Mission Builder Online Application

Mission Builder online application form

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:
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

liability_form.pdf
File Size:	122 kb
File Type:	pdf

Download File

liability_form.doc
File Size:	34 kb
File Type:	doc

Download File

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
File Size:	260 kb
File Type:	pdf

Download File

medical_report.docx
File Size:	19 kb
File Type:	docx

Download File

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 6 months validity left on it at the completion of your mission building duration with us. 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 mission builders 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 3 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

How long do you intend to serve as a Mission Builder? *

When do you intend to join us?

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? *

Have you been a staff in YWAM previously? *

Any other previous YWAM experience? Please elaborate *

Does your Church support your decision to join us? *

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 *

If Yes, list Location, Dates, Position and Base Director *

What is your personal long term vision? *

If No, please elaborate *

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 financial support? *

Yes No

If Yes, please specify *

Do you have any debts? *

Yes No

If Yes, how do you plan to pay them off? *

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