DTS Application

Welcome to our DTS application form! Your progress will be saved as you go, so don’t worry if you can’t complete it all in one sitting. If you have any questions about how to fill out a certain part of it, or if you encounter an issue, just send us an email at admissions@ywammadison.org, and we will be more than happy to help you out!

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Full Name(Required)

First Name Last Name

Email(Required)

Phone Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth(Required)

DTS Choice(Required)

Elective Choice(Required)

Not every Elective is available with every DTS, so whether you attend the Fall or Winter DTS could impact which Electives you have available to choose from.

Elective Choice(Required)

Not every Elective is available with every DTS, so whether you attend the Fall or Winter DTS could impact which Electives you have available to choose from.

Year Program Starts(Required)

Why do you want to come to this program?(Required)

What are your long-term goals? Has God spoken to you about your life calling? Please explain.(Required)

Describe your conversion experience and relationship with the Lord.(Required)

How do you feel you adapt and respond to changes in situations and new environments?(Required)

Describe your family relationship (broken home, family church background, etc.). If you're married, also tell about your relationship with your spouse.(Required)

How does your family feel about your decision for missions?(Required)

What areas of your character are you seeking God to further develop and grow?(Required)

Briefly explain your relationship with your church or home fellowship, including service and leadership experience.(Required)

Have you had hurtful experiences with Christians or Christian groups in the past? If so, please describe what happened. (Write N/A if not applicable.)(Required)

Have you ever been asked to leave a church? Or have you ever been turned down by another YWAM or Mission Agency? If so, please describe what happened and when.(Required)

Have you ever struggled with drug or alcohol addiction?(Required)

Are you involved in any current or pending lawsuits or legal proceedings? If so, please comment on them.(Required)

Do you have your complete school fees? If not, how much do you have? What is your plan for paying the full amount?(Required)

Do you have health insurance?(Required)

Yes

How would you rate your overall health?(Required)

Please check any of the following that apply to you:(Required)

I am undergoing medical supervision

I have special dietary needs

I have a history of emotional instability, mental illness, or psychiatric treatment

I have struggled with eating disorders and/or self-harm

I have physical handicaps or health conditions which require special attention

I am unable to perform reasonably strenuous work on a daily basis

I am unable to walk 3-4 miles per day

I am currently pregnant

None of the above

Use this space to explain any positive answers above:

Please list any medications you are taking. Include the dose and frequency, and how long you have been taking it.(Required)

Do you have any other health conditions or concerns?

References

Please enter the names and contact info for your references here. For DTS applicants, we ask for 3 references: a friend who knows you well, a pastor/spiritual leader, and a teacher/employer. Please do not include a parent/guardian as a reference. If you are applying for a 2nd level course or for staff, you only need 2 references: Your DTS one-on-one or a recent YWAM small group leader as your first reference, and your DTS school leader as another. We will send your references an email explaining that you are applying to YWAM Madison and that you have given their name as a character reference. Please contact them to let them know to expect this one-time email and to tell them which program you’re applying to. These reference forms will be kept confidential.

Reference 1:(Required)

First Name Last Name

Relationship to you:(Required)

Reference #1's E-mail:(Required)

Reference #1's Phone Number(Required)

Reference 2:(Required)

First Name Last Name

Relationship to you:(Required)

Reference #2's E-mail:(Required)

Reference #2's Phone Number(Required)

Reference 3:(Required)

First Name Last Name

Relationship to you:(Required)

Reference #3's E-mail:(Required)

Reference #3's Phone Number(Required)

Do you have a passport?(Required)

Yes

No, but I’ve applied for one

Country of Birth(Required)

Country of Citizenship/Where your current passport is from (if different than Country of Birth)(Required)

If a Visa to the US is required for your country, please enter your visa details here:

On a scale of 1-10, how would you rank your English Proficiency?(Required)

Please tell us about any other languages you speak, and rank your proficiency on a scale of 1-10(Required)

Do you currently attend a church?(Required)

Yes

Church Name(Required)

Church Denomination(Required)

Pastor's Name(Required)

First Name Last Name

Church Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long have you attended this church?(Required)

Please provide us with a recent photo of yourself(Required)

Max. file size: 256 MB.

Please tell us about your current or most receent job. (Where do you work, what do you do, how long have you worked there?)(Required)

When and where did you graduate high school/secondary school? If you haven't graduated, how many years did you complete?(Required)

Please tell us about any military experience or obligations you have.

Have you ever been convicted of a felony?(Required)

Yes

If yes, please explain (what, when, where):

Have you ever been convicted of a sexual crime?(Required)

Yes

If yes, please explain (what, when, where):

Consent To Photo Release(Required)

I AGREE

I hereby grant Youth With A Mission (YWAM) Madison permission to use my likeness in a photograph, video, or other digital media in any and all of its publications, including web-based publications, without payment or other consideration.

I understand and agree that all photos will become the property of the Youth With A Mission (YWAM) and will not be returned.

I hereby irrevocably authorize Youth With A Mission (YWAM) Madison to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

I hereby hold harmless, release, and forever discharge Youth With A Mission (YWAM) Madison from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

BY CLICKING “I AGREE”, I AM STATING THAT I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE.

Global Missions Center	4802 Dakota Dr, Madison, WI 53704
Training & Retreat Center	N1707 County Rd N, Columbus, WI 53925
Phos House	602 Langdon St., Madison, WI 53703

Mailing address	PO Box 8503, Madison, WI 53708
Phone	608-255-0500
Email	ywam@ywammadison.org

DTS Application

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