Application Form

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Personal Information

  














Paste your Facebook profile URL.
Current Address





Permanent Address (If different from above)





Marital Status








First Name, Last Name, Gender, Date of Birth (dd/mm/yyyy), Passport Number, Nationality.

Passport Information









Emergency Contact Information




including international dialing code

including international dialing code

including international dialing code



Church Information













Education and Skills

Secondary School (Education between 11 and 18 years)


approximate date

approximate date

  


approximate date

approximate date

  


approximate date

approximate date

University/College/Higher or Further Education (post 18 years)


approximate

approximate date

  


approximate date

approximate date

  

What is your employment history and occupation?


approximate date

approximate date


Languages






Gifts, Hobbies and Talents

Please indicate your gifts including any drama, musical or artistic talents you have, as well as your hobbies.



Skills

Please enter your skill levels
Need supervision Can work independently Can teach others None


Christian Life and Experience





Personal Evaluation







Discipleship Training School & YWAM History (if applicable)








Finances

Staff in YWAM are responsible for providing their own fees and personal living expenses. Please contact us for recommended amounts of monthly committed support needed for singles, couples or families. 


How will you raise the required finances?

Please state below the support you already have. 

Amount needs to be in GBP (£)

Amount needs to be in GBP (£)

Amount needs to be in GBP (£)



Criminal Offences









YWAM England and Wales, as an agency working with children and young people, is exempt from the UK Rehabilitation of Offenders Act (1974) and therefore applicants must declare all previous convictions. Police record checks can be made by YWAM to verify information. 

Liability, Consent, Commitment and Termination of Involvement

I UNDERSTAND AND AGREE TO THE FOLLOWING TERMS AND CONDITIONS:
  • Youth With A Mission (YWAM) requires staff to have successfully completed a Discipleship Training School (DTS).

  • Acceptance on staff is conditional, subject to a 3 month mutual evaluation period. By the end of this time we will aim to have a mutual review to determine if this is the right place for you.

  • If I am accepted I will comply with the value, ethos & policies of YWAM International and YWAM Immerse Cornwall. (These documents can be found in ywam.org).

  • If I am accepted as Long Term staff, I understand I will have to complete an Orientation Programme before I begin.

  • As a volunteer with YWAM England, I am classified as self-employed and I understand it is my responsibility to register with HMRC (expand) within 90 days of entering the UK if I am here for more than 183 days. I understand that if I fail to do this, I will be responsible for any fines or consequences relating to this. (Further details can be requested from the personnel office and will be covered in the Orientation programme) 
  • I understand that YWAM Immerse Cornwall does not guarantee my housing and I may need to make my own arrangements.
  • I agree to allow Youth With A Mission Immerse Cornwall to take photographs of me and my dependants and grant permission for those photographs to be used in projects, promotional materials, press articles, our website, and social medias.
  • I understand that when I leave I will pay all outstanding money owed to YWAM Immerse Cornwall. If I am unable to pay off my debt, I will transfer the debt to a credit card.
  • In accordance with the UK Data Protection Act (1998), the information provided on my staff application form will be held securely, confidentially and will not be kept for longer than is necessary to achieve the stated purposes of recruitment, selection, supplementary personal details and statistics, or that required by law or our insurance company.
  • I agree to comply with all aspects of national and local laws
SAFEGUARDING DECLARATION
  • If needed, I consent to a criminal records check if appointed to the position for which I have applied. I am aware that details of pending prosecutions, previous convictions, cautions, or bindovers against me may be disclosed along with any other relevant information, which may be known to the police.

  • If needed, I understand that, if I am a UK resident, a check will be made with the Disclosure and Barring Service (DBS) and that it is an offence for any person to commence Regulated Activity without first providing a valid DBS Disclosure. If I am an overseas resident, I understand that I will need to provide a police check from my home nation if the position I am appointed to requires it.

  • I agree to inform the person within the YWAM base/team responsible for processing applications for Disclosure and Barring Service checks if I am convicted of an offence after I take up any post within YWAM England. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training association with YWAM.

  • I agree to inform the person within YWAM responsible for processing applications for the Disclosure and Barring Service if I become the subject of a police and/or a social services/(Children’s Social care or Adult Social Services)/social work department investigation.

  • I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training and association with YWAM.

  • Due to the nature of the working and living environment for most of our YWAM teams, with staff and families with small children living in close proximity, we need to also ask you to sign this statement. I confirm that I am not barred from working with children/vulnerable adults.
RELEASE OF LIABILITY
  • Though every effort is made to provide a safe environment, Youth With A Mission Limited, their agents, employees and volunteer assistants are insured against loss or injury caused by the negligence of Youth With A Mission Limited. In the absence of any negligence or other breach of duty by Youth With A Mission Limited, participation in a Youth with A Mission Limited organised programme, event or outreach is entirely at the participant’s own risk. Accordingly participants are required to have adequate medical insurance for all phases of their involvement with Youth With A MissionLimited
CONSENT FOR TREATMENT – AN EMERGENCY PROVISION
  • In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
I UNDERSTAND AND AGREE TO THE FOLLOWING TERMS AND CONDITIONS:
  • Youth With A Mission (YWAM) requires staff to have successfully completed a Discipleship Training School (DTS).

  • Acceptance on staff is conditional, subject to a 3 month mutual evaluation period. By the end of this time we will aim to have a mutual review to determine if this is the right place for you.

  • If I am accepted I will comply with the value, ethos & policies of YWAM International and YWAM Bristol. (These documents can be found in ywam.org).

  • If I am accepted as Long Term staff, I understand I will have to complete an Orientation Programme before I begin.

  • As a volunteer with YWAM England, I am classified as self-employed and I understand it is my responsibility to register with HMRC (expand) within 90 days of entering the UK if I am here for more than 183 days. I understand that if I fail to do this, I will be responsible for any fines or consequences relating to this. (Further details can be requested from the personnel office and will be covered in the Orientation programme) 
  • I understand that YWAM Bristol does not guarantee my housing and I may need to make my own arrangements.
  • I agree to allow Youth With A Mission Bristol to take photographs of me and my dependants and grant permission for those photographs to be used in projects, promotional materials, press articles, our website, and social medias.
  • I understand that when I leave I will pay all outstanding money owed to YWAM Bristol. If I am unable to pay off my debt, I will transfer the debt to a credit card.
  • In accordance with the UK Data Protection Act (1998), the information provided on my staff application form will be held securely, confidentially and will not be kept for longer than is necessary to achieve the stated purposes of recruitment, selection, supplementary personal details and statistics, or that required by law or our insurance company.
  • I agree to comply with all aspects of national and local laws
SAFEGUARDING DECLARATION
  • If needed, I consent to a criminal records check if appointed to the position for which I have applied. I am aware that details of pending prosecutions, previous convictions, cautions, or bindovers against me may be disclosed along with any other relevant information, which may be known to the police.

  • If needed, I understand that, if I am a UK resident, a check will be made with the Disclosure and Barring Service (DBS) and that it is an offence for any person to commence Regulated Activity without first providing a valid DBS Disclosure. If I am an overseas resident, I understand that I will need to provide a police check from my home nation if the position I am appointed to requires it.

  • I agree to inform the person within the YWAM base/team responsible for processing applications for Disclosure and Barring Service checks if I am convicted of an offence after I take up any post within YWAM England. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training association with YWAM.

  • I agree to inform the person within YWAM responsible for processing applications for the Disclosure and Barring Service if I become the subject of a police and/or a social services/(Children’s Social care or Adult Social Services)/social work department investigation.

  • I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training and association with YWAM.

  • Due to the nature of the working and living environment for most of our YWAM teams, with staff and families with small children living in close proximity, we need to also ask you to sign this statement. I confirm that I am not barred from working with children/vulnerable adults.
RELEASE OF LIABILITY
  • Though every effort is made to provide a safe environment, Youth With A Mission Limited, their agents, employees and volunteer assistants are insured against loss or injury caused by the negligence of Youth With A Mission Limited. In the absence of any negligence or other breach of duty by Youth With A Mission Limited, participation in a Youth with A Mission Limited organised programme, event or outreach is entirely at the participant’s own risk. Accordingly participants are required to have adequate medical insurance for all phases of their involvement with Youth With A MissionLimited
CONSENT FOR TREATMENT – AN EMERGENCY PROVISION
  • In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
I UNDERSTAND AND AGREE TO THE FOLLOWING TERMS AND CONDITIONS:
  • Youth With A Mission (YWAM) requires staff to have successfully completed a Discipleship Training School (DTS).

  • Acceptance on staff is conditional, subject to a 3 month mutual evaluation period. By the end of this time we will aim to have a mutual review to determine if this is the right place for you.

  • If I am accepted I will comply with the value, ethos & policies of YWAM International and YWAM St Albans. (These documents can be found in ywam.org).

  • If I am accepted as Long Term staff, I understand I will have to complete an Orientation Programme before I begin.

  • As a volunteer with YWAM England, I am classified as self-employed and I understand it is my responsibility to register with HMRC (expand) within 90 days of entering the UK if I am here for more than 183 days. I understand that if I fail to do this, I will be responsible for any fines or consequences relating to this. (Further details can be requested from the personnel office and will be covered in the Orientation programme) 
  • I understand that YWAM St Albans does not guarantee my housing and I may need to make my own arrangements.
  • I agree to allow Youth With A Mission St Albans to take photographs of me and my dependants and grant permission for those photographs to be used in projects, promotional materials, press articles, our website, and social medias.
  • I understand that when I leave I will pay all outstanding money owed to YWAM St Albans. If I am unable to pay off my debt, I will transfer the debt to a credit card.
  • In accordance with the UK Data Protection Act (1998), the information provided on my staff application form will be held securely, confidentially and will not be kept for longer than is necessary to achieve the stated purposes of recruitment, selection, supplementary personal details and statistics, or that required by law or our insurance company.
  • I agree to comply with all aspects of national and local laws
SAFEGUARDING DECLARATION
  • If needed, I consent to a criminal records check if appointed to the position for which I have applied. I am aware that details of pending prosecutions, previous convictions, cautions, or bindovers against me may be disclosed along with any other relevant information, which may be known to the police.

  • If needed, I understand that, if I am a UK resident, a check will be made with the Disclosure and Barring Service (DBS) and that it is an offence for any person to commence Regulated Activity without first providing a valid DBS Disclosure. If I am an overseas resident, I understand that I will need to provide a police check from my home nation if the position I am appointed to requires it.

  • I agree to inform the person within the YWAM base/team responsible for processing applications for Disclosure and Barring Service checks if I am convicted of an offence after I take up any post within YWAM England. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training association with YWAM.

  • I agree to inform the person within YWAM responsible for processing applications for the Disclosure and Barring Service if I become the subject of a police and/or a social services/(Children’s Social care or Adult Social Services)/social work department investigation.

  • I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training and association with YWAM.

  • Due to the nature of the working and living environment for most of our YWAM teams, with staff and families with small children living in close proximity, we need to also ask you to sign this statement. I confirm that I am not barred from working with children/vulnerable adults.
RELEASE OF LIABILITY
  • Though every effort is made to provide a safe environment, Youth With A Mission Limited, their agents, employees and volunteer assistants are insured against loss or injury caused by the negligence of Youth With A Mission Limited. In the absence of any negligence or other breach of duty by Youth With A Mission Limited, participation in a Youth with A Mission Limited organised programme, event or outreach is entirely at the participant’s own risk. Accordingly participants are required to have adequate medical insurance for all phases of their involvement with Youth With A MissionLimited
CONSENT FOR TREATMENT – AN EMERGENCY PROVISION
  • In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
I UNDERSTAND AND AGREE TO THE FOLLOWING TERMS AND CONDITIONS:
  • Youth With A Mission (YWAM) requires staff/crew to have successfully completed a Discipleship Training School (DTS).

  • Acceptance on staff is conditional, subject to a 3 month mutual evaluation period. By the end of this time we will aim to have a mutual review to determine if this is the right place for you.

  • If I am accepted I will comply with the value, ethos & policies of YWAM International and YWAM Next Wave. (These documents can be found in ywam.org).

  • If I am accepted as Long Term staff, I understand I will have to complete an Orientation Programme before I begin.

  • As a volunteer with YWAM England and S/Y Next Wave, I am classified as self-employed and I understand it is my responsibility to register with HMRC (expand) within 90 days of entering the UK if I am here for more than 183 days. I understand that if I fail to do this, I will be responsible for any fines or consequences relating to this. (Further details can be requested from the personnel office and will be covered in the Orientation programme) 
  • I agree to allow Youth With A Mission Next Wave to take photographs of me and my dependants and grant permission for those photographs to be used in projects, promotional materials, press articles, our website, and social medias.
  • I understand that when I leave I will pay all outstanding money owed to YWAM Next Wave/if applicable. If I am unable to pay off my debt, I will transfer the debt to a credit card.
  • In accordance with the UK Data Protection Act (1998), the information provided on my staff application form will be held securely, confidentially and will not be kept for longer than is necessary to achieve the stated purposes of recruitment, selection, supplementary personal details and statistics, or that required by law or our insurance company.
  • I agree to comply with all aspects of national and local laws
SAFEGUARDING DECLARATION
  • If needed, I consent to a criminal records check if appointed to the position for which I have applied. I am aware that details of pending prosecutions, previous convictions, cautions, or bindovers against me may be disclosed along with any other relevant information, which may be known to the police.

  • If needed, I understand that, if I am a UK resident, a check will be made with the Disclosure and Barring Service (DBS) and that it is an offence for any person to commence Regulated Activity without first providing a valid DBS Disclosure. If I am an overseas resident, I understand that I will need to provide a police check from my home nation if the position I am appointed to requires it.

  • I agree to inform the person within the YWAM base/team responsible for processing applications for Disclosure and Barring Service checks if I am convicted of an offence after I take up any post within YWAM England. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training association with YWAM.

  • I agree to inform the person within YWAM responsible for processing applications for the Disclosure and Barring Service if I become the subject of a police and/or a social services/(Children’s Social care or Adult Social Services)/social work department investigation.

  • I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training and association with YWAM.

  • Due to the nature of the working and living environment for most of our YWAM teams, with staff and families with small children living in close proximity, we need to also ask you to sign this statement. I confirm that I am not barred from working with children/vulnerable adults.
RELEASE OF LIABILITY
  • Though every effort is made to provide a safe environment, Youth With A Mission Limited, their agents, employees and volunteer assistants are insured against loss or injury caused by the negligence of Youth With A Mission Limited. In the absence of any negligence or other breach of duty by Youth With A Mission Limited, participation in a Youth with A Mission Limited organised programme, event or outreach is entirely at the participant’s own risk. Accordingly participants are required to have adequate medical insurance for all phases of their involvement with Youth With A MissionLimited
CONSENT FOR TREATMENT – AN EMERGENCY PROVISION
  • In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
I UNDERSTAND AND AGREE TO THE FOLLOWING TERMS AND CONDITIONS:
  • If I am accepted I will comply with the values and ethos of YWAM (These documents can be found on the website www.ywam.org)

  • I agree to abide by YWAM Code of Conduct

  • I have read the Job Description and are able to fill out the duties required.

  • I agree to allow Youth With A Mission Immerse Cornwall to take photographs of me and my dependants and grant permission for those photographs to be used in projects, promotional materials, press articles, our website, and social medias.
CONSENT FOR TREATMENT – AN EMERGENCY PROVISION
  • In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
RELEASE OF LIABILITY
  • Though every effort is made to provide a safe environment, Youth With A Mission Limited, their agents, employees and volunteer assistants are insured against loss or injury caused by the negligence of Youth With A Mission Limited.

  • In the absence of any negligence or other breach of duty by Youth With A Mission Limited, participation in a Youth with A Mission Limited organised programme, event or outreach is entirely at the participant’s own risk. Accordingly participants are required to have adequate medical insurance for all phases of their involvement with Youth With A Mission Limited.
SAFEGUARDING DECLARATION
  • If needed, I consent to a criminal records check if appointed to the position for which I have applied. I am aware that details of pending prosecutions, previous convictions, cautions, or proceedings against me may be disclosed along with any other relevant information, which may be known to the police.

  • If needed, I understand that, if I am a UK resident, a check will be made with the Disclosure and Barring Service and that it is an offence for any person to commence Regulated Activity without first providing a valid DBS Disclosure. If I am on overseas resident, I understand that I will need to provide a police check from my home nation if the position I am appointed to requires it.

  • I agree to inform the person within the YWAM base/team responsible for processing applications for Disclosure and Barring Service checks if I am convicted of an offence after I take up any post within YWAM in England or Wales. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training association with YWAM.

  • I agree to inform the person within YWAM responsible for processing applications for Disclosure and Barring Service if I become the subject of a police and/or a social services/(Children’s Social care or Adult Social Services)/social work department investigation. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training and association with YWAM.

  • Due to the nature of the living environment for most of our YWAM teams, with staff and families with small children living in close proximity, we need to also ask you to sign this statement.

  • I confirm that I am not barred from working with children/vulnerable adults.
I UNDERSTAND AND AGREE TO THE FOLLOWING TERMS AND CONDITIONS:
  • If I am accepted I will comply with the values and ethos of YWAM (These documents can be found on the website www.ywam.org)

  • I agree to abide by YWAM Code of Conduct

  • I have read the Job Description and are able to fill out the duties required.

  • I agree to allow Youth With A Mission Bristol to take photographs of me and my dependants and grant permission for those photographs to be used in projects, promotional materials, press articles, our website, and social medias.
CONSENT FOR TREATMENT – AN EMERGENCY PROVISION
  • In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
RELEASE OF LIABILITY
  • Though every effort is made to provide a safe environment, Youth With A Mission Limited, their agents, employees and volunteer assistants are insured against loss or injury caused by the negligence of Youth With A Mission Limited.

  • In the absence of any negligence or other breach of duty by Youth With A Mission Limited, participation in a Youth with A Mission Limited organised programme, event or outreach is entirely at the participant’s own risk. Accordingly participants are required to have adequate medical insurance for all phases of their involvement with Youth With A Mission Limited.
SAFEGUARDING DECLARATION
  • If needed, I consent to a criminal records check if appointed to the position for which I have applied. I am aware that details of pending prosecutions, previous convictions, cautions, or proceedings against me may be disclosed along with any other relevant information, which may be known to the police.

  • If needed, I understand that, if I am a UK resident, a check will be made with the Disclosure and Barring Service and that it is an offence for any person to commence Regulated Activity without first providing a valid DBS Disclosure. If I am on overseas resident, I understand that I will need to provide a police check from my home nation if the position I am appointed to requires it.

  • I agree to inform the person within the YWAM base/team responsible for processing applications for Disclosure and Barring Service checks if I am convicted of an offence after I take up any post within YWAM in England or Wales. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training association with YWAM.

  • I agree to inform the person within YWAM responsible for processing applications for Disclosure and Barring Service if I become the subject of a police and/or a social services/(Children’s Social care or Adult Social Services)/social work department investigation. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training and association with YWAM.

  • Due to the nature of the living environment for most of our YWAM teams, with staff and families with small children living in close proximity, we need to also ask you to sign this statement.

  • I confirm that I am not barred from working with children/vulnerable adults.
I UNDERSTAND AND AGREE TO THE FOLLOWING TERMS AND CONDITIONS:
  • If I am accepted I will comply with the values and ethos of YWAM (These documents can be found on the website www.ywam.org)

  • I agree to abide by YWAM Code of Conduct

  • I have read the Job Description and are able to fill out the duties required.

  • I agree to allow Youth With A Mission St Albans to take photographs of me and my dependants and grant permission for those photographs to be used in projects, promotional materials, press articles, our website, and social medias.
CONSENT FOR TREATMENT – AN EMERGENCY PROVISION
  • In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
RELEASE OF LIABILITY
  • Though every effort is made to provide a safe environment, Youth With A Mission Limited, their agents, employees and volunteer assistants are insured against loss or injury caused by the negligence of Youth With A Mission Limited.

  • In the absence of any negligence or other breach of duty by Youth With A Mission Limited, participation in a Youth with A Mission Limited organised programme, event or outreach is entirely at the participant’s own risk. Accordingly participants are required to have adequate medical insurance for all phases of their involvement with Youth With A Mission Limited.
SAFEGUARDING DECLARATION
  • If needed, I consent to a criminal records check if appointed to the position for which I have applied. I am aware that details of pending prosecutions, previous convictions, cautions, or proceedings against me may be disclosed along with any other relevant information, which may be known to the police.

  • If needed, I understand that, if I am a UK resident, a check will be made with the Disclosure and Barring Service and that it is an offence for any person to commence Regulated Activity without first providing a valid DBS Disclosure. If I am on overseas resident, I understand that I will need to provide a police check from my home nation if the position I am appointed to requires it.

  • I agree to inform the person within the YWAM base/team responsible for processing applications for Disclosure and Barring Service checks if I am convicted of an offence after I take up any post within YWAM in England or Wales. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training association with YWAM.

  • I agree to inform the person within YWAM responsible for processing applications for Disclosure and Barring Service if I become the subject of a police and/or a social services/(Children’s Social care or Adult Social Services)/social work department investigation. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training and association with YWAM.

  • Due to the nature of the living environment for most of our YWAM teams, with staff and families with small children living in close proximity, we need to also ask you to sign this statement.

  • I confirm that I am not barred from working with children/vulnerable adults.
I UNDERSTAND THAT:
  • If I am accepted I will comply with the values and ethos of YWAM (These documents can be found on the website www.ywam.org)

  • I agree to abide by YWAM Code of Conduct

  • I agree to allow Youth With A Mission Immerse Cornwall to take photographs of me and my dependants and grant permission for those photographs to be used in projects, promotional materials, press articles, our website, and social medias.
CONSENT FOR TREATMENT – AN EMERGENCY PROVISION
  • In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
RELEASE OF LIABILITY
  • Though every effort is made to provide a safe environment, Youth With A Mission Limited, their agents, employees and volunteer assistants are insured against loss or injury caused by the negligence of Youth With A Mission Limited.

  • In the absence of any negligence or other breach of duty by Youth With A Mission Limited, participation in a Youth with A Mission Limited organised programme, event or outreach is entirely at the participant’s own risk. Accordingly participants are required to have adequate medical insurance for all phases of their involvement with Youth With A Mission Limited.
SAFEGUARDING DECLARATION
  • If needed, I consent to a criminal records check if appointed to the position for which I have applied. I am aware that details of pending prosecutions, previous convictions, cautions, or bindovers against me may be disclosed along with any other relevant information, which may be known to the police.

  • If needed, I understand that, if I am a UK resident, a check will be made with the Disclosure and Barring Service and that it is an offence for any person to commence Regulated Activity without first providing a valid DBS Disclosure. If I am on overseas resident, I understand that I will need to provide a police check from my home nation if the position I am appointed to requires it.

  • I agree to inform the person within the YWAM base/team responsible for processing applications for Disclosure and Barring Service checks if I am convicted of an offence after I take up any post within YWAM in England or Wales. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training association with YWAM.

  • I agree to inform the person within YWAM responsible for processing applications for Disclosure and Barring Service if I become the subject of a police and/or a social services/(Children’s Social care or Adult Social Services)/social work department investigation. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training and association with YWAM.
I UNDERSTAND THAT:
  • If I am accepted I will comply with the values and ethos of YWAM (These documents can be found on the website www.ywam.org)

  • I agree to abide by YWAM Code of Conduct

  • I agree to allow Youth With A Mission Bristol to take photographs of me and my dependants and grant permission for those photographs to be used in projects, promotional materials, press articles, our website, and social medias.
CONSENT FOR TREATMENT – AN EMERGENCY PROVISION
  • In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
RELEASE OF LIABILITY
  • Though every effort is made to provide a safe environment, Youth With A Mission Limited, their agents, employees and volunteer assistants are insured against loss or injury caused by the negligence of Youth With A Mission Limited.

  • In the absence of any negligence or other breach of duty by Youth With A Mission Limited, participation in a Youth with A Mission Limited organised programme, event or outreach is entirely at the participant’s own risk. Accordingly participants are required to have adequate medical insurance for all phases of their involvement with Youth With A Mission Limited.
SAFEGUARDING DECLARATION
  • If needed, I consent to a criminal records check if appointed to the position for which I have applied. I am aware that details of pending prosecutions, previous convictions, cautions, or bindovers against me may be disclosed along with any other relevant information, which may be known to the police.

  • If needed, I understand that, if I am a UK resident, a check will be made with the Disclosure and Barring Service and that it is an offence for any person to commence Regulated Activity without first providing a valid DBS Disclosure. If I am on overseas resident, I understand that I will need to provide a police check from my home nation if the position I am appointed to requires it.

  • I agree to inform the person within the YWAM base/team responsible for processing applications for Disclosure and Barring Service checks if I am convicted of an offence after I take up any post within YWAM in England or Wales. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training association with YWAM.

  • I agree to inform the person within YWAM responsible for processing applications for Disclosure and Barring Service if I become the subject of a police and/or a social services/(Children’s Social care or Adult Social Services)/social work department investigation. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training and association with YWAM.
I UNDERSTAND THAT:
  • If I am accepted I will comply with the values and ethos of YWAM (These documents can be found on the website www.ywam.org)

  • I agree to abide by YWAM Code of Conduct

  • I agree to allow Youth With A Mission St Albans to take photographs of me and my dependants and grant permission for those photographs to be used in projects, promotional materials, press articles, our website, and social medias.
CONSENT FOR TREATMENT – AN EMERGENCY PROVISION
  • In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.
RELEASE OF LIABILITY
  • Though every effort is made to provide a safe environment, Youth With A Mission Limited, their agents, employees and volunteer assistants are insured against loss or injury caused by the negligence of Youth With A Mission Limited.

  • In the absence of any negligence or other breach of duty by Youth With A Mission Limited, participation in a Youth with A Mission Limited organised programme, event or outreach is entirely at the participant’s own risk. Accordingly participants are required to have adequate medical insurance for all phases of their involvement with Youth With A Mission Limited.
SAFEGUARDING DECLARATION
  • If needed, I consent to a criminal records check if appointed to the position for which I have applied. I am aware that details of pending prosecutions, previous convictions, cautions, or bindovers against me may be disclosed along with any other relevant information, which may be known to the police.

  • If needed, I understand that, if I am a UK resident, a check will be made with the Disclosure and Barring Service and that it is an offence for any person to commence Regulated Activity without first providing a valid DBS Disclosure. If I am on overseas resident, I understand that I will need to provide a police check from my home nation if the position I am appointed to requires it.

  • I agree to inform the person within the YWAM base/team responsible for processing applications for Disclosure and Barring Service checks if I am convicted of an offence after I take up any post within YWAM in England or Wales. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training association with YWAM.

  • I agree to inform the person within YWAM responsible for processing applications for Disclosure and Barring Service if I become the subject of a police and/or a social services/(Children’s Social care or Adult Social Services)/social work department investigation. I understand that failure to do so may lead to the immediate suspension of my work with children or vulnerable adults and/or the termination of my work/training and association with YWAM.
I have read and agree with the TERMS & CONDITIONS, SAFECUARDING DECLARATION, CONSENT FOR TREATMENT and RELEASE OF LIABILITY, and I declare that I have completed this application truthfully, to the best of my knowledge. 

Additional Medical Information


PERSONAL HEALTH DISCLOSURE

  • Please complete all sections of this reference.
  • If you need more space to answer a question, please use a separate blank document or send us an email to wsnell@ywamharpenden.org saying PERSONAL HEALTH DISCLOSURE EXTRA INFORMATION
  • Husbands and wives must supply separate medical references
  • We reserve the right to ask you to have a medical reference completed by a medical doctor (or psychiatrist if appropriate), depending on the advice of our Medical Officer
YOUR HONEST INFORMATION WILL HELP US TO EFFECTIVELY ASSESS YOUR APPLICATION AND BEST CONSIDER YOUR NEEDS.
APPLICANT'S RELEASE OF MEDICAL INFORMATION
give permission for medical information to be reviewed by YWAM's medical officer (ie registered nurse, medical doctor, psychiatrist or suitably qualified allied health professional) for purposes of assessing my suitability for service with Youth With A Mission. 
I give permission for the release of relevant medical information to the Youth With A Mission Medical Officer in consultation, if necessary, with the personnel manager or team leader only.

GENERAL HEALTH











       
MEDICAL HISTORY
          
Have you ever had or been treated for any of the following?
Yes No

      
List all the SERIOUS ILLNESS and OPERATIONS you have had in the past. (This means any illness requiring hospital admission, treatment from your doctor for an illness lasting more than one month, or any illness that may have an affect on your health both now and in the future) Please also state the outcome and whether there are any residual problems.




click here to convert your height from another measurement

click here to convert your weight from another measurement
      
WELLBEING
     
Have you experienced any of the following:
Yes No








Disclosing information in this section does not necessarily preclude you from acceptance. These questions are to help us assess whether YWAMs lifestyle is suitable for you at the present moment.



WOMEN ONLY

VACCINATIONS
         
If these are not available in your country, we will require you to have them within one month of arrival, at your own expense. (This form is not complete until this section has been answered)

Due to our close living conditions, we require all staff and trainees to be up to date with their vaccinations including:



(we require booster within last 10 years, especially if travelling to developing nations)
       

MEDICAL COVERAGE IN THE UK

References

Please try and select people that have known you for at least two years and please don't choose close family members.
Church Leader Confidential Reference





YWAM Leader Confidential Reference (or Teacher/Employer if no previous YWAM experience)




Mature Christian Friend Reference




Review and Submit


On the next page you can review your full application. If there are any changes you need to make you will be able to go back through your application. 


Once you have reviewed your application please click confirm at the bottom of the review page to send to us.

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