Staff application form

Step 1 of 6

A. Personal Information
First name*
Last name*
Address*
Postal Address Line 2 City State/Province/Region ZIP/Postal Code
Country*
E-mail*
Téléphone
Nationality*
Passport*
Number Date of Issue Country of Issue Date of Expiration
Date of Birth*
DD slash MM slash YYYY
Marital Status*
- Single
- Married
- Divorced
- Widowed
- Remarried
Name of Spouse
First Last
Date of Marriage
MM slash DD slash YYYY
Name(s) of Children
Emergency Contact*
First Name Surname
Relationship to the applicant*
Address*
Address City ZIP / Postal Code
Country*
Phone Number*
B. Details of your Church
Name of your Church
Name of your pastor or church leader*
Phone Number*
E-mail*
How long have you been a part of this church?*
Does your pastor or church leader agree with your decision to join our staff?*
- Yes
- No
- Maybe
Describe your relationship with your pastor or spiritual leader:*
What are your experiences as an active memeber of your church?
Is your church financially supporting you?*

G. In-depth Questions
1. Christian Life and Missionary Call
When you come to YWAM Provence we expect to live a passionate adventure together. In that sense we also have an identity as a base and you will therefore fully partake in the vision and the different activities linked with the base. For more information, visit our website jemprovence.com In order to adequately prepare your arrival help you pursue your call, please answer the following questions:
A. Describe in a few lines your walk with God and some major events that have happened:*
B. Describe your mid to long term projections and vision:*
(Please tell us how long you would like to commit to serving here, don't worry it isn't binding!)
C. Why do you want to come to France? Why do you want to join YWAM Provence?
D. What is your family's position on your desire to serve in the mission field?
In what areas of the team and base life would you like to be involved in?
2. Health
Name of your GP / Doctor*
Last
Adresse
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
E-mail
Téléphone
A. Please give us a detailed account of any illness or disability you are suffering from:*
B. Please give us a detailed account of any prescribed medication you're taking or any medical follow-ups:*
C. Please give us a detailed account of any psychological treatment received, whether it be for depression or any other mental disorder:
D. Have you ever suffered from overexertion or chronic fatigue in the last two years? If so, are you still in need of help?*
E. Do you have any dietary requirements? (medical reasons only as written evidence will be asked)*
F. Do you suffer from any allergies?*
3. Personal Background
A. As we pray and study your application, please share with us anything that we should know in regards to addictions (drugs, alcohol, pornography etc.), past experiences that have caused deep wounds (occultism, sexual abuse etc.) or preoccupations regarding sexual identity.
B. Do you feel you have received enough help, support, prayer and healing to go into missions?*
C. Describe any other personal issues you think it would be good for us to know.
D. Is there a family or personal situation that will require your attention during your time in YWAM Provence?*
E. Do you have a criminal record?*
Please upload a photo of you:
Max. file size: 64 MB.
Well Done!
Well played! You have now arrived at the end of this application. Once the application process is completed we will let you know of the outcome within a maximum of 2 weeks. Thank you.

YWAM centre	School	Leader	Date

YWAM base	Position	Supervisor	Date

Language	Speaking	Reading	Writing

Staff application form

Staff Application Form

Step 1 of 6

A. Personal Information

B. Details of your Church

C. Background, Education and Interests

D. Finances

E. Visa

F. References

G. In-depth Questions

1. Christian Life and Missionary Call

2. Health

3. Personal Background

Well Done!

Number	Date of Issue	Country of Issue	Date of Expiration

School Name	Grade / Certificate / Degree	Date

Company/Organisation Name	Position	Date