DTS Enrollment Form

Which School are you joining?*

First name

Last name

Phone (WhatsApp)

Date of birth

Please note that the DTS is only for those who are 18 years old and up.

If you are turning 18 by the DTS start date that is acceptable.

Gender

Male Female

Country of residence

Nationality

Spouse accompanying you?

Yes No

Children accompanying you?

Yes No

Street Address

City

State / Region / Province

Passport information

In case you don't have a passport, select the No option. Then place your country of residence in the area of Passport Issued country. And on the section of Expiry date select a date after December 2020.

Do you have a passport?

Yes No

If Yes, What is your Passport #?

Where was passport issued?

Passport expiracy date

Please describe your conversion experience and your present relationship with the Lord

What areas of your character are you presently seeking God to further develop and improve?

Do you feel that God has given you, or is leading you, into any particular area of ministry?

What church involvement have you had?

How would you describe your relationship with your family?

Health condition

Skin Condition Eye Trouble Ear Trouble Head Injury Recurrent Headache Epilepsy Fainting Spells Mental/Nervous Disorders Depression Insomnia Shortness of Breath Asthma Heart Trouble High Blood Pressure Low Blood Pressure Rheumatism/Arthrtis Back Problem Dislocation of Joints Broken Bones Stomach/Duodenal Ulcer Sexually Transmitted Disease Hepatitis Intestinal Troubles Recurrent Diarrhea Diabetes Kidney Disease Anemia Gall Bladder Problems Cancer Female Conditions Severe Cramps Now Pregnant

Specify Allergies

Specify Female condition

Other Illness or conditions

Are you presently under doctors care?

Rate your overall health condition

Are you allergic to any drugs/medications?
if so, please specify

Are you presently taking any medication?
if so, please specify

Please confirm that your information is correct and complete.

I hereby confirm that the information provided herein is accurate, correct and complete and that the documents submitted along with this application form are genuine. I undertake to inform the YWAM Asunción in Paraguay (“the Organization”) in writing/call of any changes to the information already provided and to update the information on this form whenever requested to do so by the Organization.

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