Youth in Mission Application Form - Formstack

ERROR:JavaScript is not enabled. You must enable JavaScript in your browser to use this form



	Youth in Mission Application Address: 50 Wynford Dr., Toronto ON M3C 1J7 Telephone: 1-800-619-7301 Email: yim@presbyterian.ca Website: http://www.presbyterian.ca/yim Please read the following instructions before completing the form. To complete the application you must submit this online form and send a $50 deposit to the address above. You must also submit two references which can be mailed or emailed. Following receipt of the application, deposit and references, YIM will contact the applicant to organize a convenient time for a brief interview. There is limited space for each trip so suitability will be based on this application, references and the interview. NOTE: Application Deadlines are February 1, 2010 for International Trips and March 15, 2010 for Canadian Trips.

	Personal Data
	Name (as it appears on your passport) First Name Middle Name Last Name
	Current Address City Province Postal Code
	Permanent Address same as above
	City Province Postal Code
	Home Phone*
	Cell Phone
	Email*
	Birthdate Month Day Year
	Birthplace
	Citizenship
	Sex
	Do you have any physical condition that could affect you on the trip?
	Please list any allergies you have.
	NOTE: In the case of international trips, a letter may be required from a physician stating that you are in good health.

	Church Affliation
	Home Church
	Denomination
	Church Address City Province Postal Code
	Church Phone
	Church Email
	Have you made your church aware of your application?
	NOTE: If you are accepted for a YIM trip, YIM will be contacting your church, letting them know of your involvement and encouraging them to support you financially and spiritually.

	Trip Information
	Which trip(s) are you applying for?
	Why are you interested in this trip?

	Long Answer Questions The following questions are designed so that YIM can know a little more about why you would like to be a YIM volunteer.
	1) Tell us a little about yourself.
	2) Why do you want to participate in a YIM Mission experience?
	3) Tell us about your faith and what it means to you at this point in your life.
	4) What strengths, skills or gifts do you most enjoy using?
	5) What do you think will be the most challenging thing that you will face on this mission experience?
	6) Please list any volunteer and/or travel experience you have.
	7) Please list anything else that you think we should know about you? awards, past work experience, qualifications etc...

	Finances
	Deposit Please include a $50 deposit with your application. This deposit will go against the overall cost of the trip. In the event that we are unable to accept you for the trip you applied for, the deposit will be refunded. If you decide to pull out of the application process for reasons deemed invalid, the deposit will not be refunded. Canadian Projects For projects within Canada, unless otherwise indicated, the total cost will be the cost of travel to and from the project location, plus a set cost to contribute to overall cost of the project. This will cover accommodation, food, local transportation and health insurance coverage. International Trips For international trips, volunteers are required to cover the entire cost that has been indicated for each trip. This will cover accommodation, food, flights, local transportation, health insurance coverage, travel VISAs and any orientation prior to the trip. Any other costs associated with shots and vaccinations are not included in the cost of the trip. There are many ways to raise funds. YIM can give advice and information regarding fund raising.
	Are you aware of these financial obligations?
	Do you anticipate any problems raising these funds?
	Do you expect to receive financial assistance from your church, youth group or other organization?
	If so, please list sources from which you can expect to receive assistance.

	References As part of your application we require two references. One from your minister or elder and another from a teacher, youth leader or person with whom you have worked with in other volunteer experiences. Please ask your references to email or mail their completed YIM reference form which can be found at www.presbyterian.ca.
	Reference 1 Name First Name Last Name
	Relation
	Reference 2 Name First Name Last Name
	Relation

	Final Step
	Remember to send in your $50 deposit and arrange your references to complete the application process. We look forward to having you as a YIM participant in 2010.