School Application Form
Requirements: Be at least 18 years of age or have a high school diploma. If the applicant is under 18 years of age, a parent or guardian must sign the form to give permission. Complete the application, answering all questions and sign the form. Two reference from your pastor or spiritual leader, and the other from a mature Christian friend. The payment of the Registration Fee is R$ 300.00 (three hundred reais). If you have any queries, please send an email to treinamento@jocumrecife.org.br.
Starting date:
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Nome
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First name
Middle name
Last name
E-mail address
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Birth date
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Nationality (Country)
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
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Female
Male
Passport number
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Where was passport issued?
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Passport Expiry Date
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Marital Status
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Single
Engaged
Married
Separated
Divorced
Widowed
Do you have children?:
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Yes
No
If your answer is yes, tell us how many children are coming with you:
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What are their ages and sex?:
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Recent facial photo (passport type)
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HOME CHURCH
Pastor’s Name
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Pastor’s Phone
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Church name
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How long have you attended?
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Date of conversion years/months
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Do you have any role in the church?
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IN CASE OF EMERGENCY CONTACT:
Name
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Relationship
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Phone
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Age
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SCHOOL EDUCATION/EMPLOYMENT/SKILL
Highest level of education completed
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Graduated in
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What languages do you speak in order of fluency?
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Occupation or skills
Years of experience
PREVIOUS YWAM EXPERIENCE
Have you ever been involved in a YWAM short/long-term outreach or training program? Specify
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Name of leader and contact
What are your plans after you complete this training?
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Do another school
Become a YWAM staff member
Go back to job
Become a staff member at another institution
Work with home church
Don’t know
Other
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CONFIDENTIONIAL HEALTH FORM
Personal history:
Please answer all the questions. Explain any ‘Yes’ answers below
Allergy
Penicillin
Food
Other
Surgery
Appendectomy
Tonsillectomy
Hernia repair
Other
Have you had any of the following?
Yes
Skin Conditions
Eye trouble
Ear trouble
Reacurring headaches
Epilepsy
Mental or nervous disorders
Paralysis
Insomnia
Shortness of breath
Hay fever or asthma
Heart condition
High blood pressure
Low blood pressure
Back problems
Broken bones
Stomach Ulcer
Gall bladder
Hepatisis
Intestinal trouble
Kidney disease
Anemia
Veneral Disease
Cancer, tumors
If 'yes' please explain
FEMALES ONLY
Sever Cramps
Excessive flow
Irregular Periods
FEMALES ONLY: Are you Pregnant?
Yes
No
Are you now under the care of a doctor for any condition?
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Yes
No
Are you taking any medication at this time?
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Yes
No
If you are taking any medication, please specify.
Blood type
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Do you have any physical handicaps or health conditions which require special attention?
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Yes
No
Are you:
Underweight
Overweight
If so, by how much?
How would you rate your general health condition?
Excellent
Good
Fair
Poor
FAMILY HISTORY
Tuberculosis
Arthritis
Diabetes
Stomach Disease
Kidney Disease
Asthma
Heart Disease
Convulsions, Epilepsy
Hypertension
Cancer
Hay fever
Have you ever had any of the following CONTAGEOUS DISEASES?
Chicken Pox
Scarlet Fever
Measles (Rubella)
Tuberculosis
Mumps
Covid
Other (Specify)
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ABOUT YOUR PERSONALITY:
Select the words that best describe your personality:
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communicative
calm
active
happy
self-confident
melancholy
extroverted
creative
patient
skeptical
submissive
quiet
faithful
sensitive
timid
unstable
servant
friendly
thoughtful
loyal
critical
good humored
aggressive
a companion
independent
self-controlled
diligent
gentle
insecure
frank
untrusting
impulsive
take initiative
eager
QUESTIONS
Please pray and consciously answer the questions below.
1. Describe your conversion experience and current relationship with God.
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2. Describe other significant spiritual experiences you have had in your walk with the Lord.
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3. How would you describe your relationship with your family? Are they Christians? Include how they feel about your plans to attend this YWAM program?
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4. Describe your relationship with your local church, including areas of service and leadership.
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5. Are you presently employed or in school? Please specify.
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6. Describe your long-term goals. Has God spoke to you about your life's calling? Please specify.
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7. Have you had any missions experience? If so, where and in what kind of ministry were you involved in?
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8. Have you ever been involved in: a crime, drugs or alchol abuse, occult practices or homosexual practices? Explain. (Note: This information does not affect your acceptance)
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9. In what area of your character are you presently seeking God to further develop and improve?
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10. How did you heard about the YWAM base in Recife?
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11. Write down any other special circumsances or situations we should know about.
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EXTRACURRICULAR - TRACKS
As trilhas são uma área de interesse ou experiência que você deseja desenvolver. Pedimos que você considere em oração qual é o melhor caminho para você durante a fase de palestra. Você terá duas tardes por semana com workshops, oportunidades práticas e desenvolvimento de projetos. O objetivo é ajudar a desenvolver ou descobrir suas habilidades para alcançar o reino. Você pode escolher sua faixa abaixo.
Media: Together with our media team you can learn basic skills in this area, such as photography, videography, graphic design... | Music: Our desire is to cultivate adoring hearts. | Evangelism: Leading you to the practice of kingdom communication with boldness. | Community Development: Learn from us as a Christian to walk in compassion in our community. Building relationships in each home, leading discipleship and Bible study. | Practical construction: Learn some practical skills like masonry, painting, small construction... you can use these skills to reach people. | Soccer: Reaching people for the kingdom of God through soccer.
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Media
Music
Evangelism
Community Development
Practical construction
Soccer
FINANCIAL INFORMATION
Do you have all the money to pay for the school?
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Yes
No
If the answer is no, how much do you have?
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From what source(s) will you receive the remainder?
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Do you have any outstanding debts?
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REFERENCE FORMS
Please enter the names and email addresses of the two people who will respond to the confidential forms.
Pastor’s Name
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Nome
Sobrenome
Pastor's email
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exemplo@exemplo.com.br
Friend's name
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Nome
Sobrenome
Friend's email
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exemplo@exemplo.com.br
I certify that all information contained in this form is complete and accurate. And, in order to be accepted by Youth With A Mission, I will abide by the Spirit, school's program rules and schedules. I am aware of my obligations related to God, workers and all who are committed. I commit to paying for school and doing my best during my involvement with YWAM. Sign below:
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