Evangelistic Schools Application

I am applying for:

Evangelist Training | Oct 16 - Nov 3 2023

Impact Evangelism School | Oct 16 - Nov 17 2023

Personal Information

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone

Birthday

MM/DD/YYYY

Gender

Male

Female

Prefer not to say

Address

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

Referred by (if applicable)

Ministry/Organization Name (if applicable)

Your Role (if applicable)

Marital Status

Single

Married

Separated/Divorced

Widowed

Will anyone not enrolled in the training attend with you?

No, just myself

Yes

Please include their names, ages, gender (including children)

Your highest level of education

Country of Birth

Country of Citizenship

Do you hold a valid passport?

Yes

No

Your Photo

Please upload a current photo of yourself

Accepted file types: jpg, jpeg, png, gif.

Reference

Please include the details of someone who knows you well in a ministry setting:

Reference Name

First Last

How do they know you?

Reference Person Email

Reference Person Phone

Emergency Information

In case of emergency, please contact:

Name

First Last

Relationship to you

Address

City State / Province / Region Country

Phone

Email

Health Information

Do you have any physical/ mental/ emotional health conditions, addictions or allergies we should be aware of?

No

Yes

If yes, please explain (include a list of any food or drug allergies, current medications and other pertinent information)

Do you have health insurance?

No

Yes

Please share any other issues of concern YWAM KC/call2all should be aware of?

For the record

Have you ever been indicted or convicted of any crimes of sexual offense, including but not limited to sexual abuse or indecent exposure?

No

yes

Have you ever been convicted, imprisoned, or placed on probation or parole?

No

yes

Do you have the total fees for your school?

Yes

No

How much do you currently have toward your school fees? How are you planning to raise the remainder?

Registration Fee

I understand that the $100 registration fee is required to complete my application

There will be a link to a PayPal form where you can pay by credit card or with your PayPal account. The button and link will be on the confirmation screen and your email as well. The registration fee is included in the total tuition cost. Upon completing a successful application an invoice with the remainder of the tuition cost will be sent to you.

Signature

Please use your finger, stylus or mouse to sign in the field below.

Application Form

Personal Information

Reference

Emergency Information

Health Information

For the record

Registration Fee