DTS Application Page 1 (HIPPA Compliant)

Messengers DTS Application

Discipleship Training School
Email *
example@example.com
Name *

First Name Last Name
Phone Number *
Birthday *

Month Day Year
Date
Gender *

Male Female
Quarter *
Choose a Focus *
Several hours a week are given to this focus.
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Marital Status *
Do you have minor children *

Yes No
Will your children be attending with you? *

Yes No
Education Information
Highest Level of Education Completed *
What languages do you speak? *
(most fluent to least)
Passport Information

Attention: Outreach locations are almost always out of the United States. Therefore, you will need a passport for travel purposes. Please check if your passport is valid 9 months past your arrival day and renew if it is not.
Country of Birth *
Country of Citizenship *
Do you hold a valid passport *

Yes No
Passport Expiration Date

Month Day Year
Date
Finance Information
Do you have the total fees for your lecture and outreach *

Yes No
How much do you have? What is your plan to raise the remainder of the fees? *
Church Information
Do you currently attend a church? *

Yes No
How long have you been attending your church? *
Are you active in church (i.e. attending small group, serving in the worship team, etc.)? Please explain. *
Reference Information

Please do NOT list family members or significant others as references.
Reference Full Name *
First and Last Name
Reference Phone Number *
Reference Email *
Relationship to Applicant *
EX) Pastor, Leader, or Mentor
Personal Questions
When and how did you decide to follow Jesus? *
Please note, sensitive information should not be included in this response.
Why do you want to do a DTS? *
Please note, sensitive information should not be included in this response.
How would you describe your current relationship with God? *
Please note, sensitive information should not be included in this response.
How is your relationship with your family? How do they feel about you doing a DTS? *
Please note, sensitive information should not be included in this response.
Contact Owner *
Status *
(notes are on page 2)
Program *
Lead Status *
(status linked to HubSpot)
Submitted Application *
(status linked to HubSpot)
Should be Empty:

Messengers DTS Application

Education Information

Passport Information

Finance Information

Church Information

Reference Information

Personal Questions