YWAM San Pedro - Staff Application

YWAM San Pedro Staff Application
Your Information
Full Name *

First Name Last Name
Birth Date *

Month Day Year
Place of Birth
Nationality *
Gender *
E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone Number *

- Area Code Phone Number
Cell Phone Number

- Area Code Phone Number
Passport Number *
Passport Expiry Date *

- Month - Day Year
Please indicate your primary language *
Please indcate your level of Spanish *

Primary Language Translator Capability Average Basic None
Marital Status *
Will your spouse be traveling with you? *

Family Information
Spouse's Name

First Name Last Name
Date of Spouse's Birth

Month Day Year
Spouse's Passport Number
Spouse's Passport Expiry Date

- Month - Day Year
If spouse is also applying we will need a seperate application from them as well.
Children Traveling With You?
Child 1 Name

First Name Last Name
Child's Birth Date

Month Day Year
Passport Number
Passport Expiry Date

- Month - Day Year
Child 2 Name

First Name Last Name
Child's Birth Date

Month Day Year
Passport Number
Passport Expiry Date

- Month - Day Year
Child 3 Name

First Name Last Name
Child's Birth Date

- Month - Day Year
Passport Number
Passport Expiry Date

- Month - Day Year

YWAM Experience
Have you completed a DTS with YWAM? *
DTS Location
Dates
Outreach Location
Leader's Name

First Name Last Name
Leader's Telephone or E-Mail
Other YWAM Experience (Location, Dates, Involvement)

Interested in Serving
Interested in Serving From *

- Month - Day Year
Interested in Serving To *

- Month - Day Year

Spiritual Information
How long have you been a Christian, and how did you become one?
What is your relationship with the Lord now?
Have you helped others accept Christ as their Savior? If so, how?
How has God called you to missionary service?
Describe your personal devotional life.
What is your specific calling, i.e. pastoring, evangeism, helps?
What specific expectations do you have about serving with YWAM?
Please share why you desire to be staff here at YWAM San Pedro.
How did you hear about our staff opportunities?
Please share your skills and abilites, (ex: cooking, building, accounting, worship leader, etc.)

Christian Experience
Have you led a prayer group?
Have you done any public speaking?
Have you partcipated in a worship group?
Have you held a leadership position in your church or youth group?
Describe
Does your pastor/elder/priest know you are sending us this application? *
How would you describe your relationship with your pastor/edler/piest?
Pastor's Name *

First Name Last Name
Church's Name *

Church's Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Church's Phone Number

- Area Code Phone Number
Church's E-Mail *
Denomination

Your Signature
I have been informed of the above activity sponsored by Youth With A Mission San Pedro [known as "YWAM"] and I hereby voluntarily consent to participate in this activity. I understand all reasonable safety precautions will be taken by the leaders of this activity, and I acknowledge that the possibility of an unforeseen hazard does exist. In consideration of YWAM organizing, arranging and permitting me to attend and participate in the event described above and any related activity, I hereby waive all rights which I may now have or which may accrue in the future against YWAM its respective chapters, directors, officers, employees, agents and members (collectively "YWAM Representatives"), and I hereby release and discharge YWAM and the YWAM Representatives from all liability, and agree to indemnify and hold YWAM and the YWAM Representatives harmless from and against all liability for any and all actions, damages, causes of action, suits, costs, losses, expenses, claims, demands, damages and judgments (collectively the “Losses and Claims”), which I, my spouse, family members, children, invitees, heirs, executors, successors, administrators and assignees, now have or hereafter may have resulting from or arising in connection with my travel to, attendance at or participation in the YWAM event or any related activity.

I acknowledge certain legal rights against YWAM or the YWAM Representatives may be available now or in the future as a result of any Losses and Claims, and that by executing this waiver and release of liability, I am forever relinquishing those rights against YWAM and the YWAM Representatives. I acknowledge that no promises, representations, or affirmations of fact were made to me by YWAM or the YWAM Representatives concerning the safety of the event or related activity, the security precautions taken in sponsoring the event, the relative safety or danger associated with traveling to the event or participating in any activity or outing related to, or connected in any way to the event. I affirm that I have read and understand the foregoing provisions of this Release of All claims, Waiver of Liability, Assumption of Risk and Indemnification Agreement and I accept its terms as a condition to my attendance at that event. In case of a medical emergency, I hereby give YWAM my permission to authorize and emergency medical treatment by a physician as he or she may deem necessary.
I certify that the information provided in this application is accurate and true. (Use mouse to sign and left click in the box)

Clear
Today's Date

- Month - Day Year
Should be Empty:

	Skilled	Capable	Willing	None
Kitchen
Administration
Hospitality
Maintenance
Auto Maintenance
Video Editing
Web Sites
Accounting

YWAM San Pedro Staff Application

Your Information

Family Information

YWAM Experience

Interested in Serving

Spiritual Information

Christian Experience

Service Information

Health Information

Your Signature