Education and Experience
Highest Level of EducationHigh-School Diploma Some College College Diploma Graduate/Post Graduate Invalid Input
What is your current statusI have a job I am in school I am on staff with YWAM In transition Invalid Input
When and where did you graduate from DTS?Invalid Input
Descirbe your experience on DTS outreach.Invalid Input
Please describe any special skills, talents or abilities that you have.Invalid Input
Please list the languages you speak in order of fluency.Invalid Input
Background Information: The following questions are for the purpose of getting to better know where you've come from. Your responses will not be used to deny acceptance.
Please indicate if you have ever been involved in any of the following:Religions other than Christianity The occult,Wicca,witchcraft,sorcery,Ouija boards,etc Felonious crime Invalid Input
If you indicated Yes to any of the above, please explainInvalid Input
How we express our sexuality has much to do with our walk with Christ. Have you been involved in any sexual practices outside of marriage? (for example: promiscuity, homosexuality, pornography)Yes No Invalid Input
If you indicated Yes, you may explain as little or as much as you would like to.Invalid Input
HEALTH HISTORY : The following information will be treated as confidential. You may be asked to provide further detail regarding incomplete explanations of health conditions prior to acceptance. The omission of health problems could result in your application not being considered or a re-evaluation of acceptance.
HeightInvalid Input
WeightInvalid Input
Rate your overall heathVery Good Good Fair Poor Invalid Input
Are you currently under a doctor’s care for any condition? Yes No Invalid Input
If yes, please explain.Invalid Input
Are you presently taking any medication (prescription or non-prescription drugs)?Yes No Invalid Input
If yes, please give the name of the medication and the condition it treats.Invalid Input
Please describe any allergies (medicines, food, other) that you have.Invalid Input
Are there any physical limitations or health conditions that require special attention of which we should be aware? Invalid Input
Please indicate if you have had issues with any of the following:depression, panic attacks, extreme anxiety eating disorders (anorexia, bulimia,etc) self-injury (cutting, burning, wounding,etc) alcohol or alcohol abuse habitual smoking or tobacco use drugs or drug abuse Invalid Input
If yes to any of the above, please explainInvalid Input
Please explain if you have ever participated in any form of counseling (for example: clinical, personal, grief, family, group or individual, etc.).Invalid Input
Please explain any other important past surgeries, illnesses, injuries, or other physical or emotional health issues that we should know about Invalid Input
