Student ApplicationThank you for your interest in our DTS at YWAM Puerto Viejo. It is our intention that the application process serve as a valuable tool for both you and us to prayerfully assess whether this course is right for you at this time. Please answer all questions carefully. All information will be treated with the strictest confidentiality and is only necessary for the purposes of your application. Please have on hand a recent photo and the email address and phone number of two references - Pastor/Mentor and a Friend. Please note that once you start filling the application you will have to continue until the end, this means that you cannot save your progress and restart later. If you are having problems filling out the application, please do not hesitate to write to us at: dts@ywampuertoviejo.org.Por favor, habilite JavaScript en su navegador para completar este formulario. - Step 1 of 11Full Name *First NameLast NameEmail Address *Birthday *Age when school starts *Gender *MaleFemaleNationality *AfganistánAfganistánAlbaniaAlemaniaAndorraAngolaAnguilaAntigua y BarbudaAntárticaArgeliaArgentinaArmeniaArubaAustraliaAustriaAzerbaiyánBahamasBangladeshBarbadosBaréinBelizeBenínBermudasBielorrusiaBolivia (Estado Plurinacional de)Bonaire, San Eustaquio y SabaBosnia y HerzegovinaBotsuanaBrasilBrunei DarussalamBulgariaBurkina FasoBurundiButánBélgicaCabo VerdeCamboyaCamerúnCanadáChadChileChinaChipreColombiaComorasCongoCongo (República Democrática del)Corea (República de)Corea del NorteCosta RicaCosta de MarfilCroaciaCubaCurazaoDinamarcaDominicaEcuadorEgiptoEl SalvadorEmiratos Árabes UnidosEritreaEslovaquiaEsloveniaEspañaEstado de la Ciudad del VaticanoEstados Unidos de AmericaEstoniaEtiopíaFederación RusaFijiFilipinasFinlandiaFranciaGabónGambiaGeorgiaGhanaGibraltarGranadaGreciaGroenlandiaGuadalupeGuamGuatemalaGuayana FrancesaGuernseyGuineaGuinea EcuatorialGuinea-BisáuGuyanaHaitíHondurasHong KongHungríaIndiaIndonesiaIraqIrlanda (República de)Irán (República Islámica de)Isla BouvetIsla NorfolkIsla de ManIsla de NavidadIslandiaIslas CaimánIslas CocosIslas CookIslas FaroeIslas Heard y McDonaldIslas Malvinas (Falkland)Islas Marianas del NorteIslas MarshallIslas SalomónIslas Turcas y CaicosIslas Ultramarinas Menores de Estados UnidosIslas Vírgenes (EE.UU.)Islas Vírgenes (británicas)Islas del sur de Georgia y del sur de SandwichIslas ÅlandIsraelItaliaJamaicaJapónJerseyJordaniaKatarKazajistánKeniaKirguistánKiribatiKosovoKuwaitLesotoLetoniaLiberiaLibiaLiechtensteinLituaniaLuxemburgoLíbanoMacaoMacedonia del Norte (República de)MadagascarMalasiaMalauiMaldivasMaliMaltaMarruecosMartinicaMauricioMauritaniaMayotteMicronesia (Estados Federados de)Moldavia (República de)MongoliaMontenegroMontserratMozambiqueMyanmarMéxicoMónacoNamibiaNauruNepalNicaraguaNigeriaNiueNoruegaNueva CaledoniaNueva ZelandaNígerOmánPakistánPalauPalestina (Estado de)PanamáPapúa Nueva GuineaParaguayPaíses BajosPerúPitcairnPolinesia FrancesaPoloniaPortugalPuerto RicoReino Unido de Gran Bretaña e Irlanda del NorteRepública Central de ÁfricaRepública ChecaRepública DominicanaRepública Popular Democrática de LaosRepública Árabe SiriaReuniónRuandaRumaníaSaint Kitts y NevisSamoaSamoa AmericanaSan BartoloméSan MarinoSan Martín (parte francesa)San Martín (parte holandesa)San Pedro y MiquelónSan Vicente y las GranadinasSanta Elena, Ascensión y Tristán de AcuñaSanta LucíaSanto Tomé y PríncipeSaudí ArabiaSenegalSerbiaSeychellesSierra LeonaSingapurSomaliaSri LankaSuazilandia (Reino de)SudáfricaSudánSudán del surSueciaSuizaSurinamSvalbard y Jan MayenSáhara OccidentalTailandiaTaiwán, República de ChinaTanzania (República Unida de)TayikistánTerritorio Británico del Océano ÍndicoTierras Australes y Antárticas FrancesasTimor-LesteTogoTokelauTongaTrinidad y TobagoTurkmenistánTurquíaTuvaluTúnezUcraniaUgandaUruguayUzbekistánVanuatuVenezuela (República Bolivariana de)VietnamWallis y FutunaYemenYibutiZambiaZimbabueCountry of Residence *AfganistánAfganistánAlbaniaAlemaniaAndorraAngolaAnguilaAntigua y BarbudaAntárticaArgeliaArgentinaArmeniaArubaAustraliaAustriaAzerbaiyánBahamasBangladeshBarbadosBaréinBelizeBenínBermudasBielorrusiaBolivia (Estado Plurinacional de)Bonaire, San Eustaquio y SabaBosnia y HerzegovinaBotsuanaBrasilBrunei DarussalamBulgariaBurkina FasoBurundiButánBélgicaCabo VerdeCamboyaCamerúnCanadáChadChileChinaChipreColombiaComorasCongoCongo (República Democrática del)Corea (República de)Corea del NorteCosta RicaCosta de MarfilCroaciaCubaCurazaoDinamarcaDominicaEcuadorEgiptoEl SalvadorEmiratos Árabes UnidosEritreaEslovaquiaEsloveniaEspañaEstado de la Ciudad del VaticanoEstados Unidos de AmericaEstoniaEtiopíaFederación RusaFijiFilipinasFinlandiaFranciaGabónGambiaGeorgiaGhanaGibraltarGranadaGreciaGroenlandiaGuadalupeGuamGuatemalaGuayana FrancesaGuernseyGuineaGuinea EcuatorialGuinea-BisáuGuyanaHaitíHondurasHong KongHungríaIndiaIndonesiaIraqIrlanda (República de)Irán (República Islámica de)Isla BouvetIsla NorfolkIsla de ManIsla de NavidadIslandiaIslas CaimánIslas CocosIslas CookIslas FaroeIslas Heard y McDonaldIslas Malvinas (Falkland)Islas Marianas del NorteIslas MarshallIslas SalomónIslas Turcas y CaicosIslas Ultramarinas Menores de Estados UnidosIslas Vírgenes (EE.UU.)Islas Vírgenes (británicas)Islas del sur de Georgia y del sur de SandwichIslas ÅlandIsraelItaliaJamaicaJapónJerseyJordaniaKatarKazajistánKeniaKirguistánKiribatiKosovoKuwaitLesotoLetoniaLiberiaLibiaLiechtensteinLituaniaLuxemburgoLíbanoMacaoMacedonia del Norte (República de)MadagascarMalasiaMalauiMaldivasMaliMaltaMarruecosMartinicaMauricioMauritaniaMayotteMicronesia (Estados Federados de)Moldavia (República de)MongoliaMontenegroMontserratMozambiqueMyanmarMéxicoMónacoNamibiaNauruNepalNicaraguaNigeriaNiueNoruegaNueva CaledoniaNueva ZelandaNígerOmánPakistánPalauPalestina (Estado de)PanamáPapúa Nueva GuineaParaguayPaíses BajosPerúPitcairnPolinesia FrancesaPoloniaPortugalPuerto RicoReino Unido de Gran Bretaña e Irlanda del NorteRepública Central de ÁfricaRepública ChecaRepública DominicanaRepública Popular Democrática de LaosRepública Árabe SiriaReuniónRuandaRumaníaSaint Kitts y NevisSamoaSamoa AmericanaSan BartoloméSan MarinoSan Martín (parte francesa)San Martín (parte holandesa)San Pedro y MiquelónSan Vicente y las GranadinasSanta Elena, Ascensión y Tristán de AcuñaSanta LucíaSanto Tomé y PríncipeSaudí ArabiaSenegalSerbiaSeychellesSierra LeonaSingapurSomaliaSri LankaSuazilandia (Reino de)SudáfricaSudánSudán del surSueciaSuizaSurinamSvalbard y Jan MayenSáhara OccidentalTailandiaTaiwán, República de ChinaTanzania (República Unida de)TayikistánTerritorio Británico del Océano ÍndicoTierras Australes y Antárticas FrancesasTimor-LesteTogoTokelauTongaTrinidad y TobagoTurkmenistánTurquíaTuvaluTúnezUcraniaUgandaUruguayUzbekistánVanuatuVenezuela (República Bolivariana de)VietnamWallis y FutunaYemenYibutiZambiaZimbabueDo you have a valid passport? *YesNo*The Passport must have at least 11 months of validity.Phone Number *Facebook (name as it appears)Marital Status *SingleSingleMarriedDivorcedEngagedWidowNextFull name of your spouse *How many children do you have? (If applicable)Please write the full name, date of birth and gender of your children and if there is any type of disability in any of them that we must take into accountIf your spouse and/or children do not live with you, please explain the situationBackNextFull Name *Relationship to the Applicant *Phone Number *Email Address *BackNextFull name of Pastor/Mentor *Phone Number *Email Address *Full name of Pastor/Mentor *Phone Number *Email Address *BackNextDo you have plans for study in the future? *YesNoMaybeHighest level of education completed *High SchoolHigh SchoolSome Higher EducationBachelor DegreeMaster's degree or higherAre you currently working? *YesNoOther studies/programs/seminars completedWhat languages do you speak? *Applicant Gifts/Habilities *ManagementCounselingOne-on-one discipleshipSpeaking/TeachingPersonal evangelismWork with adultsWork with adolescentsWork with childrenMusic / SingingDanceVehicle maintenanceKitchenComputersConstruction / CarpentryElectricityTranslationHealth careNone of the aboveOther occupational skillsBackNextDo you have the full money to pay for the theoretical phase? *YesNoTheoretical Phase Prices: Category A: $2,600 USD, Category B: $1,800 USD, Category C: $1,600 USD. If your answer is no, what percentage do you have? Do you have the full money to pay for the practical phase? *YesNoThe Cost of the Crusade varies from $1,700 to $3,800 USD depending on the destination. If your answer is no, what percentage do you have? How will you pay any outstanding money?Do you have the money for your trip to Puerto Viejo Costa Rica? If not, how much do you currently have in US Dollars? *International students may NOT arrive with a one-way ticket.Do you currently have any outstanding debt? If yes, what type?Once students enroll, they are expected to continue through the school and complete payment in full. However, YWAM Puerto Viejo will reimburse a student's theoretical phase for the following reasons: The student voluntarily withdraws from the school. Student is asked to leave due to violation of the code of conduct; or is unwilling to meet the academic and spiritual standards of the school. THEORETICAL PHASE Registration Fee - Non-refundable Before the start of school - 100% First week - 95% Second week - 75% Third week - 60% Fourth week - 50% Fifth and beyond - 0% The early withdrawal of a student could be for different reasons, which in turn will be discussed with the school leader and the base director. CRUSADE PHASE The cost of the crusade is NOT refundable once it has begun. However, unforeseen circumstances, such as illness or emergencies, will be evaluated on a case-by-case basis.BackNextI understand and agree that if I am accepted into a YWAM Puerto Viejo school, I must have adequate and valid health insurance coverage for the duration of my school, and that failure to do so may result in expulsion from my school. *Yes, I AgreeDo you drink alcohol? *YesNoPlease note that YWAM Puerto Viejo has a NO Drinking policy that you will need to adhere to when attending our schools. Are you taking any medication? (If so, indicate which one) *Do you have any physical disabilities or health problems that may require special attention? (If so, indicate which one) *Have you ever been treated for emotional or psychiatric instability? (Depression, anxiety, schizophrenia, etc.) (If so, indicate which) *Are you allergic to any medications? (If so, indicate which one) *Are you allergic to any food? (If so, indicate which one) *Other health-related conditionsConsent for Medical TreatmentIn an emergency, I agree to the performance of such treatment, anesthetics, and operations as deemed necessary by the attending physician. *Yes, I AgreeRelease of LiabilityI release Youth With A Mission, its agents, employees, and volunteers from any liability arising from any injury, damage, or loss that may be sustained by said person during the course of participation with Youth With A Mission. In accordance with biblical principles, I agree to resolve all disputes with Youth With A Mission, YWAM Leader, or staff through conciliation or mediation and waive any right to pursue litigation. *Yes, I AgreeDeclaration and consent for burialWe at YWAM Puerto Viejo Costa Rica encourage every YWAM staff, prospective student and volunteer to seriously consider some of the possible consequences of mission work and training. Although the death of someone is extremely rare in service with Youth With A Mission International, it is nonetheless an experience that awaits each of us over time. It is important for everyone to prepare for such possibilities and have a clear plan of action if such cases arise during our study or service time with Youth With A Mission. YWAM International strongly encourages burial in the field, as decomposition of the body can start very quickly and the transport of the body from the place abroad can be very expensive. In order to be shipped, some laws require a special coffin and the coffin must be accompanied by someone on the return journey. We strive to maintain a Christian view of a person's death, death is not the final step, but only one step; the person is not in the coffin, this is just the earthly shell of him. Therefore, the priority of limited resources during the crusade must be for life. In the event of death, YWAM Puerto Viejo cannot commit to cover the cost of transporting the body to another country for burial purposes, or ultimately instance cover burial expenses in the country of death. If the family wishes to see the body transported back home, the family must bear the cost. I agree that, in the event of my death, Youth With A Mission Puerto Viejo can carry out the burial of the body at the location of the deceased person. If my family wants to send my body home, my family is willing to pay any price. I hereby absolve Youth With A Mission Puerto Viejo, all its staff and associates from burial expenses. *Yes, I AgreeBackNextDescribe your Christian experience and your present relationship with the Lord. How long have you known Christ? *Please describe your life in terms of the last 5 years starting with the age you are now. Please share specific events that have marked your life and explain why. *Please describe your relationship with your parents, how you relate to them, and what their opinion is that you are applying to this course with YWAM in Costa Rica. *Describe your current relationship with your church and local leaders, include any areas of service you have been involved in and why do they support you in your involvement in mission work? *What is your purpose for attending this school? What areas of your character are you currently looking to God to develop and improve? *Are there adverse problems that have affected you? Such as (physical/sexual abuse, divorce, trauma/accidents, etc.) Please explain how you have been dealing with these issues. *Are you currently seeing a professional counselor for any problem? Do you have any need for professional help right now? If so, explain the reasons. Have you ever been in an environment where you had psychiatric care? If so, when? *Have you ever experienced these trends? * *CriticalAnxiety / WorryHomosexual relationshipsEating disordersDrugs abusePrejudiceImpatienceArroganceDishonestyParticipation in the occultTrouble with stealingAlcoholSelf mutilationPornographyNone of the aboveBackNextDo you feel you have a call to missions? What is your specific commitment to the missions - short or long term? Do you feel that you have a calling to another nation or other cultures? *Do you think you can live under pioneer situations, that is, different foods, culture, sharing housing or living in small rooms for families? *Have you ever had a missionary experience? Please explain when and where?Do you plan to pursue a career with The Nations University at this time? If so, what career are you looking for? You can review the courses offered here: https://uofn.edu/ *BackNextHow can we support you in prayer *Other comments/questionsBackNextHave you and all Applicants completed a vaccination schedule for COVID-19? *YesNoHave you or any applicant tested positive for COVID-19? *YesNoIf apply, what type of vaccine (name) was administered?Email *EmailApply