YWAM Heartland, Kansas City, MO

Online DTS Application

WE NEED YOUR SUPPORT:

ONLINE DTS APPLICATION

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YWAM Heartland DTS Application

*Application Date:

*Application Fee:

$35 - Single $50 - Couples

*Fee Payment Method:

*Card Number:

*School Applying for:

*School Start Date:

*Student Full Name:

*Current Street Address:

*Current City:

*Current State:

*Current Zip/Postal Code:

*Current Country:

*Current Phone #:

*Current Email:

*Age:

*Birthdate:

*Gender:

Mail Female

*Birthplace (City,St, Country):

*Citizenship:

*Social Security #:

*Passport #:

*Place of Issue:

*Passport Date of Expiry:

Visa Type (non-USA):

Place of Issue:

Date of Visa Issue:

Date of Visa Expiry:

*Marital Status:

Wedding Date:

Spouse's Full Name:

Children's Info:

Background Info

*Does your pastor know you are sending this application?:

Yes No

*Is your pastor in agreement with your plans?:

YesNo

*Pastor's Name:

*Home Church Name:

*Home Church City, ST / Phone:

*Church/Pastor Email Address:

*Church Denomination:

*How long have you attended the above church (years)?:

*How long have you been a "born again" Christian?:

Previous Missions Experience (When/Where/Program/Leader's Name)?:

*How did you first hear of the DTS?:

*What is your purpose in apply for the DTS?:

*Current Occupation:

*Occupational Skills:

*Musical ability or other talent:

*Highest Education Level Completed (Date):

*Languages (list in order of proficiency):

Financial Information

*Do you have your complete school fees?:

Yes No

If no, from what source will the funds come?:

*Do you have any outstanding debts?:

Yes No

If yes, please explain...:

If found falsifying any information on this form, you could be released from the DTS and forfeit any right to a refund. By answering yes to the question below, you acknowledge and accept of these terms by your answer.

*Do you certify that the information you have provided is accurate and complete?:

YES NO

Verification:

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