Member Care Seminar

Student Application Form
Thank you for taking an interest in the MCFC being held in Heredia, Costa Rica. It is our intention that the application process serve as a valuable tool in helping both you and us prayerfully evaluate whether this is the right course for you at this time.

Application Instructions

Please answer all of the questions carefully. All information will be treated with the strictest confidentiality and is only necessary for the purposes of your application.

You can save this application at any point during the process by selecting "Save Answers and Resume Later" at the top of the page. To resume where you left off, simply return to this page and click "Resume A Previously Saved Form." All of your information will be saved just as you entered it.

To apply you will need:

1) A recent photo of yourself, ready to upload.

ASSISTANCE:

If you are having trouble filling out this application form, please contact us at Karen.johnston@ywamsj.org
Status
Applying for?*

Personal information
Upload a recent photo*

Cancelof
Name*

First NameLast Name
Email*
example@example.com
Date of birth*

MonthDayYear
Date
Gender*
Citizenship/Nationality*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country CodeArea CodePhone Number
Martial Status*
Do you have children that will be accompanying you*

YesNo
Please list the names and ages of any children accompanying you

Emergency Contact information
Name*

First NameLast Name
Relationship to you*
Phone Number*

Country CodeArea CodePhone Number
Email*
example@example.com

Reference contact information

We ask that you provide us with two references, one from a leader at your YWAM location or pastor or spiritual mentor and the other from a friend. We may or may not contact them depending on if we feel it is necessary to know you better.
Pastor/Mentor
Name*

First NameLast Name
Phone Number*

Country CodeArea CodePhone Number
Email*
example@example.com
Friend
Name*

First NameLast Name
Phone Number*

Country CodeArea CodePhone Number
Email*
example@example.com

Education/ YWAM History
Do you have Plans for Further Study?*

YesNo
Highest Level of education completed*
Have you completed a DTS*

YesNo
Other schools/programs/seminars completed
What languages do you speak (most fluent to least)*
Other Occupational Skills*

School Fees & Payments

Please note. It is the policy of YWAM San José that each student pay their full lecture phase tuition during the month prior to the start of the school (or upon arrival if unable to do the former). If unable to pay the full amount, a minimum of 50% must be paid during registration the first week in order to attend the training program. The remaining 50% must be paid by week 4 of the school. For more information on school payments please inquire at registrar@ywamsj.org
Do you have your complete lecture phase fees?*

YesNo
If not what percentage do you have?*
If not what percentage do you have?*
How do you anticipate paying any outstanding amount?*
Refund policy
Health
Please list any significant health issues that we should be made aware of. Also, please list any dietary restrictions. Please note that we may or may not be able to accommodate dietary restrictions.
I understand and agree that if accepted to the MCFC, I must have adequate and valid medical insurance coverage for the duration of my school, and that failure to do so may result in my dismissal from the school.*

Yes

Personal History
Describe your Christian experience and your present relationship with the Lord. How long have you been a Christian?*
Describe your present relationship with your current YWAM base or (if not serving with YWAM) local church and leaders, include any area of service you have been involved in. Are they supportive of your involvement in this course?*
What is your purpose for attending this course? *

Missions
What is your specific commitment to missions? Do you feel that you have a calling to work in Missionary Care long term?*
Do you have any difficult situation to deal with in regards to attending the MCFC? How can we pray for you?*

Finances
Do you have the full tuition plus money for your travel to San Jose Costa Rica? If no, how much do you currently have in US Dollars? How do you plan on paying for this school?*
Do you currently have any outstanding debt? If yes, what kind?*
International students may not arrive with a one-way ticket. Therefore, do you have the funds to cover your round trip air fare?*
Final questions
How did you hear about this course*

FacebookInstagramGoogle SearchFriend/Familyywam.orgOther
Other comments or questions?
I certify that all the information in this application is complete and accurate*

Yes
Date*

MonthDayYear
Date
Signature*

Clear
Consent for Medical Treatment and Release of Liability
Consent for Medical Treatment

In case of emergency, I {name} hereby agree to the performance of such treatment, anesthetics, and operations as is deemed necessary by the attending physician.

Release of Liability

And I hereby release Youth With A Mission, it's agents, employees, and volunteers from any liability whatsoever arising out of any injury, damage, or loss which may be sustained by said person during the course of involvement with Youth With A Mission. In accordance with biblical principles, I agree to resolve any and all disputes with Youth With A Mission, YWAM Leader, or staff by means of reconciliation or mediation and waive any right to pursue action by way of litigation.

Statement and Consent for Burial

We at YWAM San Jose Costa Rica, encourage each YWAM Staff, prospective 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 with Youth With A Mission.

YWAM International strongly encourages burial on the field, as decay can start very quickly and transport of the body from the overseas location can be very costly. In order to be shipped, some laws require a special coffin and the coffin must be accompanied by someone on the return journey.

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.

In case of death, YWAM San Jose cannot commit to cover the costs of shipping the body to another country for purposes of burial, or ultimately cover the burial costs in the country of death. If the family desires to see the body transported back home, the family must incur the cost.

I agree that in the case of my death while in Youth With A Mission San Jose, Youth With A Mission San Jose may carry out the burial in the location of the deceased. If my family desires to have my body shipped home, my family is prepared to pay all costs. I hereby absolve Youth With A Mission San Jose and all its staff and associates of the burial costs.

I consent to carry out burial and agree to absolve Youth With A Mission of burial costs.
Date

MonthDayYear
Date
Signature

Clear
Should be Empty:

Student Application Form

Application Instructions

ASSISTANCE:

Personal information

Emergency Contact information

Reference contact information

Pastor/Mentor

Friend

Education/ YWAM History

School Fees & Payments

Refund policy

Health

Personal History

Missions

Finances

Final questions

Consent for Medical Treatment and Release of Liability

Consent for Medical Treatment

Release of Liability

Statement and Consent for Burial