Discipleship Training School Application

Thanks for your interest in DTS! While applying online is the quickest way to get the ball rolling, it still requires a bit of your time -- we want to get to know you as best as we can, so we ask a lot of questions! You may wish to answer the supplemental questions offline and then paste in your answers on this online form; that way you won't lose your work if you get interrupted.

Once you've filled in your information and clicked "Submit" you'll be directed to a page where you can download the remaining forms, pay a $35 application fee, and review the information you've submitted.
If you'd prefer not to apply online, download an application or get in touch with us and we'll mail you one.

If you need a reference form, click here.

PERSONAL INFORMATION.

Full Legal Name:
Nickname / Preferred Name (optional):
Gender:
Date of Birth:
School Applying For:

Beginning Date:
Current Address
Street:
City:
State:
Zip code:
Country:

Permanent Address
(if same as Current Address, leave blank)
Street:
City:
State:
Zip code:
Country:

Phone (indicate if home, cell, work):
Additional phone (optional):
E-Mail:
Full Name of Parent(s)/Guardian(s):
Phone:
Additional phone:
Additional Parent(s):
Phone:
Additional phone:

Birthplace:
Citizenship:
Passport #:
Expiration date:
Issuing location:

Please upload a recent photo of yourself:
Height :
Weight:
Marital Status :
Children accompanying you - - -
Name:
Birth Date:
Gender:
Grade in School:

Name:
Birth Date:
Gender:
Grade in School:

Name:
Birth Date:
Gender:
Grade in School:

Name:
Birth Date:
Gender:
Grade in School:

Church Information - - -
Name of Home Church:
Denomination:
Address
Street:
City:
State:
Zip code:
Country:
Phone:
Website (optional):
Pastor's Name:
How long have you attended there?

In Case of Emergency Contact - - -
First Name:
Last Name:
Relationship to you:
Phone (indicate if home, cell, work):

Additional phone (optional):
Address
Street:
City:
State:
Zip code:
Country:

Health insurance company:
Policy number:

Education / Employment / Skills - - -
Highest level of education completed:
Post-secondary school(s) attended:
Languages spoken:
In decreasing order of fluency
Any military service?If yes, specify.
Present Employer:
Since date:
Occupation:
Other occupational skills:
Years of experience:
Other talents:

Background - - -
Have you ever been involved in a YWAM missions trip or training program?
(Please list date, location, YWAM base, and program leader for each YWAM function you've been involved in.)
Outreach location:
Outreach leader:
YWAM base:
Date Attended:
How long have you been a Christian?
Why do you desire to attend this school?
What are your plans after completing this training?

Financial Information - - -
Do you have the total fees needed?
If no, what percentage do you have?
From what source will you receive the remainder?
Do you have any outstanding debts?
If yes, please explain.

Health Information - - -
If you have had or currently have any of the following conditions, please indicate below. (For each selected, please explain / specify.)
Skin condition:
Eye trouble:
Ear trouble:
Head injury:
Epilepsy:
Fainting spells:
Mental/nervous disorders:
Weakness:
Paralysis:
Insomnia:
Allergies:
Penicillin:
Sulphonamides:
Serum:
Other (specify):
Foods (specify):

Shortness of breath:
Hay fever / asthma:
Heart trouble:
High blood pressure:
Low blood pressure:
Rheumatism / arthritis:
Back problems:
Dislocation of joints:
Broken bones:
Eating disorders
Anorexia nervosa:
Bulimia:

Surgery
Appendectomy:
Hernia repari:
Tonsillectomy:
Other (specify):

Stomach / duodenal ulcer:
Gall bladder problems:
Jaundice:
Hepatitis:
Intestinal troubles:
Recurrent diarrhea:
Kidney disease:
Anemia:
Venereal disease:
Tumor / cancer:
Females
Irregular periods:
Severe cramps:
Excessive flow:
Current pregnancy:
Previous pregnancies:

Explain any other health issues, medical conditions, or physical handicaps.
Are you now under a doctor’s care for any condition?
(Please, specify).
Are you taking medication at this time?
(Please, specify).
Do you have a history of emotional instability or psychiatric treatment?
(Please, specify).
Are you overweight?
(Pounds over)
Are you underweight?
(Pounds under)
Blood type:
How would you rate your health condition?
(Excellent, good, fair, poor)
Have you ever had any of the following communicable diseases?
- Chicken pox - Measles/rubella - Tuberculosis - Pertussis - Scarlet fever
- Mumps

Other (specify)

Family history - - -
Have any of your relatives ever had any of the following? (If so, indicate relationship)
Tuberculosis:
Arthritis:
Diabetes:
Stomach disease:
Kidney disease:
Asthma:
Hay fever:
Heart disease:
Convulsions:
Epilepsy:
Hypertension:
Cancer:
Other (specify):
Supplemental Questions - - -
Please prayerfully and concisely answer the following questions.
Describe your conversion experience and present relationship with the Lord.
Describe other significant spiritual experiences you have had in your walk with the Lord.
How would you describe your relationship with your family? Include how they feel about your plans to attend this YWAM program.
Describe your relationship with your local church; include areas of service and leadership.
Are you presently employed or in school?
( Please specify).
Has God spoken to you about your life’s calling? Describe your long-term goals.
Have you had any missions experience? If so, where and what type(s) of ministry did you do?
Our training schools consist of a three-month lecture phase, immediately followed by a required two-month field assignment that includes overseas travel. Do you know of any circumstance that might prevent you from attending the field assignment?

(If yes, please explain).
Have you ever been involved in:
A felonious crime:
(If so, specify where and when).
A sexual crime:
(If so, specify where and when).
Drug or alcohol abuse :
Occultism:
Homosexual practices:

Comments:

Do you ever use tobacco or alcohol products in any form?
(If so, please explain).
What areas of your character are you presently seeking God to further develop and improve?
How did you hear about YWAM Louisville?
Please list any special circumstances or situations that we should know about.
Any additional comments.
AGREEMENT - - -
I certify that all information in the application is complete and accurate. If accepted by Youth With A Mission, I will abide by the spirit, rules, and schedule of the program. I understand that any documents, including evaluations, refrences and forms in my application or file are YWAM property, and I relinquish the right to view them or obtain information form them in any way. In accordance with biblical principles, I agree to resolve any and all disputes with Youth With A Mission, its board of directors, director, staff or volunteers by means of reconciliation or mediation and waive any right to pursue action by way of litigation. I confirm that I understand that payment of required fees must be made upon or before arrival. I also confirm that I am fully aware of my financial obligation, both to the Lord and to the interns and staff at Youth With A Mission. I therefore commit myself to paying all personal expenses incurred during my involvement with Youth With A Mission.
Please type your full name to certify your agreement.

a ministry ofyouth with a mission

site design & development by Holy Cow! Creative