staff2level Dear Applicant, Your Application for Staff position with us has been processed. For further processing we would like to know a few more details. Please proceed to fill in the form below, otherwise your application will be treated as withdrawn. STAFF APP FORM PG2 1General Info2Passport Details3Personal Details4Additional Info5Health Declaration6Agreement Staff position interested in*YWAM SingaporeAdminPublishingGo CentreFrontier Missions CentreMember CareTrainingHospitalityDCCLocal OutreachMediaPlease specify1. GENERAL INFORMATIONSApplicable for all applicantsNAME**Name as in Travel Document First Last Gender*MaleFemaleOther Language/s Spoken Marital Status*SingleMarriedDivorcedWidowedEngagedSeparatedRemarriedDate of Marriage* Day Month Year Name of Spouse/ Fiance** Full Name as in Passport State if spouse accompanying* YES NO If NO, please state whyIf NO, please state why*Accommodation Required*For family with children please indicate belowSingleCoupleFamilyNumber of Adults + Children**please indicate number of family member require accommodation for family 2. PASSPORT DETAILSApplicable for all applicantsCitizenship*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePlace of Birth* Passport Number* Passport Issue Date* DD slash MM slash YYYY Passport Expiry Date* DD slash MM slash YYYY Country of Issue*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe 3. PERSONAL DETAILSName of Spouse/Fiance*NameDate of Birth Father's Name*NameDate of BirthMother's Name*NameDate of BirthSibling's Name** add more rows by hitting +NameGenderDate of Birth Child/ren's Name** add more rows by hitting +NameGenderDate of Birth 3B. EDUCATIONAL BACKGROUND*Please order your educational experience chronologically, the most recent first.Name of SchoolCountryDegree ObtainedDate Attended (From/To) 3C. PAST AND PRESENT EMPLOYMENT*List all employment experience chronologically, the most recent first.Name of CompanyCountryDesignationDuration of Work (From/To) 4. CHURCH INFORMATIONName of Church* Denomination Pastor's Name* First Last ADDRESS OF CHURCH* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*Email* Member Since* Does your church support the idea of you attending a YWAM School?*YESNONot SureComments*5. CRIMINAL RECORDSHave you ever been cautioned, charged or convicted of a criminal offence in any country, or do you have any cases pending?* YES NO Have you ever been the subject of a police investigation in any country that did not lead to a conviction?* YES NO If YES, Please explain* 6. CHRISTIAN LIFE AND EXPERIENCEPlease take time to prayerfully answer the following questions1. What areas of ministry do you think you are most effective and/or comfortable in and least effective and/or comfortable in? Feel free to list more than one.*2. What spiritual gifts do you think God has given you? Reflect on the ways God has used you in the past.*3. Do you have a long-term (2-5 years) call to missions in this region (Asia) and/or a call to YWAM Singapore’s objectives and goals? Please elaborate.*4. List any church work and/or YWAM experience. If you are an ordained or licensed clergyman, please elaborate.*5. List any previous involvement with other mission agencies/organizations. This includes short term involvement, staff or leadership appointments. What were your reasons for leaving?*6. We are committed to on-going discipleship in YWAM. Are there any critical, urgent personal issues you are currently working on that we can be of assistance to you or should be aware of?*7. Have you communicated to your church/pastor regarding your plan to serve with YWAM Singapore? Describe their response and your relationship with your home church.*please indicate if you had leadership experience8. Are you in debt? If yes, please elaborate.*9. Is there anything else you would like to share with us?** anything else you think / feel that YWAM Singapore should know? 7. HEALTH DECLARATIONHeath Status*ExcellentGoodFairPoorOther than minor aliment, have you had any accident / illness that required medical or surgical attention?*YESNOIf yes, please give details:*Are you currently on any form of medication / doctor’s review?*YESNOIf yes, please give details:*Are you pregnant*YESNODo you have any disabilities that could limit your participation in the school curriculum?*Do you suffer from / have you been treated for any of the following?* Hypertension Fainting spell Diabetics Kidney / genital urinary system disease chest pain heart disease epilepsy anemia stroke hepatitis migraine drug allergy heavy snoring during sleep disease of muscles / bones disease of brain / nervous system disease of blood / metabolism respiratory disorder / asthma Food allergy others NONE If yes to any of the above, please give details:*Is there anything more about your health / physical condition that you feel we should know:*Do you have valid “hospitalization and surgical INSURANCE” (or similar) that covers you while overseas?* YES NO If yes, please indicate:*Name of CompanyPolicy NumberPolicy Contact NoExpiry Date 8. EMERGENCY CONTACTIn case of emergency, YWAM Singapore may contact:Name* First Last Relationship to Applicant* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*Please provide a number that can be contacted even during odd hoursEmail* Comments, if any 9. RELEASE OF LIABILITYI do hereby release Youth With A Mission (Pte) Ltd., its agent, employees and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss which may be sustained by said person during the course of involvement with Youth With A Mission.* Agree Disagree 10. CONSENT FOR TREATMENTIn the event of an emergency in which I am rendered unconscious and my nearest responsible relative or guardian cannot be contacted,I (applicant) hereby agree to such treatment, anesthetics and operations as in the opinion of the attending physician / surgeon who is deemed necessary.* Agree Disagree 11. CONSENT FOR BURIALI (applicant) hereby grant consent for the burial / cremation of my body in accordance with the law of the nation, in the event of my death while in the commitment with Youth With A Mission (Singapore).*In case of death, the law of the country may require that the deceased be buried or cremated. While every attempt will be made to fulfill the family’s wish of disposition of the deceased, this may not be possible. Agree Disagree 12. DISCLOSURE OF INFORMATION AGREEMENTI (applicant) hereby understand and agree to the disclosure of the above information for YWAM’s publications and publicity purposes.*The form indicates the agreement for disclosure of applicant’s name, photographs, art/written work, voice, verbal statements and / or portraits for publicity materials, publication and / or website of any form regardless of time frame within organizational and schools’ context with acknowledgement of (A) No monetary consideration shall be paid. (B) Above agreement is binding upon heirs and / or future legal representative(s). Agree Disagree 13. DECLARATIONI declare all information declared in this application form and its attachments to be true and correct. I have not withheld any relevant information. If I am accepted as a staff of YWAM, I agree to embrace the values of the mission, comply with the leadership structures in place in YWAM Singapore, and abide by the general ministry policies, to respect the property of YWAM and its people in a spirit of true submission. I also agree to the use of (including the disclosure of) information supplied on my application form by the staff of YWAM for any purpose related to my staff appointment, development or well being.* YES NO I declare that I am above 18 years old at the commencement date of applied YWAM staff position.*Consent of a parent / legal guardian on applicant’s behalf is required for agreement to above clause. YES NO Name Of Applicant* First Last Date of Submission* DD slash MM slash YYYY Signature of Applicant** To be signed on arrival Δ
