La Lanzadera application English
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FOTO
Leadership Training Course
Identification
1. Name _______________________________________________________________ Sex: Male ___ Female ___ Age ____ Date of birth _________________________
day/month/year
2. Mailing Address _______________________________________________________ PostCode ________City _____________State/Prov. _____ Country ___________ 3. Telephone _____________________(res) ________________________(mobile)
Fax ______________________ E-mail __________________________________ 4. Place of birth _________________________________________________________
City/province/country
5. Nationality _______________Passport # ______________ Expiration date ________ Have visa for the length of stay in Spain? Yes / No Expiration date _________
La Lanzadera
6. Marital Status: Single ____ Engaged ____ Married ____ Widowed ____ Separated ____ Divorced ____ Remarried ____ 7. In case of emergency, contact: Name _____________________________________ Complete Address:____________________________________________________ Phone: _____________________ e-mail:_________________________________ 9. List languages you speak, indicateing the level of proficiency from 1-5 (five is high). ____________________________________________________________________
Christian Experience/ Calling
(For the next three questions , please write your answers on a separate sheet/s of paper. You may combine answers to questions if they are difficult to answer seperately.) 1. Describe in a couple of paragraphs how you came to know Jesus Christ personally, describing events and steps that brought you to that point. 2. Describe your subsequent spiritual growth. Comment on events or spiritual experiences which led to new levels of understanding and/or commitment. 3. Why are you now applying for further training and/or missionary work? Share events or any influences which have brought you to this point. (Also include any specific guidance which you believe the Lord has given you) 4. Have you completed a YWAM “Discipleship Training School? Yes / No If so, where and when? ____________________________________________________________ 5. Have you been in other evangelistic campaigns? ___ If yes, please list them below.
date name location
________________________________________________________________ ________________________________________________________________ ________________________________________________________________
La Lanzadera application English
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6. How much formal or informal Bible training have you had? (give details) _____________________ ________________________________________________________________________________ 7. Please describe your experience in Christian work and leadership? ___________________________ _________________________________________________________________________________ 8. Does your pastor know that you are applying for this PCYM school? Yes / No 9. If so, what is his attitude? ____ enthusiastic ____ positive ____ neutral ____ negative Your Pastor’s name: ______________________________Home phone: ______________________ Church name: _______________________________ Denomination: ________________________ Church full address: ________________________________________________________________ Church Fax : _________________ Phone: _________________ e-mail: _____________________ 10. How do you foresee using your PCYM experience afterwards in ministry? __________________________________________________________________________________ ________________________________________________________________________________ 10. What are one or more positive aspects of your childhood that you would like to pass on to other children/teens? ______________________________________________________________________ __________________________________________________________________________________ 11. What are one or more negative experiences of your childhood you want to help other children/teens avoid? _____________________________________________________________________________ __________________________________________________________________________________ ************************************************************************************* (Note: the answers to the following questions will be taken in the strictest confidence. We believe in the redemption and forgiveness that God provides for anyone. However, you will be working directly with children and teenagers and it is important that we understand who of our staff has both testimonies as well as needs in these areas. Honest answers will not, by itself, disqualify anyone from this school) ************************************************************************************* 12. Have you ever had psychiatric treatment? ____ If so please give details of treatment received, dates and/or present recovery: _____________________________________________________________ 13. Please indicate if any of the following factors were present in you or your family, currently or in the past: Abuse of alcohol or drugs / involvement in the occult /uncontrollable temper / sexual abuse of minors / homosexuality / other sexual dysfunction. (For those sections indicated, please explain **on a separate sheet of paper** and confidentially how you have dealt with the situation and your current state of health and/or recovery)
RELEASE OF LIABILITY/CONSENT FOR TREATMENT
I/WE hereby state that I have current medical insurance and release “King´s Kids, Spain” and Youth with a Mission, their staff, agents and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss which may be sustained by the undersigned in the course of involvement with King´s Kids, Spain. In case of emergency, I/WE hereby further agree to the performance of such treatment, including anesthesia and surgery, which the attending doctor/physician may deem necessary.
____________________________________________________ applicant´s signature
_____________ date
La Lanzadera application English
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Job Experience and Abilities
1. 2. 3. 4. What is your present occupation? _____________________________________________________ Do you have any musical training or talents? ____________________________________________ What are your hobbies? _____________________________________________________________ In which of the following areas do you have special aptitude or would like to serve? ___ drama ___ photography ___ administration/promotion ___ sound tech ___ playing an instrument __________________ ___ dance ___ working with ages 1-5 / 6-9 / 10-13 / 14-18 (mark one) ___ preaching, teaching ___ cooking ___ leading worship ___ singing ___ recreational sports ___ driving, transport ___ choreography ___ graphics, web design ___ prayer & intercession ___ accounting ___ computers ___ other:________________________
20. Please describe any practical or special ability you have in the areas you marked above: _____ ______________________________________________________________________________ 21. Do you have a Driver’s License _____ From where? ______________ Classification _________
Responsibilities of the Applicant
The “La Lanzadera” PCYM school will be an intense ministry experience that will demand the full time and attention of both students and staff to successfully process all of the material and experiences that will be offered. If accepted as a student for the “La Lanzadera” PCYM school, I commit to meet all my financial obligations in a timely manner and abide by the spirit, schedule and direction of school leadership and staff.
X__________________________________________________________
Applicant´s Signature
___________________
date
Final Instructions Before Returning Your Application Form
Don’t forget to send the €30 ($50USD) registration fee with this form. Remenber that the deadline to receive your registration is January 1.. Fee payment info: by $USD check send to: Project: Spain PO Box 1292, Culver City, CA 90232 put “(your nmae) La Lanzadera 07 registration fee” on a separate piece of paper. By bank transfer: “La Caixa”, account name and number: “Asociación Cultural Jaume 2/20-King´s Kids” #2100 3313 37 2200109828 SWIFT: CAIXESBB IBAN: ES48 2100 3313 37 2200109828 Give the Reference Form to your Pastor or Spiritual Leader NOW!: Fill out your name and address on the top of the form, providing a pre-addressed envelope, and encourage him to fill it and send immediately. We cannot process your application until all fees and references are received. Please make sure all forms are signed Place this form and your check or bank transfer receipt into an envelope including: Foto Copy of your passport or DNI Copy of your medical insurance card or notice of insurance and send it to: La Lanzadera · Apatado 15090 · 08018 Barcelona, Spain tel: +34 933 037 638· fax: +34 933 036 214 · E-mail: info@la-lanzadera.com
La Lanzadera application English
King´s Kids / “La Lanzadera” Confidential Reference Form for... Pastor / Spiritual Leader
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(Applicant: Fill in your name and personal data on top portion only)
Name of Applicant__________________________________________ Tel:________________________ Address:____________________________________ Postal Code __________ City: _________________ State/Prov __________________ Country_________________ e-mail: ____________________________ Program applied for:
PCYM Training School “La Lanzadera”
Campaign / Outreach Staff
Other___________________
*************************************************************************************************** Dear Pastor/leader, The above named person has applied to be an adult staff/ student for a King´s Kids leadership training program. King´s Kids is an inter-denominational Christian ministry, part of Youth With A Mission, whose aim is to lead children and youth into a proven knowledge of God through involvement in evangelism and practical ministries locally and internationally. We have asked him or her to give you this form, to be filled in AS SOON AS POSSIBLE, in order to complete their application process. We thank you in advance for your time and attention towards helping us make the best decision possible regarding their involvement in this ministry and furthering God’s purposes in their lives.
-The Leaders and staff of King´s Kids, Spain/Catalunya
***************************************************************************************************
Your Name:_____________________________________________Ph. ( )_______________________ Address:____________________________________ Postal Code __________ City: ________________ State/Prov __________________ Country_________________ e-mail: ____________________________ 1. Relation to the applicant (Pastor, youth leader, etc.)______________ 2. How long have you known the applicant?______ How well? Very well / acquaintance / not very well 3. Is the applicant a faithful part of the church family?________________________________________ A King´s Kids staff/student must be able to accommodate himself readily to unaccustomed living conditions and new social situations. Adjustments have to be made concerning diet, social customs, work habits, climate changes, etc. Keeping the challenge of these unusual demands in mind, please rate the applicant by placing a check by the appropriate descriptions:
Physical Condition Christian Experience Willingness to Serve
Frequently incapacitated Somewhat below par Fairly healthy Good health
Emotional Resilience (in difficult situations)
Relatively superficial Over emotional Genuine but mild Rich and growing Warmly contagious
Intelligence
Reluctant to serve Motives confused Willing to serve Eager to serve as needed
Teamwork
Gets angry; impulsive Withdraws Gets discouraged easily Constructively meets difficulties Responds with patience Other: ______________
Learns and thinks slowly Average mental ability Alert; has a good mind Brilliant, exceptional
***more on reverse***
Frequently causes friction Insists on having own way Prefers to be alone Usually cooperative Works well with others
La Lanzadera application English
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Relationships
Avoided by others Tolerated by others Liked by others Well liked by others Sought by others
Leadership (ability to inspire others and maintain their confidence)
Achievement (ability to formulate, execute and carry plans to conclusion)
Response to Authority (how one responds when given instructions)
Starts but does not finish Does only what is assigned Takes initiative and is
dependable
Has trouble following
instructions heart is not in it
Follows instructions, but often Is teachable and follows orders Other: _________________
Superior creative ability
Responsiveness (to the needs of others)
Makes no effort to lead Tries, but lacks ability Has some leadership promise Has average ability to lead Definite leadership gift
Slow to sense how others feel Reasonably responsive Understanding and thoughtful Consistently understanding
1. Has the applicant ever been a source of dissension or disunity? Yes ____ No ____If so, was it a onetime occurance or is it a continuing pattern? (please explain): ________________________________ __________________________________________________________________________________ 2. Is he/she prejudiced against groups, races or nationalities? Yes ____ No ____ If so, please explain: _________________________________________________________________ 3. Please comment on the applicant’s family background and present family life, if known: ___________ __________________________________________________________________________________ 4. To your knowledge has the applicant ever had psychiatric treatment or any sustained mental/emotional problems? Yes____ No____ Please comment:___________________________________________ ________________________________________________________________________________ 5. Has the applicant ever been involved in drug abuse, homosexuality, adultery, cults or the occult? Yes ____ No ____ If so, please explain: ________________________________________________ ________________________________________________________________________________ 6. What do you see as the applicant’s strong points? __________________________________________ __________________________________________________________________________________ 7. What, in your opinion, are the applicant’s weak points? _____________________________________ __________________________________________________________________________________ Recommendation Would you recommend the applicant for acceptance by Youth with a Mission? ____Yes, strongly; ____Yes, moderately; ____With some hesitation; ____ No. Please explain your reasons for answering as you did:__________________________________________ _____________________________________________________________________________________
Your Signature: __________________________________
Date: _______________________
Please send immediately to: King´s Kids · Apt 15090 · 08018 Barcelona, Spain. tel: +34 933 037 638 fax: +34 933 0376 214 If you would like more information about La lanzadera, consult our web page at: www.la-lanzadera.com