Location: Christ Church Kirkland 11725 NE 118th St Kirkland, WA 98034 Greetings from! Thank you for your interest in PDS. We are excited that you are thinking of us for this program and will be happy to answer any questions you have. Pursuit Discipleship School is a 12-week intensive discipleship-training program in the spirit of YWAM s DTS (Discipleship Training School). PDS will strive to help you know God deeply, to pursue Jesus passionately, and be empowered by the Holy Spirit willingly to answer the call to Go into all the world and make disciples of all nations Matthew 28:19. Guide to completing the supplement forms The following items must be submitted before our PDS staff can process your application. All of the questions must be completed. If a question does not apply to you, write N/A (not applicable). Husbands and wives must complete separate forms. We need each item to complete your application: Application Form Supplement Questions 2 Recommendation Form (Pastor, Friend or co-worker) Consent Release Form Statement of Burial/Mediation Application fees: $40 single $70 for married couples (Non-refundable) Total fees for the PDS is $500 for lecture phase (10 weeks) and $1500 - $2000 for outreach phase (2 weeks) NOTE: Outreach fees subject to change depending on location. All payments payable to: 1
Application: Please print all required information and sign all documents. Supplement questions: Please prayerfully answer the supplement questions. This is your chance to recommend yourself to the PDS staff so you can make your answers as detailed as you like. Confidential references: Two references are needed: Pastor and a friend or co-worker. Please request that they fill it out and mail it directly to our office. You may want to give them a stamped envelops with our address on it. Application fee: Each applicant must pay a non-refundable $40 registration fee ($70 for married couple). Your application cannot be processed without it. Please make checks/money orders payable to. Passport: If you do not have a passport you must apply for one asap. PHOTO RELEASE FORM I hereby give permission to to use my name and photograph taken, while participating in any school or community activity, in all forms of media for advertising and any other lawful purpose. Printed Signature: Date: 2
Attach Recent Photograph I wish to attend the PDS beginning: Last name First name Middle name Registration Fee enclosed: Yes No $40 per student or $70 per married couple General Information Date of Birth: Place of Birth: Country of Citizenship: Do you have a valid passport? Yes No If yes, when does it expire? (MM/DD/YYYY) / / Full name and birth date as it appears on your passport: Present Address Street: City: State: Zip Code: Home Phone: Cell E-mail Other contact info: Phone: address: _ Home Church Pastor s Street: City: State: Zip Code: Length of Attendance: Emergency Contact Relationship: Street: City: State: Zip: Home Phone: Cell Phone: E-mail address: Other contact info: 3
Education History Secondary/High School or equivalent, from which you graduated: Location: Date of graduation (MM/DD/YYYY) _/ _/ I did not graduate high school College/University/Vocational School/Seminary or Graduate School Attended: Location: From: Location: From: Occupational/Professional Skills: _ Musical ability or other talents: Miscellaneous Information: How did you hear about the center? What reason most influenced your decision to apply for the PDS? Financial Support: Do you have your complete school fees? Yes No/working on it. If no, how much do you have at this time? $_ If no, how do you plan to pay for your fees? 4
Please read then sign and date below in all 3 sections: Financial Responsibility I certify that all the information in this application is complete and accurate. I understand that payment of the required school tuition fees must be made prior to, or upon, beginning of school otherwise approved by the School Director before outreach phase of the school. Further, I agree to meet in a timely manner, prior to the completion of the school, all personal expenses incurred during my involvement with the PDS training program. If I am accepted into the PDS training program, I will abide by the spirit, rules and schedule of the school. Applicant s Signature: Date: Release of Liability I do hereby release Antioch World Ministries Inc. (AKA ), it s staff, agents, and volunteer assistants from any liability whatsoever arising out of any in- jury, damage or loss which may be sustained by said person(s) during the course of involvement with. Applicant s Signature: Date: Consent for Treatment In case of emergency, I hereby agree to the performance of such treatment, including anesthesia and surgery, that the attending doctor or physician may deem necessary. Applicant s Signature: Date: 5
Statement of Burial/Mediation Burial Statement We at Antioch World Ministries Inc. (aka ), encourage each YWAM staff, prospective student, and volunteer to seriously consider some possible consequences of mission work and training. Although death is extremely rare in service with Youth with A Mission internationally, it is nevertheless an experience that awaits each one of us eventually. It is important that we all prepare for such possibilities and have a clear plan of action if such instances arise during our time of study or service within Youth With A Mission. In extensive travel in less developed countries, diseases are more prevalent, fatal accidents, sickness and mishaps can occur. Antioch World Ministries Inc. (aka ) does everything possible to protect staff and students while on the field, but death is something that can occur. In these countries, burial is often a real problem. We would strongly encourage burial on the field, as decay can start very quickly. Shipping a body home could cost several thousand dollars and often a special expensive coffin is required by law in some countries as well as having someone accompany the coffin on the return journey. We endeavor to maintain a Christian view of death, it is not the final step but just a passage; the person is not in the coffin, just his/her earthly shell. Therefore the priority for limited resources on outreach must be for living. In case of death, Antioch World Ministries, Inc. (aka ) cannot commit to cover the expenses of burial or transport home from the country of death (developed or non-developed countries alike.) If the family desires to see a body transported back home, the family must incur the entire cost. Any burial costs incurred while on outreach (in the country that the death and burial occurs) are the responsibility of the deceased s family as well. I agree that in case of my death while on outreach in conjunction with Antioch World Ministries Inc. (aka ), that they may carry out the burial in the location of the deceased. If my family desires to see the body shipped home, they will agree to cover all expenses incurred. I hereby absolve, Antioch World Ministries Inc. (aka ) its staff and associates, from any responsibility for burial costs. Applicant s Name (print): Signature: Date: 6
Supplement Questions In order for us to get to know you better; please prayerfully answer the following questions in as much detail as you like. Please type or print on a separate pieces of paper. 1. Please describe your conversion experience and present relationship with God. How long have you been a Christian? 2. 3. 4. 5. 6. 7. 8. 9. What is your purpose for attending the PDS? What areas of your character are you presently seeking God to further develop and improve? Describe your present relationship to your local church and leaders, and your involvement there. Are they supportive of your involvement in mission work? Do you have any physical disabilities that we should be aware of? Have you had any mental illness? If yes, please describe. Are you presently taking any medication or under a physician s treatment? Do you have any special dietary needs? (i.e. vegetarian, food allergies) How would you describe your relationship with your family? Do your parents approve of you attending this school? In your opinion what are your strengths and weakness? Describe any talents or gifts you might have. Describe your business, professional, or mission experiences. Describe your spiritual and ministry goals. 10. Do you have any difficult situations to deal with in regard to attending the PDS? How can we pray for you? 11. Do you feel you have a call to missions? What is your specific commitment to missions short or long-term? Do you feel that you have a calling to another nation or other cultures? 7
Confidential Reference Form Pastor Please return this form to PDS YWAM AIIM PO Box 778 Monroe, WA 87272 Contact: Sang Grossi (360) 794-6043 / (425) 345-6123 Fax (360) 794-1997 To the applicant: To the Pastor filling out this form: School applying for: Pursuit Discipleship School Address: I, the above named applicant, WAIVE any right to have or obtain copies of this recommendation knowing that this waiver is NOT required as a condition for admission. Signature: Contact info: Signature: PLEASE SEND ME INFORMATION ON The above named applicant has applied for admission to an intensive discipleship-training program (Pursuit Discipleship School) at, Monroe, WA. YWAM is an international, interdenominational Christian missionary organization. Founded in 1960, YWAM now has centers in over 800 locations in over 135 countries. Its purposes include training, challenging and channeling Christians to fulfill Christ s command: Go therefore, and make disciples of all nations. It is important to us, as we evaluate our applicants, that we have a good understanding of their character and ministry abilities. Serious consideration will be given to your comments; therefore we ask that you complete this form carefully. We would appreciate honest, straightforward responses, evaluating both the assets and liabilities of the applicant. Be assured that your reply will be held in strict confidence. Your prompt attention in completing this form is appreciated. Thank you! 1
Confidential Reference Form Pastor How well do you know the applicant? Very well Well Casually How long have you known the applicant? Using the scale give your assessments on: (Scale: 10 superior 1 inferior) Initiative: Concern for other: Social Adaptability: Ability to follow: Leadership: Judgment/Decision making: Emotional stability: Health: Personal appearance: Flexibility: Mental ability: Christian character: Punctuality: Financial responsibility: Industry: Reliability: Disposition: Cooperativeness: Comments: 1. To what extent is the applicant active in church work? 2. Does s/he display high moral standards? Yes No (Please explain) 3. Is s/he prejudiced against groups, races or nationalities? Yes (please explain) No 4. With reference to his/her Christian service, do you consider the applicant to be: Dedicated Average Casual Please explain: 2
Confidential Reference Form Pastor 5. In your consideration, which of the following would be best describe the applicant s Christian experience? Mature Contagious Genuine and Growing Over-emotional Superficial 6. Overall, what do you consider to be the applicant s strong points? (Include special abilities) 7. What do you see as one of the applicant s weakest points? Is h/she aware of it? 8. Please comment on the applicant s family background: 9. In you opinion, what are the applicant s motives and purpose for apply to this course? 10. What could do to aid in the applicant s personal development? 11. Please add any other relevant remarks (i.e. medical, psychological, drugs alcohol, or other areas of their life we should know more about, to be of service to them) 12. Would you recommend the applicant for acceptance into? 3
Confidential Reference Form Friend or Co-Worker Please return this form to PDS YWAM AIIM PO Box 778 Monroe, WA 87272 Contact: Sang Grossi (360) 794-6043 / (425) 345-6123 Fax (360) 794-1997 To the applicant: To the Friend or Co-Worker filling out this form: School applying for: Pursuit Discipleship School Address: I, the above named applicant, WAIVE any right to have or obtain copies of this recommendation knowing that this waiver is NOT required as a condition for admission. Signature: Contact info: Signature: PLEASE SEND ME INFORMATION ON The above named applicant has applied for admission to an intensive discipleship-training program (Pursuit Discipleship School) at, Monroe, WA. YWAM is an international, interdenominational Christian missionary organization. Founded in 1960, YWAM now has centers in over 800 locations in over 135 countries. Its purposes include training, challenging and channeling Christians to fulfill Christ s command: Go therefore, and make disciples of all nations. It is important to us, as we evaluate our applicants, that we have a good understanding of their character and ministry abilities. Serious consideration will be given to your comments; therefore we ask that you complete this form carefully. We would appreciate honest, straightforward responses, evaluating both the assets and liabilities of the applicant. Be assured that your reply will be held in strict confidence. Your prompt attention in completing this form is appreciated. Thank you! 1
Confidential Reference Form Friend or Co-Worker How well do you know the applicant? Very well Well Casually How long have you know the applicant? Using the scale give your assessments on: (Scale: 10 superior 1 inferior) Initiative: Concern for other: Social Adaptability: Ability to follow: Leadership: Judgment/Decision making: Emotional stability: Health: Personal appearance: Flexibility: Mental ability: Christian character: Punctuality: Financial responsibility: Industry: Reliability: Disposition: Cooperativeness: Comments: 1. To what extent is the applicant active in church work? 2. Does s/he display high moral standards? Yes No (Please explain) 3. Is s/he prejudiced against groups, races or nationalities? Yes (Please explain) No 4. With reference to his/her Christian service, so you consider the applicant to be: Dedicated Average Casual Please explain: 2
Confidential Reference Form Friend or Co-Worker 5. In your consideration, which of the following would be best describe the applicant s Christian experience? Mature Contagious Genuine and Growing Over-emotional Superficial 6. Overall, what do you consider to be the applicant s strong points? (Include special abilities) 7. What do you see as one of the applicant s weakest points? Is h/she aware of it? 8. Please comment on the applicant s family background: 9. In you opinion, what are the applicant s motives and purpose for apply to this course? 10. What could do to aid in the applicant s personal development? 11. Please add any other relevant remarks (i.e. medical, psychological, drugs alcohol, or other areas of their life we should know more about, to be of service to them) 12. Would you recommend the applicant for acceptance into? 3