Fill in the following if applicable:

Note: International Staff must arrive with a round-trip ticket.

To better help us evaluate the possibility of placing you in a staff position, please fill out the following. Indicate beside a skill or job whether you have experience (E) in that area or would be interested (I) in that area of ministry. We desire for our staff to grow in God-given talents, so will try to place you in your area of skill and/or interest. However, all of us on staff contribute to the overall ministry, helping out even when the task might not be our favorite thing to do. Mark as follows: E=Experience. I=Interest. In the space following the particular skill, you may describe your experience or interest. Feel free to add something not on this list.

Instructions: In order for us to get to you know better; please prayerfully answer the following questions in as much detail as you like. Email back your answers or send them on paper with the rest of your application.

1. In a page or less, describe your conversion experience and present relationship with the Lord. 2. What areas are you presently seeking growth and/or development in your life?

3.Howwould you describe where you are at in terms of spiritual disciplines- - daily time with God, prayer life, reaching out to oth- ers, etc?

4. What are your ministry goals? 5. What expectations do you have concerning staffing at YWAM Ozarks? 6. How did you hear about YWAM Ozarks? 7. Describe your relationship with your local church, pastor or elders, and congregation, including areas of ministry, service and leadership experience. Are they supportive of your involvement in mission work? 8. Describe your experience with public speaking; are you comfortable with it?

Have 9. youhad any mental illness? If so, explain, including medication needed. Are you presently seeing a professional counselor

for any issues? Do you have a need for professional counseling at this time? If yes, for what issues? Have you ever been in a group home living environment or in-patient psychiatric care? If yes, when? 10. Have you ever engaged in drug abuse? Do you use any tobacco products? (cigarettes, electronic cigarettes, chewing tobacco, etc If so are you willing to quit? 11. Do you have any difficult situations to deal with in regard to joining YWAM Ozarks staff? How can we pray for you? 12. Do you have any physical disabilities that we should be aware of? If yes, please explain. Are you presently taking any medication or under a physician's treatment? Do you have any special dietary needs? (e.g., vegetarian, food allergies, etc 13. Are you able to work a normal 40 hour week? If not, please explain.

14. How do your spouse and children feel about becoming part of YWAM Ozarks staff? 15. If you have children, do any of them have disabilities that we should be aware of? (See questions #10 and #11 16. Describe your relationship with your spouse and children. 17. If your spouse and/or minor children do not live with you, please explain.

18. Where did you do your DTS? When?

20. Have you attended any other YWAM school or course?

Confidential Reference: Pastor

Please return this form to: YWAM Ozarks 7119 Mountain View Dr.

Please sign this and give with a stamped envelope to your pastor to complete.

To the Pastor filling out this form:

I, the above named applicant, WAIVE any right to have or obtain copies of this recommendation knowing that this waiver is NOT required as a condition for staff acceptance.

The above named applicant has applied for a staff position with Youth With A Mission (YWAM) Ozarks campus. YWAM is an inter- national, interdenominational Christian missionary organization. Founded in 1960, YWAM now has centers in over 1000 locations in over 149 countries. Its purposes include training, challenging and mobilizing Christians to fulfill Christ's command: "Go therefore, and make disciples of all nations." YWAM Ozarks is a training center from which workers are sent out into all the world.

It is important to us, as we evaluate our applicants, that we have an accurate appraisal of their character and ministry abilities. Serious consideration will be given to your comments; therefore we ask that you complete this form carefully. We would appreciate honest, straightforward responses, evaluating both the assets and liabilities of the applicant. Be assured that your reply will be held in strict confidence. Your prompt attention in completing this form within 7 days is appreciated. Thank you!

1. My relationship to the applicant is: (circle all that apply) Sr. pastor Youth pastor Small-group leader Mentor

2. How long has the applicant attended your church?

3. In your association with the applicant, what has been the level of commitment you have seen exemplified?

5. Does the applicant know Jesus as personal Lord and Savior and display Christ in everyday living? How?

6. Do you believe that the applicant has a call to missions ? 7. Is your congregation supportive of the applicant's decision to apply for YWAM staff? If no, please explain.

8. In what areas of ministry has the applicant participated in your church?

Character Evaluation Please check the appropriate space for each characteristic according to your knowledge of the applicant. If you have not observed this

check"not known.' Consider "average" to indicate a reasonably well-adjusted individual who is qualified for full-time Chris- trait,

Accurate view of personal strengths/weaknesses

Ability to deal w/ interpersonal problems

Able to share Christ with others

Respects convictions of others

Dishonest or questionable character

Please check the appropriate space for each gifting according to your knowledge of the applicant. If you have not observed this trait,

In answering the following questions, please comment based upon what you know of the applicant. For any questions which you have no knowledge, please write "not observed.'

Has the applicant ever been arrested?

11. Please summarize the applicant's suitability for missionary service, adding any considerations that may influence his/her effec-

Please give up to 2 contact numbers including the area code. Please circle which type it is.

I declare that the contents of this confidential reference form are correct to the best of my knowledge.

Confidential Reference: YWAM Leader

Please return this form to: YWAM Ozarks 7119 Mountain View Dr.

Please sign & give with a stamped envelope to your most recent YWAM leader to

To the YWAM Leader filling out this form:

I, the above named applicant, WAIVE any right to have or obtain copies of this recommendation knowing that this waiver is NOT required as a condition for staff acceptance.

The above named person has applied for a staff position with YWAM Ozarks. It is important to us, as we evaluate our applicants,

that we have an accurate appraisal of their character and ministry abilities. Serious consideration will be given to your comments, therefore we ask that you complete this form carefully. We would appreciate honest, straightforward responses, evaluating both the assets and liabilities of the applicant. Be assured that your reply will be held in strict confidence. Your prompt attention in complet- ing this form within 7 days is appreciated. Thank you!

1. My relationship to the applicant is: (circle all that apply) School Leader Small Group Leader Outreach Leader

3. How did the applicant function on outreach?

Character Evaluation Please check the appropriate space for each characteristic according to your knowledge of the applicant. If you have not observed this

check trait,"not known.' Consider "average" to indicate a reasonably well-adjusted individual who is qualified for full-time Chris-

Accurate view of personal strengths/weaknesses

Ability to deal w/ interpersonal problems

Able to share Christ with others

Respects convictions of others

Dishonest or questionable character

Please check the appropriate space for each gifting according to your knowledge of the applicant. If you have not observed this trait,

In answering the following questions, please comment based upon what you know of the applicant. For any questions which you have no knowledge, please write "not observed.'

Has the applicant ever been arrested?

11. Please summarize the applicant's suitability for missionary service, adding any considerations that may influence his/her effec-

Please give up to 2 contact numbers including the area code. Please circle which type it is.

Ideclare that the contents of this confidential reference form are correct to the best of my knowledge.

To the Applicant: This information is treated as confidential.

Please print or type answers to ALL questions. As certain medical conditions may preclude acceptance, Part B must be completed by your physi- cian or physician's assistant. Less inclusive medicals done for other YWAM bases are not acceptable.

Applying to start on staff with YWAM Ozarks : MM

Part A: Personal History Please answer all questions and take both Part A and Part B to your physician. Comment on all positive answers in the space below, or on a separate sheet of paper. The omission of health history problems or incomplete explanation of the same can lead to removal of acceptance status. Have you ever had any of the Have you ever had, or do you now have, any of the following: Females Only: following communicable diseases?

*If you are allergic to bee stings, you must bring your own up-to-date reaction kit.

Are you taking any medication at this time?

Please arrange to bring all necessary long-term medications with you.

Family History Have any of your relatives ever had any of the following:

Part B: Physician's Evaluation

(last)(first)(middle initial) To the physician: Please review the information in Part A. Please treat all conditions that you feel require treatment and notify us of any problems that you feel merit follow-up by a health service. As certain conditions such as Diabetes, Epilepsy, heart disease and obesity may affect

acceptance, please ensure that any pertinent information in these areas has been included.

Childhood Record of Immunizations: Basic

Either a skin test or chest x-ray result is required within 6 months of your application. If you apply more than 6 months in advance and are accepted, another test is required and we need the result before you arrive.

* *If your skin test is positive, you MUST have a chest X-ray.

Date of last DT (Diphtheria/Tetanus) booster: Month

(Must be within the last 5 years

Visual Acuity (without glasses): R

Last Pap Smear (not compulsory):

Are there any abnormalities of the following systems? (Please describe fully)

How long has this patient attended your office?

Ido hereby release Youth With A Mission, its staff, agents, and volunteer assistants from any liability whatsoever arising outof any injury, damage or loss which may be sustained by said person(s) during the course of involvement with Youth With A Mis-

In case of emergency, I hereby agree to the performance of such treatment, including anesthesia and surgery, that the attending doc- tor or physician may deem necessary.

Acknowledgement of Financial Responsibility

I understand that I am responsible for my staff fees to be paid in a timely way at the beginning of each month. I also acknowledge that I am responsible for my personal expenses beyond the room and board covered by my staff fees. I understand that processing my donations through YWAM Ozarks (tax-deductible receipts for donors) is contingent on making a minimum commitment of one year on staff; otherwise I will find another option for processing support.

I declare that the contents of this application form are correct to the best of my knowledge.