Staff Application
What position are you applying for?
Staff
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth - mm/dd/yyyy
Country of Citizenship
Gender
Male
Female
Marital Status
Single
Married
Divorced
Widow(er)
If married, Spouse name
Spouse gender
Male
Female
Spouse Date of Birth - mm/dd/yyyy
If you have been divorced or separated, please give relevant history:
Will you be bringing any children?
Yes
No
If yes, how many children?
Are you expecting a child?
Yes
No
If you are expecting a child, please give the approximate due date:
Children's name(s) / gender(s) / birth date(s) - mm/dd/yyyy
Are you in need of housing?
Yes
No
Do you have monthly financial support?
Yes
No
If not, how do you plan to support yourself while volunteering for our base?
Are you in debt?
Yes
No
If yes, please explain:
How does your family feel about your decision for missions?
Is there a domestic situation that might make it necessary for you to return home?
Education Experience
Highest level of education
High School
GED
Associate Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
If you did not finish High School up to what year did you complete?
YWAM Experience
YWAM DTS Base Name
Type of DTS
When did you complete your DTS? mm/yyyy
Have you completed any YWAM Secondary programs? If so, please list the program's name, base name, and mm/yyyy of when you completed the program.
Have you ever been on YWAM staff? If yes please describe your position, the location and the dates:
Work Experience
Please list your previous work history:
Emergency Contact Information
Name
First Name
Last Name
Relationship
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
References
Please list 3 references (ie: Pastor, Previous Employer/Base Director, or friend.)
Name
First Name
Last Name
Relationship
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name
First Name
Last Name
Relationship
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name
First Name
Last Name
Relationship
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pastor / Church Information
Church Name
Pastor Name
Church Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Phone Number
-
Area Code
Phone Number
How long have you attended this church?
Personal Information
Please answer in complete sentences, one paragraph (10-15 sentences), with no slang or short hand.
Describe your conversion experience.
Describe your past and current relationship with the Lord.
Are you an ordained/licensed clergyman?
Yes
No
Describe any other ministry experience.
How did God call you into missionary service?
How long have you considered missionary service?
What steps have you taken to prepare yourself for missionary service?
What region of the world do you feel most drawn to for ministry?
What are your long term ministry goals?
What do you consider to be strengths in your character? What are some areas you are looking to grow and develop?
What do you think your calling and gifts are?
How did you first come into contact with YWAM?
What influenced you to apply for staff at YWAM Baltimore?
What are your hopes/expectations for our base?
What can you offer YWAM Baltimore?
What does commitment mean to you?
How did you hear about YWAM Baltimore?
YWAM, Baltimore normally has a minimum requirement of a 24-month commitment. What length of service do you anticipate?
We also have a 90-day trial period for all incoming staff. The main purpose of this trial period is to allow you and our leadership time to evaluate whether or not this is the right place and time for you to serve as YWAM staff. Together we will decide as to whether or not you continue serving as staff at YWAM, Baltimore. Do you understand this?
Yes
No
Health Information
Are you presently under a doctor’s care for any condition? If yes, please explain:
Are you taking any medication at this time? If yes, please explain:
Are you allergic to any drugs or foods? If yes, please explain:
Do you have any physical impairment or health condition which requires special attention? If yes, please explain:
Do you have medical insurance
I/We hereby agree to the performance of such treatment, anesthetics and operations as in the opinion of the attending physician are deemed necessary.
Yes
No
Date
-
Month
-
Day
Year
Date
Signature
Legal Information
Do you have any previous criminal charges, even if dismissed?
Yes
No
If yes, please explain:
Are you involved in any current or pending lawsuits or legal proceedings?
Yes
No
If yes, please explain:
I/We do hereby release YWAM, Baltimore its staff, agents, and volunteer assistants from any liability whatsoever arising out of injury, damage, or loss which may be sustained by said person(s) during the course of involvement with Youth With A Mission, Baltimore.
Yes
No
Date
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: