Staff Application Step 1 of 6 16% Name* First Last Where are you from?* City AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech 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 Country Contact numberEmail* Gender*Please select oneMaleFemaleRelationship status*Please select oneSingleDatingEngagedMarriedDivorced/SeparatedWidowedAre you applying with your partner?* Yes No Partner's Name* First Last Are there any dependants coming with you?* Yes No i.e. children or special needs adultsPlease list dependants name, age and special needs if any* What position are you applying for?*Please select oneDTS StaffBase StaffMission BuilderWhere did you do your DTS?*When did you do your DTS?* Please have a copy of your DTS certificate of completion ready to uploadHave you staffed at a YWAM base before?* Yes No Please list Bases, dates and contacts*When will you be starting?* Schools start in January and July General InformationPlease answer each of the following questions. Write N/A if not applicable.What occupational or professional skill/qualifications do you have?*What work experience do you have?*Educational Background - Secondary/Tertiary?*What is your personal long-term vision?*Describe your guidance from the Lord (if any) to join YWAM Zion*What hobbies or recreational interests do you enjoy?*Are there any areas of training you would like to undertake to better equip you for future ministry?*FinancesPlease answer each of the following questions. Write N/A if not applicable.Is there support/interest from your Church in your joining YWAM New Zealand?*Do you have financial support?* Yes No Is your support/income sufficient for your fees and personal needs during your involvement in YWAM?* Yes No If you do not have sufficient support for your fees, please state how you intent to raise support/build a support system:*Do you have any current debt?* Yes No How much?*Please enter in $0.00 format Emergency ContactName* First Last Relationship to you*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech 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 Country Phone*Email* Personal Health and WellbeingPlease answer each of the following questions as detailed as possible. Write N/A if not applicable.Are there any adverse issues that have affected you? (Physical/sexual abuse, divorce, trauma/accidents etc)* Yes No a) If 'Yes' to the above, which issues? Please explain how you have dealt with or are dealing with these issues.*Are you presently struggling, or have you previously struggled in the past with any strong addictions such as alcohol, sexual relationships, drug abuse (pot, cocaine, heroin etc), eating disorders (anorexia, bulimia) or self harming?* Yes No a) If 'Yes' to the above, which issues? Please explain how you have dealt with or are dealing with these issues.*Have you ever struggled with any mental health conditions? For example: Depression, Anxiety, (Or Anxiety attacks), Self Harm, Suicical thoughts/attempts, PTSD, OCD, Bipolar, Autism Spectrum Disorder, Schizophrenia, Dissociative Identity Disorder, Borderline Personality Disorder.* Yes No a) If 'Yes' to the above, please specify which condition(s)*b) Please explain any further details if you are comfortable to do so. For example, how recent this was a struggle, extent/severity, triggers, what seems to help etc.*c) Have you been clinically diagnosed for any of the above conditions?*d) If 'Yes' to being diagnosed, please specify which condition(s)*Do you have any chronic conditions (medicated or unmedicated)? For example: Asthma, Hypertension, Arthritis, Heart disease, Bipolar, Attention-deficit/hyperactivity disorder (ADD/ADHD)* Yes No Please state which condition(s), how this impacts you and how you are treating/managing it:*Are you currently being treated by a mental health professional? (Including Psychiatrists, Psychologists, Counselor, etc)* Yes No a) If 'Yes' to being treated, please specify:*Are you currently taking any doctor prescribed medication(s)?* Yes No a) If 'Yes' to medication(s), please give details:*Have you ever been involved in a crime? Do you have a police record?* Yes No a) If 'Yes' to the above, please give details:*Are you involved in any current or pending lawsuits/legal proceedings?* Yes No Do you smoke?* Yes No YWAM Zion has a NO SMOKING policy and staff/volunteers are expected to quit prior to joining or within the first 6 months of volunteering with us.Do you have any physical handicaps, limitations, or health conditions which may require special attention? Have you had any major surgery in the last 5 years?* Yes No a) If 'Yes' to the above, please specify. Please also share how you are managing this or intend to manage it while volunteering with Zion:*Do you have any specific dietary needs?* Yes No Dietary needs include food allergies, vegetarianism, veganism, pescatarianism, and anything requiring food preparations asides from the standard meal* on campus. Are you vaccinated against Covid19?* Yes No Do you have the following CURRENT immunizations?* Polio Tetanus Typhoid You will be required to have these (if not against vaccinations) before joining usIs your sight, hearing, or speech impaired?* Yes No Please specify*Do you, or have you received any disability compensation from any source?* Yes No Please specify* UploadsPlease upload a photo of you*maximum file size of 2MBDTS Certificate of Completion*YWAM Base/DTS Leader's Reference*Pastor/Spiritual Leader's reference*Liability Release Forms*Volunteers Agreement*Cessation of Agreement* Δ
