2nd Level School Online Application

2nd level school online application form

Download Doc version of application form here

Doc Version
File Size:	163 kb
File Type:	doc

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Download PDF version of application form here

PDF version
File Size:	177 kb
File Type:	pdf

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Guide to Complete Application:
All the questions on the forms must be completed, if a question does not apply to you, write N/A in the space provided. Husbands and wives must complete separate applications.

Your Checklist:
Registration Fee: A non-refundable Application Fee of $NZD40 for singles and $NZD70 for families/couples is to be sent with your application. click here for payment details >>

Reference Forms: The references we require are 1. Pastor/Deacon/Elder 2. Friend or Employer. Please provide us the name, details and email address of your referees. A confidential form will be sent to them, once completed the forms have to be sent to us directly via email by the referee. Please acquire the consent of the persons you intend to nominate as your referees before sending their details to us.

Release Letter: Please download and complete this letter and email to us

Release Form PDF Version.pdf
File Size:	112 kb
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Release Form Doc Version.docx
File Size:	22 kb
File Type:	docx

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Medical Report: Please download the medical report form below and have it completed by a qualified physician and mailed directly to our office. These reports must also be submitted for your children.

Medical Report PDF Version.pdf
File Size:	257 kb
File Type:	pdf

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Medical Report Doc Version.docx
File Size:	16 kb
File Type:	docx

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Photos: Please send us your current passport sized photos by email to us

Visa Info General
You need a valid Passport to enter the Cook Islands, with at least 1 year validity left on it at the completion of your school. No Identity Papers etc accepted. For stays in the Cook Islands longer than 30 days, a formal application will need to be submitted to local immigration prior to arrival. Some students will have to fill out a medical form and provide police clearance; this is dependent on your country of residence. Please contact YWAM Cook Islands for further information.

NOTE: There will be a fee of $NZD25 for a 6 months visa and a return ticket is a must.

Insurance:
We strongly recommend that you have personal healthcare cover while staying in the Cook Islands

* Indicates required field

Which school do you wish to attend? *

Month *

Year *

Personal information

Legal Name *

First

Last

Preferred Name *

Current Address *

Line 1

Line 2

City

State

Zip Code

Country

Permanent Address if different from Current *

Line 1

Line 2

City

State

Zip Code

Country

Gender *

Home Phone Number *

Birth Date (Day/Month/Year) *

Nationality/Citizenship *

Predominant Ethnic Background *

Spouse's Name *

Will you be accompanied by any other dependents? *

Emergency Contact: *

Do you have any allergies? If Yes please specify *

Weight in kg: *

Blood Type: *

Musical Abilities *

Any previous YWAM experience? Please elaborate *

Email *

Mobile Phone Number *

Country of Birth *

Age *

Marital Status *

Children's Details *

List Name, Gender, Age of dependents, if any *

Home Church Details: *

Any medical or current condition of concern? *

Height in cm: *

Occupational Skills *

Other Talents *

visa/Passport information

Passport Number *

Passport Expiry Date *

Passport Country of Issue *

Do you currently hold a Cook Island Visa? *

educational history

Have you completed DTS or CDTS including outreach? *

If Yes. Please state year and location: *

Name of your DTS or CDTS leader? *

List any other YWAM courses completed, also state year and location: *

Which year/grade level have you completed of high/secondary school? *

Qualification *

Name of educational institution *

Address/Location *

Other education (formal and informal) and qualification received *

Is English your first language? *

Other languages spoken *

How well do you speak English? *

financial support

Do you have all your fees? (Includes Lecture Phase & Outreach Phase) *

Yes No

Do you have financial support? *

Yes No

How do you anticipate the provision of any outstanding amount? *

Do you have any debts? *

Yes No

If yes, how do you plan to pay them? *

personal journey

Please prayerfully and concisely answer the following questions

Describe your conversion experience and current relationship with God *

Describe the relationships within your family. *

Give an outline of your involvement with church and other groups *

Why do you desire to take part in this school? *

What are some of your goals/plans/desires for your future? *

What plans do you have after the completion of this school? *

What needs do you have in your life that this school may help to meet? *

Do you feel you have a particular ministry? *

List any health, physical, mental or emotional limitations *

List anything else we should know about you and your situation *

What is your Parents and Pastors counsel regarding doing this School? *

references

We will send each of your confidential referees an information pack to explain more about this school. In addition, we would like to keep your parents and referees updated on this YWAM school while you are in the school via email and newsletters. If you think that it is not appropriate to have them on our mailing list, please indicate unsubscribe from additional info below. Please acquire the consent of the person/s before nominating them as your referee.

pastor/deacon/elder

Title *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Work Phone Number *

Mobile Phone Number *

Unsubscribe from additional info *

Email *

Position *

Church *

employer/business associate/teacher

Title *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Work Phone Number *

Mobile Phone Number *

Unsubscribe from additional info *

Email *

Position *

Company/Organisation/School *

friend

Title *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Work Phone Number *

Mobile Phone Number *

Unsubscribe from additional info *

Email *

Position *

Occupation *

Parent/Guardian

Title *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Work Phone Number *

Mobile Phone Number *

Unsubscribe from additional info *

Email *

Postion *

Occupation *

For our information

How did you hear about YWAM? *

How did you hear about the Cook Islands Base? *

What reason most influenced you to apply here at the Cook Islands? *

submit application