Disciple Training School Application

Full name *

Preferred Name

Email Address *

Contact Phone Number *

Gender *

Male

Female

Marital Status *

Date of Birth *

Age *

Place of Birth *

Country

City

Occupation *

Country

City

Name as listed on passport

Country of Citizenship *

City/Country of Issue

Passport Number

Expiration Date

Do you have a passport *

YES

NO

I HAVE RECENTLY APPLIED

Visa Type

Visa Expiration Date

Please state which school you are applying for *

Start Date *

Emergency Contact Name *

Relationship *

Phone Number *

Email *

Do you have medical insurance? *

Yes

No

Are you taking any prescription medications? *

Yes

No

Do you have a history of emotional instability or psychiatric treatment? *

Yes

No

Special diet? *

Yes

No

Allergies? *

Yes

No

Do you have any physical impairments, handicaps, or health conditions that require special attention? *

Yes

No

Consent for treatment *

In case of emergency, by clicking "Yes, I agree", I hereby agree to the performance of such treatment, including anaesthesia and surgery, as the attending doctor or physician may deem necessary.

Yes, I agree

Release of Liability *

By clicking "Yes, I agree", I hereby release ACTS School and Youth With A Mission, its staff, agents and volunteer assistants from any liability whatsoever arising out of any injury, damage, death, or loss which may be sustained by said person(s) during the course of involvement with this mission base.

Yes, I agree

How long have you been a Christian? *

Please describe your current relationship with the Lord. *

How did God lead/direct you and/or what motivated you to apply as a student for this school? *

What are your spiritual & Ministry goals, and what are some possible ways we could help you with these goals?

Have you been involved in any cross-cultural ministry? *

Yes

No

Church Background *

Describe your relationship with your church and pastor(s) include church name and denomination, and any areas of service. *

Any past or present involvement in YWAM or DTS? *

Yes

No

English Proficiency *

Other Languages

Highest level of education, and any relevant qualifications

Skills/ Talents/ Interests *

List all that apply

Musical Abilities

Yes

No

I will bring an instrument to DTS

Yes

No

Do you currently have your total school fees *

Yes

No

If no what percentage do you have? *

25%

50%

75%

Do you have any outstanding debts

Yes

No

I certify that all information in this application is complete and accurate *

Yes

No

Pastor/Teacher/Employer/Close friend Reference Name *

Pastor/Teacher/Employer/Close friend Reference Email *

Pastor/Teacher/Employer/Close friend Reference Phone Number *

Upload Recent photograph or yourself *

Disciple Training School Application

Basic Info

Passport / Visa

Emergency Information

Health Information

Christian Life

Education Information

Financial Information

References Please provide details for 2 referees.

You can help make evangelical history.

ACTS SCHOOL