SEMINARS APPLICATION

Ready, set, apply!

SEMINARS APPLICATION

Ready, set, apply!

SEMINARS APPLICATION FORMS

Welcome to our Online Registration Form. If you have any questions during the registration process please don’t hesitate to contact us.

Seminar Application Form

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Choose your event

Are you currently YWAM Harpenden staff?

YesNo

Personal Information

First Name

Last Name

YWAM location

Date of Birth

Nationality

Gender

Phone/WhatsApp Number

Preferred way to be contacted

EmailSMSOther

Other (e.g. WhatsApp, FB, etc)

Address

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We need your consent to receive your application information and to contact you during the application process. By selecting the option to ‘Save my progress and resume later” at any time during the application process or by pressing the 'Submit' button when you have completed the form, you are providing that consent. You have the right to withdraw your consent at any time. To withdraw your consent, please email us at admissions@ywamharpenden.org. For more information about what we do with your personal data and how we protect it, see our privacy notice.

General Information

Do you have any dietary requirements?

YesNo

Dietary Requirements:

VegetarianGluten freeLactose intolerantOther

Please explain dietary requirements

Do you have any allergies?

Accommodation

I would like accommodationI will make my own arrangements

Do you have any disability or special requirements?

YesNo

Please give details

Emergency Contact Information

Emergency Contact Name

Relationship To Applicant

Emergency Contact Phone

including international dialing code

Emergency Contact Email

Emergency Contact Address

Personal Questions

Could you please tell us a little about yourself and your reason for doing this training?

How did you hear about this training?

What are your hopes and expectations for this training?

Criminal offenses

Have you ever been charged with, cautioned or convicted in relation to any criminal offence not subject to DBS (Disclosure and Baring Service) filtering rules; or are you at present the subject of a criminal investigations/pending prosecution?

YesNo

If yes, please give details including the nature of the offences and the dates. Please give details of the court(s) where your conviction(s) were heard, the type of offence and sentence(s) received. Could you also give details of the reasons and circumstances that led to the offence(s). Continue on a separate sheet if necessary.

Have you ever been the subject of a police investigation in any country, which did not lead to a criminal conviction (not subject to DBS filtering rules)?

YesNo

If yes, please give details below, including the date of the investigation, the Police Force involved, details of the investigation and the reason for this, and disposal(s) if known.

To your knowledge have you ever had any allegation made against you, which has been reported to, and investigated by, Social Services/Social Work Department (Children’s or Adult Social Care)?

YesNo

If yes, please provide details, we will need to discuss this with you.

Declarations

I UNDERSTAND AND AGREE TO THE FOLLOWING TERMS AND CONDITIONS:

I have completed all portions of this application truthfully and to the best of my knowledge, and if accepted by Youth With A Mission Limited, I will, under God, abide by the spirit, authority and schedule of the programme.

I understand that payment of my seminar fees must be made upon or before my arrival at the seminar (unless prior arrangements have been made). I therefore undertake to pay all personal expenses during my involvement with YWAM. "

Youth With A Mission Limited reserves the right to terminate my involvement with them, if I am found to have misled YWAM in any way or if my conduct is prejudicial to the good running of the school or to the reputation of YWAM. I have read this form and accept the terms set out in it.

In accordance with the UK Data Protection Act (2018), the information provided on my application form will be held securely, confidentially and will not be kept for longer than is necessary to achieve the stated purposes of recruitment, selection, supplementary personal details and statistics, or that required by law or our insurance company.

I agree to comply with all aspects of national and local law

RELEASE OF LIABILITY

Though every effort is made to provide a safe environment, Youth With A Mission Limited, their agents, employees and volunteer assistants are insured against loss or injury caused by the negligence of Youth With A Mission Limited.

Accordingly in the absence of any negligence or other breach of duty by Youth With A Mission Limited, participation in a Youth With A Mission Limited organised programme, event or outreach is entirely at the participant's own risk. All participants are required to have adequate medical insurance for all phases of their involvement with Youth With A Mission Limited, including repatriation for serious illness and in the case of death.

I have read and agree with the TERMS & CONDITIONS and RELEASE OF LIABILITY and I declare that I have completed this application truthfully, to the best of my knowledge.

In the event that I am unable to sign a consent form due to incapacity, I hereby give my consent for any treatment/medical intervention deemed necessary by the attending health care professionals. Whilst YWAM will make every effort to contact my next of kin/emergency contacts, there may be situations where this is not possible. I, therefore, give permission for YWAM to act in my best interests. I recognise that in an emergency situation it is standard operating procedure to always act in the interest of preserving life.

Yes

I agree to allow Youth With A Mission Harpenden to take photographs of me and my dependants and grant permission for those photographs to be used in projects, promotional materials, press articles, our website, and social medias.

YesNo

Due to the nature of the working and living environment for most of our YWAM teams, with staff and families with small children living in close proximity, we need to also ask you to indicate below that you are not barred from working with children/vulnerable adults.

I can confirm that I am not barred from working with children and/or vulnerable adults I cannot confirm that I am not barred from working with children and/or vulnerable adults

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Contact Information

6 Highfield Oval, Harpenden, AL5 4BX, UK

ywamharpenden.org is the official website of Youth With A Mission Harpenden, a ministry of YWAM International and YWAM England.
Registered charity number 1156783. Company registration number 8807913 in England and Wales.

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