FMI Application – Youth With A Mission Madison

Foundations for Missions Internship (FMI) Application

Welcome to our FMI application form! Your progress will be saved as you finish each page, 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!

*Our most common issue is the “save and continue” email link getting sent to people’s spam folders, so if you never received one after attempting to use that feature, check there first!

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Full Name(Required)
First Name Last Name

Email(Required)

Phone Number(Required)

Preferred method of contact (email or phone)(Required)
Email
Phone

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

Date of Birth(Required)

When and where was your DTS? What was your favorite part of DTS? What was the most challenging experience in your DTS?(Required)

If you have had experience with YWAM beyond DTS, list your history with YWAM thus far (other courses attended, staffing, etc.)?

If you have had ministry or missions experience outside of YWAM, describe your experience.

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

Why do you want to do the internship? What are your hopes and expectations? What knowledge and experience do you want to grow in?(Required)

Of the three units (practical, Bible, and worldview training), what are you most interested in? Why?(Required)

Which one or two tracks would you like to join?(Required)
STEM (Science, Technology, Engineering, and Math)
Elementary Education
Campus
Arts
Mercy Ministry
You will only be able to be enrolled in one track at a time, but there may be the option of switching tracks part way through the course, so you can select up to 2 so that we know which ones you are interested in.

How did you hear about YWAM Madison?(Required)

How did you hear about the internship?(Required)

Housing Choice(Required)
Global Missions Center (Main base/offices)
Phos House (Downtown/Campus ministry house)
Renting a room from a staff family
To help interns become part of the larger YWAM Madison community and gain God’s heart for the city, various options are open for accommodation. Choose 2 preferences from below. Note that we cannot guarantee space in your accommodation of choice but will take your preference into consideration.

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

Describe your family relationship (broken home, family church background, etc.). If you're married, also tell about your relationship with your spouse.(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 program 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
No

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. We need 2 references from you: 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)

Do you have a passport?(Required)
Yes
No
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)

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)
1
2
3
4
5
6
7
8
9
10

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
No

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 tell us about any military experience or obligations you have.

Have you ever been convicted of a felony?(Required)
Yes
No

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

Have you ever been convicted of a sexual crime?(Required)
Yes
No

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

Please add a recent photo of yourself(Required)
Accepted file types: jpg, jpeg, png, heic, heif, Max. file size: 256 MB.

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

Foundations for Missions Internship (FMI) Application

References

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