Internship Application

1 Introduction

2 Personal

3 Experience

4 Health

5 Heart

6 Finishing Up

Peronsal Information
Name
First Middle Last
Preferred Name
Date of Birth
Gender
Country of Citizenship
Marital Status
Children (yes/no; ages)
Contact Details
Email
Phone Number
Current Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Is your mailing address different from your current address?
- Yes
- No
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact Details
Contact Name
Relationship
Contact Phone Number
Contact Email

Education Information
DTS Location
Date Completed
DTS Leader's Name
DTS Leader's Phone/Email
List any YWAM schools or trainings you have completed
What is the highest education level you have achieved?
Other education or qualifications received if any
Languages
Languages spoken in order of fluency
English proficiency
Work History
List any work experience or employment outside YWAM
Have you been on staff with YWAM?
- Yes
- No
List your job title, location and dates
Criminal Record
Are you involved in any current or pending lawsuits or legal proceedings
- Yes
- No
Please briefly explain
Do you have a police record?
- Yes
- No
Please give details as to your police record

Health Information
Health Care Number (for Canadians)
Do you plan to have Health Insurance for your time with us?*
- Yes
- No
Is there any health information you believe we should be aware of?*
Are you taking any medications or supplements? Either prescription or over-the-counter?*
- Yes
- No
Please list the name, dose and frequency of all medications
Please list all your allergies
Specify your reactions, medications and/or procedures you use to deal with your allergies. Include allergies to foods, insects, medications and others.
Do you carry an Epi-Pen?*
If you have a severe allergic reaction that requires you to carry an epinephrine pen, you must have it with you at all times and inform the staff.
- Yes
- No
Briefly describe your fitness/activity level
Can you swim?*
- Yes
- No
Financial Support
Do you have complete internship fees? ($2250 CAN)
- Yes
- No
How much do you anticipate you will have upon arrival?
How do you anticipate the provision of the outstanding amount?
Do you have any outstanding debt?
- Yes
- No
Please explain your outstanding debt

A Little About Yourself
Are you meeting your expectations for personal and spiritual growth?
What personal character trait(s) do you want God to develop?
What kind of work community do you feel most successful and comfortable in?
Describe a time you became frustrated in your work situation. How did you address or solve the situation?
How do you best receive feedback?
How do you best receive affirmation/love?
How do you deal with conflict?
Is there any outstanding problem or difficulty in your life? Do you have any unresolved conflicts with former leaders?
How do you connect with other believers (eg. church, small groups, gatherings, other)
Why Are You Interested?
What is God speaking to you about your desire to intern at YWAM Mountain Refuge?
Tell us a little bit about why you want to intern at YWAM Mountain Refuge. Please include what interests you about it and what you would hope to get out of your time here.
Tell us a bit about why you feel you are a good fit for our internship?
An Internship at YWAM Mountain Refuge is much more than work training—it includes living with others in community and sharing in a variety of tasks outside your program area (events, chores, meals, etc). Please comment on your ability to be flexible and live and work with others from different ethnic, life, and faith backgrounds.
What is your understanding of health and healing?

Pastoral Reference
This is not limited to a church pastor. It could be a previous DTS staff or leader who you connected with, or someone you connect with regularly that knows your heart and spiritual journey.
Name
How long have you known this person?
Email
Phone Number
Friend Reference
Name
Email
Phone
How long have you known this person?
What is your relationship with this person?
Upload supporting documents
Please upload a document for the following
Photo
Resume*
Passport Photo Page*
Accepted file types: jpg, png, pdf.
Other Important Information
Are there other special requests, questions, or things you would like us to know about you and/or your application?
Are there any areas that you think might need to be addressed during your time at YWAM Mountain Refuge (stress, loss, transition, grief, injustice, other)?
Please list anything that could impact your ability to be fully engaged in your internship (i.e. medical/mental health concerns, scheduling conflicts, etc.) for the entire length of the program
How did you hear about us?

Internship Application Guide