TESOL Application

Teaching English to Speakers of Other Languages

Youth With A Mission - Lebanon, Pennsylvania
Dates applying for:*
Application Fee
For your application to be completed and processed you must pay the non-refundable application fee of $40 USD. You can pay instantly online or send a check made out to "Youth With A Mission" to us at:

Youth With A Mission,

Attn: Applications

PO Box 480

Lebanon, PA 17042 USA
Legal
For your application to be completed and processed you or your parent(s)/legal guardian(s) must sign our "Acknowledgement of Responsibility, Release of Liability and Consent for Treatment" form.

Please send the signed and completed document to:

Youth With A Mission,

Attn: Applications

PO Box 480,

Lebanon, PA 17042 USA

Download Online Release, Waiver and Consent Form
*

I have read, signed and sent the above mentioned documents to YWAM in Lebanon, PA

	Language(s)
5-Native Speaking Proficiency
4-Full professional proficiency
3-Minimum professional proficiency
2-Limited word proficiency
1-Elementary speaking

Personal Supplement
How did you first hear of YWAM/the University of the Nations/YWAM Lebanon, PA?*
What are your reasons for taking the TESOL course?*
What expectations do you have for this course?*
Are there any special circumstances (e.g. health) we should know about in relationship to your involvement in this school?*
Give the name of your church, if applicable.
YWAM's mission is to 'Know God and Make Him Known'. What is your experience with God?*

Contact Information
Phone Number*

Country CodeArea CodePhone Number
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Permanent Address (if different from current address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I give my permission to add my address to the YWAM Lebanon newsletter contact list

YES
Emergency Contact Details*

First NameLast NameRelationship to applicant
Emergency Contact Phone Number*

Country CodeArea CodePhone Number
Emergency Contact E-mail*
Emergency Contact Address*

Street Address Line 1

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

In addition to this online form, your application will require:

- Non-refundable $40 application fee.

- Signed Release, Waiver and Consent form.
I am submitting my application fee using the following method:

Check payable to Youth With A MissionOnline payment www.ywampa.org/donate/ (credit card fees apply)Other--please contact us
*

I have reviewed this application and all the information I have provided is true and accurate to the best of my knowledge
Please press the 'submit' button below to send your application to our mailbox. Thanks!
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Teaching English to Speakers of Other Languages