and relationship

This form will take 30-45 minutes to fill out.
Which school, department or event are you apply to be staff for?
What year are you planning on joining staff?
Personal Information
Name

FirstLast
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender
Date of Birth

MonthDayYear
Date
Your Current Age
Do you have a passport?
Passport Country
Marital Status
Name & Age of Spouse
Do you have children? If so, how many?
Highest Education Completed
Date of completion

MonthDayYear
Date
What School/University/College did you attend?
Do you have plans for future studies?
Language Proficiencies
Is English your first language?
Skills & Talents
Please list any occupational skills you have.
Please list any skills or talents.
Finances
How do you plan on sustaining yourself on staff? Do you have a fundraising plan?
Acknowledgement of Financial Responsibility

Yes, I agree.
I understand that YWAM Jacksonville does not pay its volunteers. I am responsible for any staffing, food or housing fees associated with staffing for YWAM Jacksonville.
Physical & Mental Health
How would you rate your health?
Do you have any illness or condition (past or present) we should be aware of?
Are you presently under a doctor's care for an illness or condition?
Are you currently under any medications?
Do you have any allergies we should be aware of?
Do you have any special dietary requirements?
Do you have any physical impairments, handicaps, or health conditions which require special accommodation?
Have you ever suffered from depression, anxiety attacks, or other mental disorders (Bipolar, Schizophrenia, Manic Depression, OCD, etc.)?
Have you ever had suicidal thoughts or attempted to harm yourself?
Consents & Agreements
Consent of Treatment

Yes, I agree.
"Should a situation arise where I am sick or injured and urgently require medical attention, I give to the base director, or his or her delegate the authority to make any decision concerning my immediate treatment, including anaesthetics, medication and operations as in the opinion of the attending physician, are deemed necessary or until as such a time as I am able to make the next decision for myself. I declare that the above named shall not be required to contact my next of kin prior to exercising his/her authority as provided herein.I declare that I shall not hold Youth With a Mission, the base director or his/her delegate, liable for any decision made by him/her for any damage or loss that I sustain as a result of exercising the authority herein granted by me."
Liability Release

Yes, I agree.
"I release Youth With a Mission, it's agents, employees and volunteer assistants from any liability whatsoever arising out of injury, damage or loss which may be sustained by myself during the course of my involvement with Youth With a Mission."
Emergency Contact
Name
Relationship to you
Phone Number
References
Pastor/Mentor's Name
Email
example@example.com
Phone Number
Let's Get to Know You Better!
Describe your Christian experience and your present relationship with God.
When and how did you become a Christian?
Where and when did you do your DTS?
Describe your DTS experience. What did God do in your life? Highlights? Tough times?
Why do you want to staff with us?
What areas of your character are you presently seeking God for further development and improvement?
Finishing Up!
Please upload a current photo of yourself.

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Acknowledgement of Truthfulness

I acknowledge that I have read and understood this application and have filled it out truthfully to the best of myknowledge and capabilities.
Today's Date

MonthDayYear
Date
Signature*

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STAFF APPLICATION

Personal Information

Language Proficiencies

Skills & Talents

Finances

Physical & Mental Health

Consents & Agreements

Emergency Contact

References

Let's Get to Know You Better!

Finishing Up!