I am applying for
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Mission Builder
Impact Summer
Schoolies
Date of Intended Arrival
*
Please tell us your proposed date of arrival
MM
DD
YYYY
Date of Intended Departure
*
Please tells us your proposed date of departure
MM
DD
YYYY
Legal Name
*
First Name
Last Name
Preferred Name
Email Address
*
Gender
*
Female
Male
Other
Birth Date
*
MM
DD
YYYY
Birth Country
*
Are you of Aboriginal or Torres Strait Islander descent?
Aboriginal
Torres Strait
No
Permanent Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Residential Address
Only fill out this fields if your current Residential Address is different from your Permanent Address.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mailing Address
Only fill out this fields if your current Mailing Address is different from your Permanent Address.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Home Phone
*
Country
(###)
###
####
Phone Mobile
Country
(###)
###
####
Marital Status
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Single
Married
Divorced
Widowed
Will your spouse accompany you?
Yes
No
Spouse Birth Date
MM
DD
YYYY
Country of Citizenship
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Do you have a valid Passport?
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Yes
No
What's the Passport's Country of Issue?
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Passport Number
*
Passport Expiry Date
*
MM
DD
YYYY
Passport Related Notes (if applicable)
Do you currently hold an Australian Visa?
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Yes
No
If you do, what type of Visa?
If you do, what's the visa's Expiry Date?
MM
DD
YYYY
Full Name
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Home Phone
*
Country
(###)
###
####
Mobile Phone
Country
(###)
###
####
Relationship
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Parent
Sibling
Friend
Other
Have you been convicted of Felony?
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Yes (give details)
No
Have you been convicted of a Sexual Crime?
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Yes (give details)
No
Home Church (Name & City)
Denomination
Is English your first language?
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Yes
No
Which language do you speak at home?
*
How many years have you studied English?
*
Please rate your English Language Ability
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Perfect
Good
Mediocre
Poor
Very Poor
Have you ever had lectures delivered by a native English Speaker?
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Yes
No
Have you ever passed TOEFL or IELTS?
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Yes
No
What is your Highest Completed Level of Schooling?
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High School
Certificate I
Certificate II
Certificate III
Certificate IV
Associate's Degree
Bachelor's Degree
Graduate or Professional Degree
Some College
Other
Prefer not to Answer
Which area(s) would you be willing to serve the base in?
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Outreach
Hospitality (guest and house clean & prep)
Kitchen (prep, planning & cooking)
Garden/Grounds Maintenance
Car Maintenance
Office/Administrative work
Website/Social Media work
Computer/It work
Other
What area(s) do you have experience/qualification in?
Outreach
Hospitality (guest and house clean & prep)
Kitchen (prep, planning & cooking)
Garden/Grounds Maintenance
Car Maintenance
Office/Administrative work
Website/Social Media work
Computer/It work
Other
Height (in meters)
*
Weight (in kilos)
*
Overall Health Condition
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Excellent
Good
Mediocre
Poor
Do you have a disability?
*
Yes
No
If Yes, please select from below
Hearing impairment
Physical
Intellectual
Learning
Mental Illness
Acquired Brain Impairment
Vision
Medical Condition
Other
Are you able to walk 5km/3miles in a day?
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Yes
No
Swimming Ability
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Excellent
Average
Will need a flotation device
Can not swim
Can you perform reasonably strenuous work on a daily basis?
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Yes
No
Are you currently under medical supervision?
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Yes
No
Have you ever had an eating disorder?
*
Yes
No
Are you currently taking medication?
*
Yes
No
Are you allergic to any drugs or medication?
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Yes
No
Do you have special dietary needs?
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Yes
No
Have you ever had or currently have any of the following?
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Skin Condition
Diabetes
Eye Trouble
Hay Fever/Asthma
Ear Trouble
Heart Trouble
Head Injury
High Blood Pressure
Low Blood Pressure
Recurrent Headaches
Fainting Spells
Epilepsy
Arthritis
Back Problems
Mental/Nervous Disorders
Depression
Hepatitis
Problems with Menstrual Cycle
Stomach/Duodenal Ulcer
Intestinal Trouble
Paralysis
Kidney Disease
Anemia
Gall Bladder Problems
Cancer/Tumors
Insomnia
Surgery
HIV
Pregnancy
Other
None
Please describe if you ticked any boxes other than 'None'
Have any of your immediate family members ever had any of the conditions listed? Check all that apply.
*
Tuberculosis
Hyper-Tension
Cancer
Diabetes
Arthritis
Epilepsy/Convulsions
Kidney Disease
Stomach Disease
Heart Disease
Asthma/Hay Fever
Other
None
Have you ever had or currently have any of the following diseases?
*
Chicken Pox
Tuberculosis
Measles
Mumps
Other
None
Please describe if you ticked any boxes other than 'None'
I have had the following immunisations:
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None
Tetanus
Diphtheria
Hepatitis A
Hepatitis B
Polio
Typhoid
Measles/Mumps/Rubella
Rabies
Other
How did you hear about YWAM Byron Bay?
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What are your expectations?
*
Briefly explain any past missions experience.
*
Do you have your outreach fees?
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Yes
No
*
In order for us to make a decision on your application, you need to provide 3 references, one of which must be from a Pastor. If you are applying for a second level school like SOE or C4CM, one of your referees must be one of your recent YWAM leaders.
Once you have decided on your referees, please direct them to the following link where they can fill out our secure online reference form:
https://ywambyronbay.com/reference-form/ If your referee does not have access to the internet or is otherwise not able to fill it out online, please contact us for a printable reference form.
Now, please continue and finish the application, but know that we cannot make a decision on your application until we have received all of your three reference forms. I understand that YWAM Byron Bay can only process my application once all of my three referees have provided a reference.
I understand
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I have read, understand and agree to the Acknowledgement of Responsibility
*
I have read, understand and agree to the Release of Information
*
Now that you've completed the application, you will need to head over to our
payments page (link) and add the application fee to your cart and check out to complete your application submission. That's it :)!
I understand that I need to pay the application fee for my application to be processed