Activators DBS Application

Your Application will only be processed if all of the following Points have been completed

- Application complete (medical report, release from liability, recommendation)
- Non-refundable registration fee of 70 EUR

1. Application Details

* Date of the School you wish to attend Sept 18-Dec 15, 2020

2. Your Name

* First Name

* Last Name

3. Contact Details

Home Address

* Address

Address

City

Telephone (include country & area code)

Mobile Phone

* Email

Sign me up for YWAM Berlin Updates

4. Personal Details

* Your Date of Birth

* Place of birth

* Gender Male Female

* Marital Status Single Engaged Married Separated Widowed Divorced

Spouse´s Name

Married Since

5. Passport Details

* What is the country of your citizenship?

Passport Number

Date of expiry

Type of German Visa (if you currently hold one)

Date of visa expiry

6. Children

* Do you have any children accompanying you? Yes No

How many children will accompany you? 8
7
6
5
4
3
2
1
0

Name

Name Date of birth

Passport Details

Passport number Date of expiry

Name

Name Date of birth

Passport Details

Passport number Date of expiry

Name

Name Date of birth

Passport Details

Passport number Date of expiry

Please list additional children in the textfield below entering Name, Date of birth and passport details

Would you have health insurance coverage for the duration of DBS in Berlin?

7. Skills

* Languages spoken

* Current occupation & additional skills

8. Educational history

* Have you graduated from High/Secondary school Yes No

Please list date of graduation and name of certificate/diploma received. (255 chars left)

* List total number of years of primary/secondary schooling:

YWAM Expirience

Where did you do your DTS and what year? (1000 chars left)

What other schools (besides DTS) have you done (1000 chars left)

9. Financial Support

* Do you have your complete school fees? Yes No

How much do you presently have? (in EUR)

How do you anticipate the provision of the outstanding balance of your school fees?

* Do you have financial support? Yes No

10. Emergency Support

* Surname/Family Name/Last Name

* First Name

* Relationship (i.e Father, Mother, Sister, etc)

* Address (include country & postcode)

* Home Telephone (include country & area code)

Work Telephone (include country & area code)

Fax

* E-Mail Address

Mobile Number

11. Home Church information

Name of church

Pastor´s Name

Address:

Telephone Number (include country & area code)

Fax

E-mail Address

12. Questions

* How and When did you become a Christian?

* When and Where did you do your DTS?

* Where did you go for Outreach? Was it a positive or challenging experience for you and Why?

* Why do you want to do a Discipleship Bible School?

* Why Berlin?

* What do you want to do after your DBS?

* How will this DBS help equip you for the next step?

* What are some of the areas you want to personally grow in?

13. Release of Liability

I do hereby release Youth With A Mission Berlin e.V. , its agents, employees and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss which may be sustained by myself or other persons during my/ their course of involvements with Youth With A Mission.

Dated * Signature

If applicant is under 18 years of age, signature of parent/guardian is also required.

Name of Parent/Guardian Signed Email Address

14. Acknowledgement of Financial Responsibility

* I confirm that I understand payment of the required school tuition and fees must be made on or before my arrival, unless otherwise arranged with leadership, and I agree to do so. I also confirm that I am fully aware of my financial obligations, both to the Lord and to the students and staff at the school. I therefore accept all responsibility for my fees, tuition and personal expenses incurred during my involvement with Youth With A Mission. Yes No

15. Declaration

* I declare that all information contained herein is true, correct and complete to the best of my knowledge. Yes No

* Signed

16. Statutory Declaration

* I hereby declare that: As an adult I have never been involved in or convicted of violent, drug related, sexual assault or any other crime against a minor. Yes No

* I hereby declare that: I understand that spot checks may be carried out to verify the above and hereby give my permission for any police checks which might be necessary.

* I will provide police checks from my home country & the countries I have lived in the last 5 years for more than 1 year.

* Signature

17. Consent for Treatment

* Declaration

Name of Parent or Guardian

* Signature

Please send 70€ Registration-fee to our PayPal account by clicking here.

18. Image

Please upload a recent photo of yourself by clicking on the folder icon.

Thank you for taking the time to fill out the online part of the application.

Please download the offline Part of the Application by clicking here.

Please send 70 EUR via PayPal by clicking here.

Activators DBS Application

About YWAM Berlin

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About YWAM Berlin

Main Pages

contact