Personal Information Full Name * Date of Birth * Nationality * Gender * Select Male Female Current Address * Phone Number * Email Address * Marital Status * Single Married Divorced Widowed ID/Passport Number (for international students) * Date of Issue Date of Expiry Place of Issue Place/Country of Birth Families and Couples Name of Spouse Names/Dates of Birth of Children Have you sought the Lord together concerning this application and are you in agreement about coming for this school? If you have older children, have they been involved with the process of seeking God for direction and if yes are they at peace about the decision made? If you have younger children what will you do with regards their schooling/care whilst you are attending the SBS? Emergency Contact Name * Relationship * Phone Number * For Applicants Under 21 Father’s Name Mother’s Name Name of Guardian Person who is responsible for you / Contact Address Do your parents/guardian approve of this application? Yes No If not, please explain YWAM Involvement Have you completed a YWAM Discipleship Training School (DTS)? * Yes No DTS Location * When did you do your DTS? * List your DTS Outreach Locations * Briefly, share your DTS experience and its impact on your life and ministry * Other YWAM Schools/Training Completed (if applicable) Current/Recent Involvement in YWAM Contact of your Current/Recent Base Involved With Education and Skills Briefly describe your educational background (11-18 years) i.e. schools/colleges attended * If you have attended higher/further education (18+) please describe the establishments attended and qualifications received. Have you received any training/apprenticeships or attained any professional qualifications? If yes, list here What is your present occupation/employment? Which languages do you speak in order of fluency? {List the Languages here starting with the most fluent one} Do you feel confident that you will understand the lectures in English? Yes No List any particular areas of expertise you have. OTHER Name of your Pastor/Minister/Spiritual Leader * How long has he/she known you? Are they aware of this application? * Yes No Do they support this application? * Yes No If not, please explain why Name of your Church/Fellowship * Address Telephone/Mobile E-mail In which ways (if any) are you involved with your church? Testimony of your Salvation and Christian Walk * Describe your Current Relationship with God * Why do you want to join the School of Biblical Studies (SBS)? * What are your expectations for this school? * How do you intent to apply the knowledge gained from the SBS in your future ministry or career? * Do You Have Any Physical, Emotional, or Mental Health Conditions That We Should Be Aware Of? * If yes, list them down Do you have any dietary restrictions or any allergies? * If yes, list them down Have you ever been involved in any of the following? (tick any that apply) drug abuse alcoholism smoking addiction to gambling occult practices religious cults pornography homosexuality If yes to any of the above, please describe the extent of your involvement i.e. how long you were involved, if it is still a problem for you now. References Once you sent us the referee details, we will send them access to the reference forms. Ensure you inform them of that beforehand and they have given you the means through which we can send the link. Your DTS Leader or Current/Recent YWAM Leader you’ve worked with (Phone & Email) Pastor/Church Leader Reference * (Phone & Email) Commitments & Agreements Do you have health insurance? Yes No Financially commit to the SBS course fees? * Yes No Do you agree with and commit to YWAM’s core beliefs and values? * Yes No I declare that the information provided in this application is true and complete * Yes No I consent to a background check if required by YWAM Mombasa * Yes No I agree to abide by the rules and standards set by YWAM Mombasa during the SBS * Yes No Signature * How can we pray with you during your application process? * Any other information you would like to share with us? Upload Health Form Upload Release of Liability Upload Fee Agreement Form How would you like to pay your application fees? (Choose a mode and we will send you details on how to complete your payment) * “Kenyans” = Kshs 800, “East Africans” = $10, “Rest of the world” = $120 M-Pesa (Mobile money) PayPal Bank Transfer Other Banking Details BANK TRANSFERS: BANK: NCBA Bank, Mara & Ragati Roads, Upperhill P.O. Box 30437-00100 GPO SWIFT ADDRESS: CBAFKENX NCBA CODE: 070000 ACCOUNT NUMBER: 6598070018 ACCOUNT NAME: Youth With A Mission BANK PAYBILL: Business Number: 880100. Account Number: 6598070018 Submit Application
