SOMD Application, Los Angeles – Section C

SCHOOL OF MINISTRY DEVELOPMENT

Youth With A Mission - Los Angeles

Thank you for applying for participation in the School of Ministry Development. May you know the Lord’s grace as you seek his direction. In order for us to process your application, we must receive the following completed forms. Husbands and wives enrolling as students must complete separate applications.

CHECKLIST FOR SUBMITTING A COMPLETE APPLICATION

Important: Answer each question on all forms. For questions that do not apply to you, answer with: N/A

q SOMD Application Form. Section A and B must be filled out either on-line or in printed form. This section, C, must be completed in full.

q SOMD Registration Fee. A non-refundable registration fee is to be forwarded with your completed application. The fee is required in order to process your application. All payments received for the SOMD must be in U.S. currency. See the Financial Policy for registration fee amounts.

q SOMD Financial Policy. Please review carefully, sign and date.

q Pastor’s Reference. Please send this form to your pastor or spiritual leader for completion.

q DTS Confidential Evaluation. Please send this form to your DTS director for completion.

q Consent Form. Please read carefully and sign each portion of the form.

q Copy of DTS File. If you attended a DTS in the past 2 years, please contact the base where you attended and request a copy of your DTS file to be sent directly to us. Otherwise, contact us and we will send you the necessary forms needed to supplement your application.

q Passport size picture.

Applications will not be reviewed until all parts are received.

Mail all application items to:

YOUTH WITH A MISSION

Attn: Registrar

11141 Osborne Street

Lake View Terrace, California 91342, USA

Phone: +1 818-896-2755, Fax: +1 818-897-6738

E-mail: registrar@ywamla.org

SOMD Application, Los Angeles – Section C

SCHOOL OF MINISTRY DEVELOPMENT

Youth With A Mission - Los Angeles

FINANCIAL POLICY

TUITION AND FEES

Registration Fee: This fee must be included with your application in order for consideration of acceptance. This fee is non-refundable and must be sent in U.S. currency. Singles: $35 Couples: $50

Tuition Fee: (Lecture Phase)

Please refer to our website or contact the Registrar at (818) 896 2755 ext. 230, or email registrar@ywamla.org for current prices.

* Because housing and childcare facilities are limited, the school director must approve all applicants with children.

TUITION FEE POLICIES

r Each student is expected to send $500 ($1,000 per couple) as soon as possible after being accepted into the school to reserve their enrollment.

r There will be a $50 discount for single students able to pay their tuition in full at least 30 days prior to the beginning of the school for which they are accepted. This can be deducted from tuition fee.

r The balance of tuition must be paid in full before the school begins. Any student arriving without the full tuition fees will not be able to attend, unless the school director has given approval.

r All payments must be made in U.S. funds.

r All personal expenses incurred while involved with YWAM Los Angeles are the responsibility of the student.

Variations to these policies are rare and require written approval by the director. A written copy of the proposal must be submitted at least two weeks prior to the beginning of the school. If the financing source is other than the student (e.g. friend, relative, church, etc.), a letter from the source verifying the means of payment must be presented with the applicant’s proposal.

Tuition fees cover school costs such as ground transportation, speaker expenses, meals and housing. Tuition does not include outreach expenses (optional), expenses of personal care or study materials. In order to maintain minimal cost for the school, each student will be involved in work duties for 10 hours per week. This involves jobs such as cleaning, cooking, landscaping, maintenance, etc.

Tuition fees are not tax deductible. This is a college course and is viewed by the IRS the same as any other college/university course. After completion of the course, funds received for support may be tax deductible.

REFUND POLICY

It is expected that when students enroll, they will continue through the entire course. However, termination or withdrawal from the program may occur due to emergencies or disciplinary reasons. Refunds are disbursed as follows:

Any time during:

the first week: 80% refund of tuition the 5^th week: 29% refund of tuition

the 2^nd week: 64% refund the 6^th week: 23% refund

the 3^rd week: 51% refund the 7^th week: 21% refund

the 4^th week: 36% refund the 8^th week: 17% refund

I have carefully read the above financial policy and hereby agree to comply with all the terms outlined.

Applicant Signature _____________________________________ Date __________________

SOMD Application, Los Angeles – Section C

School of Ministry Development

PASTOR’S REFERENCE

ATTENTION APPLICANT

Please complete the information below and provide a stamped envelope addressed to YWAM –

Los Angeles for the person completing the reference.

Applicant Name: ______________________________________________________________

SOMD Dates: _________________________

Dear Pastor,

Thank you for taking the time to complete this brief reference on behalf of the above named applicant. We recognize that your time is valuable and that you may have completed a more extensive reference for the applicant for past school application. We will obtain a copy of the reference for review. However, this reference is to gain a current evaluation of the applicant. Serious consideration will be given to your comments. We are also available should you have any questions for us.

I have known the applicant for ____________ years.

On a scale of 1 to 5, how well do you know the applicant? ______ (1= very little, 5= intimately)

How long has the applicant attended your church? _____________________

What activities has the applicant participated in since attending your church?

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

In your association with the applicant, what level of ministry commitment have you seen exemplified? (circle)

Faithful Moderate Inconsistent

For what reasons do you believe the applicant desires to attend the SOMD?

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

What areas of ministry skill do you feel need improvement?

__________________________________________________________________________________________________________

Please check all words that describe the applicant

__Teachable __Easily Discourage __Humorous __Easily Embarrassed

__Tolerant __Perfectionist __Moody __Easily Offended

__Enthusiastic __Nervous __Fearful __Dependable

__Committed __Lacking Humor __Domineering __Self Motivated

__Good Listener __Prejudiced __Flexible __Patient

__Understanding __Anxious __Critical __Wise

__Disciplined __Stable __Peaceful __Apathetic

In your opinion, in which of the following areas of ministry is the applicant gifted?

__Communication __Secretarial Work __Children’s Work __Administration

__Carpentry __Computing __Auto Mechanics __Plumbing

__Electrical __Preaching __Evangelism __Discipleship

__Counseling __Youth Work __Hospitality __Art

__Drama __Music/Worship __Prayer __Pastor/Teacher

__Encourager __Servant Hearted/Helps __Refugee Work __Church Planting

How does the applicant react to trying situations? (check one)

__Withdraws __Gets Discouraged __Gets angry __Meets constructively

__Accepts patiently __Other ______________________________________________________________

SOMD Application, Los Angeles – Section C

School of Ministry Development

PASTOR’S REFERENCE

Please check the appropriate rating for each category. We invite added comments.

	Superior	Above Average	Average	Below Average	Inferior
Self Initiative
Social Adaptability
Concern for others
Ability to follow
Leadership
Punctuality
Flexibility
Reliability
Teachability
Relating to others
Willingness to serve
Self Confidence
Christian Character
Responsible w/ Money
Evangelism
Cooperativeness
Decision Making
Emotional Stability
Health
Personal Appearance

If the opportunity were available, would you accept this applicant on your staff? Yes No Under what conditions? _____________________________________________________________________________________________________

Please comment on the applicant’s family background, if known:

_______________________________________________________________________________________________________________________________________________________________________________________________________________

Do you have any hesitation in fully recommending this applicant for the SOMD? No Yes If yes, explain.

_____________________________________________________________________________________________________

Pastor, is your congregation or group standing behind the applicant with total support? Yes No If no, explain.

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

Is there anything else you think we need to know about the applicant and his/her background to help further his/her growth? _____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

Print Name __________________________________________ Title ___________________________________________

Signature ______________________________________________________ Date ________________________________

Again, thank you for your comments and time.

Please use extra paper for additional comments. Mail form to:

Youth With A Mission, attn: Registrar, 11141 Osborne Street, Lake View Terrace, CA 91342, USA

Phone: +1 818-896-2755, Fax: +1 818-897-6738

SOMD Application, Los Angeles – Section C

School of Ministry Development

DTS CONFIDENTIAL EVALUATION

ATTENTION APPLICANT

Please complete the information below and provide a stamped envelope addressed to YWAM -

Los Angeles for the person completing the reference.

Applicant Name: ________________________________________________________________

SOMD Dates: _____________________________

The DTS director or small group leader that worked directly with the above named applicant should complete this form. All information on the evaluation form will be kept in strict confidence. Serious consideration will be given to your comments; therefore, we ask that you complete this form thoroughly and carefully. Thank you for taking your valuable time to help us with our student selection.

Please check the appropriate rating for each category. We invite added comments.

	Superior	Above Average	Average	Below Average	Inferior
Self Initiative
Social Adaptability
Concern for others
Ability to follow
Leadership
Punctuality
Flexibility
Reliability
Teachability
Relating to others
Willingness to serve
Self Confidence
Christian Character
Responsible w/ Money
Evangelism
Cooperativeness
Decision Making
Emotional Stability
Health
Personal Appearance

What areas did he/she excel in during their DTS? __________________________________________________________

What areas do you feel need improvement? _______________________________________________________________

Please check all words that describe the applicant

__Teachable __Easily Discouraged __Humorous __Easily Embarrassed

__Tolerant __Perfectionist __Moody __Easily Offended

__Enthusiastic __Nervous __Fearful __Dependable

__Committed __Lacking Humor __Domineering __Self Motivated

__Good Listener __Prejudiced __Flexible __Patient

__Understanding __Anxious __Critical __Wise

__Disciplined __Stable __Peaceful __Apathetic

SOMD Application, Los Angeles – Section C

School of Ministry Development

DTS CONFIDENTIAL EVALUATION

In your opinion, in which of the following areas of ministry is the applicant gifted?

__Communication __Secretarial Work __Children’s Work __Administration

__Carpentry __Computing __Auto Mechanics __Plumbing

__Electrical __Preaching __Evangelism __Discipleship

__Counseling __Youth Work __Hospitality __Art

__Drama __Music/Worship __Prayer __Pastor/Teacher

__Encourager __Servant Hearted/Helps __Refugee Work __Church Planting

How does the applicant react to trying situations? (check one)

__Withdraws __Gets Discouraged __Gets angry __Meets constructively

__Accepts patiently __Other ________________________________________________________________________

Would you accept this applicant on your staff? Yes No Under what conditions? _________________________________

_____________________________________________________________________________________________________

Print Name ___________________________________________ Title ___________________________________________

Signature_________________________________________________ Date _______________________________________

Please use extra paper for additional comments. Mail form to:

Youth With A Mission, attn: Registrar, 11141 Osborne Street, Lake View Terrace, CA 91342, USA

Phone: +1 818-896-2755, Fax: +1 818-897-6738

SOMD Application, Los Angeles – Section C

SCHOOL OF MINISTRY DEVELOPMENT

Youth With A Mission - Los Angeles

CONSENT FORM

RELEASE OF LIABILITY

I/We do hereby release YWAM - Los Angeles, its staff, agents, and volunteer assistants from any liability whatsoever arising out of an injury, damage, or loss that may be sustained by said person(s) during the course of involvement with YWAM - Los Angeles.

Applicant’s Signature __________________________________ Date ______________________________________

(Signature of Parent or Guardian required if applicant is under 18 years of age.)

Guardian Signature _____________________________________ Date ______________________________________

Relationship __________________________________________

CONSENT FOR TREATMENT

In case of emergency, I/We hereby agree to the performance of such treatment, including anesthesia and surgery, as the attending physician may deem necessary.

Applicant’s Signature _________________________________________ Date _____________________________

(Signature of Parent or Guardian required if applicant is under 18 years of age.)

Guardian Signature _____________________________________________ Date ____________________________

Relationship __________________________________________

ACKNOWLEDGEMENT OF FINANCIAL RESPONSIBILITY

I/We understand that payment of the required school tuition fees must be made in U.S. currency prior to or upon my/our arrival, unless otherwise in writing by the SOMD Director before my/our departure for YWAM - Los Angeles. Furthermore, I/We agree to meet in a timely manner, prior to the completion of the school, all personal expenses incurred during the involvement with Youth With A Mission. If I/We are accepted by YWAM - Los Angeles, I/We will abide by the Spirit, rules, and schedule of the school.

Applicant’s Signature ___________________________________________ Date ___________________________

(Signature of Parent or Guardian required if applicant is under 18 years of age.)

Guardian Signature ______________________________________________ Date ___________________________

Relationship ________________________________________

BURIAL STATEMENT

Although it is most unlikely that any YWAM staff or student pass away during his/her time on the field, it is important to consider this possibility prior to travel abroad. YWAM does everything possible to protect its staff and students. In many countries where disease is more prevalent, burial may have to take place within 24 hours. If this were the case, the remains would not be able to be returned to the student’s or staff member’s home country. Secondly, all burial costs and transportation expenses are not the responsibility of Youth With A Mission - Los Angeles, its staff or associates.

Therefore, in the event of my death, I give my permission to be buried in the country of service if need be, and absolve Youth With A Mission, its staff and associates from any financial responsibility for burial costs or transportation expenses.

Applicant’s Signature __________________________________ Date ______________________________________

(Signature of Parent or Guardian required if applicant is under 18 years of age.)

Guardian Signature _____________________________________ Date ______________________________________

Relationship __________________________________________