Personal Health Disclosure Form
This form asks questions about your fitness, physical and mental health.

Your honest information will help us to effectively assess your application and best consider your needs.

Depending on the advice of our Medical Advisor, we may ask you for a reference from a medical doctor or psychiatrist.
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Email *
Data Use and Storage
The information you supply about yourself in this form will be used to asses your suitability for service with YWAM Cambridge. It will be reviewed by YWAM Cambridge's Medical Advisor (a registered nurse, medical doctor, psychiatrist or other suitably qualified allied health professional) and by our Personnel Manager.

If the Medical Advisor has cause for concern, or recommends limits to your service be put in place, your medical information may also be shared with your Team Leader and/ or the Personnel Manager.

For more information about how your data will be used or stored, please read our privacy notice (http://ywamcambridge.org/privacy-notice/)


Do you give permission for your medical information to be reviewed by YWAM's medical advisor (a registered nurse, medical doctor, psychiatrist or suitably qualified allied health professional) for the purpose of assessing your suitability for service with YWAM Cambridge? *
Do you give permission for the release of relevant medical information to YWAM's medical advisor in consultation, if necessary, with the personnel manager or team leader? *
Full name *
Date of Birth *
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Position being applied for *
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