School of Urban Leadership Application

We are so excited you are applying to be a part of our School of Urban Leadership at YWAM San Francisco.

We recommend setting aside an hour or two and completing this form in one sitting.

Please note: you may save your application and return to it at a later time to complete. Just follow the link above.

If you have any questions, please contact soul@ywamsanfrancisco.org.

Please upload a picture/headshot of yourself

General Information

First Name

Last Name

Preferred Name

Gender

Email

Email Type

Phone Number

Phone Type

Marital & Family Status

Marital Status

Spouse First Name

Spouse Last Name

Date of Marriage

Do you have children?

How many children do you have?

Birth, Citizenship, Passport

Birthdate

Place of Birth

Citizenship

Passport Number

Passport Expiration

Current Address

Country

Street

City

State

Province

State/Province/Region

Postal Code (US: Zip Code)

My current address is also my permanent address.

YesNo

Permanent Address

Country

Street

City

State

Province

State/Province/Region

Postal Code (US: Zip Code)

Languages

Primary Language

Spoken Languages

Hold down the Ctrl key to make multiple selections.

English Proficiency

Page 2

Home Church Information

Church Name

Denomination

Describe Other Denomination

Phone Number

Home Church Address

Country

Street Address

City

State

Province

State/Province/Region

US Zip Code

Enter a 5-digit Zip Code

Postal Code

Home Church Pastor Information

Pastor's First Name

Pastor's Last Name

Pastor's Email

Describe your relationship with your pastor/elder.

How do your church and spiritual leaders feel about your decision to join this YWAM program?

How long have you attended this church?

Have you completed a YWAM Discipleship Training School? (Not a Requirement)

YesNo

When and where did you complete your DTS?

Page 3

References

To complete your application, you will need to ask three people — a DTS/base leader, an employer/teacher and a pastor — to submit references for you.

If you have no completed a DTS, you only need an Employer/Teacher reference and your Pastor reference.

Please send each form to each respective person. The links are below.

DTS/Base Leader Reference (MUST REPLACE THIS REFERENCE LINK)
Employer/Teacher Reference (MUST REPLACE THIS REFERENCE LINK)
Pastor Reference (MUST REPLACE THIS REFERENCE LINK)

Please provide the names, emails, addresses and phone numbers of your three references.

Pastoral Reference

Pastor First Name

Pastor Last Name

Pastor Phone:

Pastor Email

Employer/Teacher Reference

Employer/Teacher First Name

Employer/Teacher Last Name

Employer/Teacher Phone:

Employer/Teacher Email

Base/DTS Leader Reference

Base/DTS Leader First Name

Base/DTS Leader Last Name

Base/DTS Leader Phone:

Base/DTS Leader Email

Emergency Contact Information

Emergency Contact First Name

Emergency Contact Last Name

Relationship to Emergency Contact

Emergency Contact Address

Country

Street Address

City

State

Province

State/Province/Region

Postal Code (US: Zip Code)

Emergency Contact Phone

Daytime Phone Number

Evening Phone Number

Other Phone Number

Page 4

Background Check

It is a requirement of all staff and students to go through a background check in order to apply at YWAM San Francisco. Before going to the next page of this application, please follow the link bellow and fill the background check. Failure to do so without a written/verbal explanation will result in the immediate rejection of your application.

BEGIN HERE

Social Media

This is for our application committee get to know you better as an applicant. Please take the time to write the usernames of all the social media platforms you have an account in.

Facebook

Instagram

Twitter

Blog/Vlog

Other

Page 5

Health Information

Health Insurance

Health Insurance Carrier

Health Insurance Policy Number

Allergies

Are you allergic to any medications?

Please specify your medical allergies.

Do you have other allergies?

Please describe any other allergies.

Current Health Status

How do you consider your health?

Please describe your health

Are you currently under a doctor's care?

Why are you under a doctor's care?

Please describe the treatment received, dates and present difficulty.

List any prescribed medications you currently take.

Do you have any recurring illnesses or physical weaknesses?

Please explain.

Objection to Medical Services

Do you have any objection to using medical services?

Please explain.

Please download the Medical Form and have your doctor complete it.

Completed forms should be scanned and emailed to mateo@ywamsanfrancisco.org or mailed to YWAM San Francisco, 357 Ellis Street, San Francisco, CA, 94102.

Page 6

Education and Work

Formal Education

Please list high school, university, etc.

Enter the name of the school, the dates attended, and the certificate or degree received.

Educational Degree #1

Educational Degree #2

Educational Degree #3

Employment History

Please list your work experience for the last three years.

Please enter the position, the name of the organization, the dates employed, and the location of the job.

Employment Position #1

Employment Position #2

Employment Position #3

What is your current occupation?

What are some of your talents and hobbies?

What has been your previous involvement with YWAM?

What other organizations have you worked with?

Are you licensed clergy?

Describe any formal Bible training you have received.

Page 8

Open Answer Questions

Devotional

Please replace the detailed question and directions in each response field with your statement.

Conversion Statement

Devotional Life Comments

Spiritual Growth Description

Church Involvement Description

Describe how you have helped others know Christ.

Doctrine Statements

Write your own statement on each of the following doctrines.

Doctrine Statement - Sin

Doctrine Statement - Salvation

Doctrine Statement - Jesus' Death on the Cross

Doctrine Statement - Holy Spirit

Doctrine Statement - Jesus Christ

Doctrine Statement - Repentance

Self-Reflection

Please replace the detailed question and directions in each response field with your statement.

Calling to Urban Ministry

Why Applying to Urban Leadership program

Expectations of YWAM SF

Future Dreams or Vision

Experience Being Self-Reliant

Dealing with Disappointment

Adjusting to Different Lifestyles

Experience with other Races, Cultures, and Religions

Page 9

Living in San Francisco

We want to ensure that you can thrive in San Francisco. Throughout your time serving in the city, you will encounter individuals experiencing addiction, homelessness, exploitation and other potential triggering circumstances. To properly prepare you, we would like you to answer the following questions.

If, for some reason, you have difficulty communicating your answer in writing, we would be glad to talk to you personally. Your answers to these questions will not, in themselves, prejudice your acceptance to staff. All answers are confidential.

Have you used any of these substances?

Alcohol"Soft" Drugs (marijuana, etc.)"Hard" Drugs (heroin, cocaine, crack, speed, etc.)None

Please explain how recently and in what quantities.

Have you ever been treated for any kind of anxiety disorder?

Anxiety Disorder Explanation

Have you ever had psychiatric treatment?

Are you presently taking psychiatric medications?

Psychiatric Medication Explanation

Have you ever been involved in the occult, a cult or sect?

Such as extremists groups, New Age, Eastern Mysticism, naturalistic philosophies, , etc.

Tell us more

Page 10

Financial Questions

Do you have your complete school fees?

How much monthly support do you have at this time? $

Enter a dollar amount with no decimals or currency symbol.

How do you plan to raise your fees?

What amount in one-time gifts have you received at this time? $

Enter an amount with no decimals or currency symbol.

How many prayer supporters do you currently have?

Do you have any outstanding debts?

Please explain.

Page 11

Agreements

Please indicate your agreement with the terms and conditions detailed below by checking the corresponding acknowledgement box.

Certification of Accuracy and Completeness

I certify that all information in this application is complete and accurate and if accepted by Youth With A Mission San Francisco, I will abide by the spirit, schedule and guidelines of this organization.

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

Acknowledgement of Financial Responsibility

I understand that I must have committed monthly support prior to leaving for YWAM San Francisco. I understand that payment of the required staff fees must be made monthly, unless otherwise approved by the Base Director. I further understand that payment must be made in U.S. currency. I also confirm that I am fully aware of my financial obligations as a staff member. I therefore promise to keep my word by paying in a timely manner all personal expenses incurred during my involvement with Youth With A Mission.

Yes, I acknowledge my financial responsibility in accordance with the stated policy

Release of Liability

I/we do hereby release Youth With A Mission, Inc., its staff, agents and volunteer assistants from any liability whatsoever arising out of injury, damage, or loss, which may be sustained by said person(s) during the course of involvement with Youth With A Mission.

Yes, I agree to the release of liability in accordance with the stated policy

Consent for Treatment

In case of emergency, I/we hereby agree to the performance of such treatment, including anesthesia and surgery, the attending doctor may deem necessary.

Yes, I consent for treatment in accordance with the stated policy