Cultivate Internship Application

Cultivate Internship Application
Today's date:

DayMonthYear
Name*

First NameMiddle NameLast Name
Gender:*

FemaleMale
Date of birth:*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What is your email address?*
Phone Number*

Country CodeArea CodePhone Number
Please upload a recent photo of yourself that we can attach to your application

Browse Files
This is not required, but is super helpful for us ahead of time. Cancelof

Questions About You
What are your hopes for your time in Cultivate? What was it that drew you to the programme?*
Briefly tell us how you came to know Jesus.*
Describe your present relationship with the Lord.*
Describe any other significant events concerning your walk with the lord, positive or negative.*
What are your talents/passions/spiritual gifts and/or ways that God has used you in the past?*
Please describe what you feel God has called you to do, and where you currently are on that journey.*
During the program will be spending prolonged times in corporate worship and intercession (House of Prayer style). Please describe your current relationship/experience with worship and intercession.*
During the internship, you will be given time to work on a personal project related to your calling. Do you have an idea as to what project you would like to do? Please describe below.*
While we strongly encourage you to do the entire program, in order to reap the full benefits, we do have some flexibility available to those for whom it is not possible to attend for the full nine weeks. Please tell us below if you would like to do the entire program, or just a part. If the latter, which phases would you like to do? *

Education
Have you undertaken any training or university studies?*

YesNo
Where did you go, and what did you study?
What languages do you speak?*
What is your current occupation?*
What are your occupational skills?*
Have you completed a DTS with YWAM in the past?*

Yes.No.I am currently attending a DTS.
Please tell us when and where you completed your DTS, and any secondary schools.*
Where are you attending your DTS?*
Have you ever been a staff member of a YWAM Base? If so, where and when?*

Medical Insurance
Do you have insurance?*

YesNo
Please know that to stay with YWAM Bridges you must have insurance coverage for the duration of your stay.
Insurance Company Name
Insurance company phone number

Area CodePhone Number
Policy Number
Type of policy
Policy Description*

Passport Information
What country is your passport from?*
What is your passport number?*
Passport Expiration*

DayMonthYear
Do you have a Criminal Record?*

YesNo
Please explain with minimal details.

Emergency Contact Info
Who should we contact in case of an emergency?*

First NameLast Name
Phone Number of Emergency Contact*

Area CodePhone Number
What is the email address of your emergency contact?*
What is your emergency contact's relationship to you?*

Financial Information
Do you have assured financial support?*

YesNo
How much do you currently have?
From what source will you receive the remainder?

Church Information
Do you have a home church?*

YesNo
What is the name of your home church?
Pastors Name

First NameLast Name
Describe your relationship with your pastor or church leader.
How have you participated or served in your local church?

References

Almost done! We need 2 reference forms to be filled out in order for your application to be processed. The reference forms are confidential and will not be shown to you. When you submit this form we will automatically send your references an email on your behalf.
First Reference

Christian friend, employer, teacher (not a family member)
Name*

First NameMiddle NameLast Name
What is your first reference's relationship to you?*
What is your first reference's email address?*
Second Reference

Pastor or spiritual leader
Name*

First NameLast Name
What is your second reference's relationship to you?*
What is your second reference's email address?*

Agreement and Release of Liability

Please take some time to read through the following details. Without your consent, we cannot process your application
Release of Liability

I do hereby release Youth With A Mission, its agents, employees and volunteer assistants, from any liability whatsoever arising out of any injury, theft, damage, disability or loss of health, property, emotional stability or life, which may be sustained by me during the course of my involvement with Youth With A Mission.I do hereby agree to the performance of such treatment: transfusion, anaesthetics, and operations that in the opinion of the attending physician are deemed necessary for me.Although it is most unlikely that anyone would pass away during their time of participation in YWAM activities, existing laws regarding burial make it necessary to consider this possibility prior to travel a broad. In many countries in which YWAM works, burial must take place within 24 hours of death, making it impossible to make arrangements for returning the body to the home country, and burial therefore taking place in the region.In those instances in which arrangements to repatriate the body can be made it is invariably very expensive, some countries requiring that a person accompany the deceased. For this reason, we cannot guarantee repatriation, and would ask you to consider the following:In the event of my death, I give my permission to be buried in the country of my death unless my family wishes to repatriate the body at their own expense. If, on the contrary, I desire to bear this expense myself, I agree to take an insurance covering this eventuality.
Final Acknowledgment

I have completed all forms concerning my registration, and if I am accepted, I commit myself to respect the regulations & the spirit of YWAM Bridges of Life.
Signature:

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Cultivate Internship Application

Questions About You

Relationship Information

Education

Medical Insurance

Passport Information

Emergency Contact Info

Financial Information

Health Information

Church Information

References

First Reference

Second Reference

Agreement and Release of Liability

Release of Liability

Final Acknowledgment