Staff Application
Intended Start Date: *
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What areas of ministry are you most interested in? *
Your answer
Have you been in contact with anyone yet at YWAM DC about getting involved? If so, with whom? *
Your answer
Personal Details:
First Name/Last Name: *
Your answer
Date of Birth: *
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City, State/Province, Country of Birth: *
Your answer
Native Language: *
Your answer
If not English, describe your English fluency:
Your answer
Permanent address: *
Your answer
Country: *
Your answer
Phone:
Your answer
Email: *
Your answer
Citizenship: *
Your answer
Passport Number:
Your answer
Date of Expiration:
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Exact Name of Passport:
Your answer
Place of Passport Issuance:
Your answer
Visa Information
(For those who are not citizens of the USA)
Visa Type:
Your answer
Visa Date of Issuance:
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Visa Expiration:
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Other Personal Info:
Marital Status: *
Spouses Name:
Your answer
Children's Names and Ages:
Your answer
Do you have any illness or physical impairment that would put others at risk? If yes, please explain. *
Your answer
Have you ever been accused of sexual harassment or sexual misconduct? If yes, please explain. *
Your answer
Note that our community engages often in prayer and fasting. Do you have currently or have you had any issues with food? Eating disorders? If yes, please explain. *
Your answer
Do you have medical insurance? *
Medical Insurance Provider:
Your answer
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