Staff Form Please enable JavaScript in your browser to complete this form.Staff Application Form Thank you for filling out this application form. If you have any questions or if you need help with understanding the questions, please do not hesitate to contact us. Please take a look at our website to decide where you would like to serve within YWAM Liverpool before completing this application. Please answer all of the questions on this form then send it to us. We will aim to contact you within a week of receiving your application. Contact us via email at admin@YWAMLiverpool.co.uk.TitleName *FirstLastAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail *Date of Birth *GenderMaleFemale(FOR ACCOMMODATION PURPOSES)Place of BirthMarital StatusHAVE YOU EVER BEEN REFUSED A VISA TO ANY COUNTRY?Yes NoIF YES, PLEASE GIVE DETAILSDO YOU NEED A VISA TO WORK IN THE UK? YES (PLEASE GIVE PASSPORT DETAILS BELOW)NoPassport NumberNATIONALITYDATE OF ISSUEDATE OF EXPIRYPLACE OF ISSUEFULL NAME AS IT APPEARS IN PASSPORT:IF MARRIED, WILL YOUR SPOUSE BE ACCOMPANYING YOU?Yes NoPLEASE EXPLAIN BELOWPLEASE NOTE THAT WE DO NOT BELIEVE THAT FAMILIES SHOULD SEPARATED, AND AS SUCH WE ARE UNLIKELY TO ACCEPT AN APPLICANT WITHOUT THEIR SPOUSE AND CHILDREN ACCOMPANYING THEM.DOES YOUR SPOUSE NEED A VISA TO LIVE IN THE UK?Yes NoFULL NAME AS IT APPEARS IN PASSPORT (SPOUSE) Passport Number (SPOUSE)NATIONALITY (SPOUSE)PLACE OF ISSUE (SPOUSE)DATE OF ISSUE (copy)DATE OF EXPIRY (SPOUSE)WILL YOUR CHILDREN BE ACCOMPANYING YOU?YesNoNOT APPLICABLENAMES OF CHILDREN ACCOMPANYING YOU?DO THEY NEED A VISA TO LIVE IN THE UK? No YES (PLEASE GIVE PASSPORT DETAILS via email)DISCIPLESHIP TRAINING SCHOOL & YWAM HISTORYWHAT CHURCH DO YOU CURRENTLY ATTEND?DENOMINATIONCHURCH LEADER’S NAMESCHURCH LEADER’S ADDRESSAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryHOW LONG HAVE YOU BEEN ATTENDING THIS CHURCH?HAVE YOU MENTIONED TO YOUR CHURCH LEADER YOUR INTENTION OF SERVING WITH US?YesNoIF NO, PLEASE GIVE THE REASONIS YOUR CHURCH LEADER SUPPORTIVE OF YOUR INTENTION TO SERVE WITH US?YesNoIF NO, PLEASE GIVE THE REASON CHURCHWHERE DID YOU DO YOUR DTS?Date / TimeLEADERWAS IT SUCCESSFULLY COMPLETED?YesNoIF NO, PLEASE GIVE THE REASON PLEASE LIST YOUR HISTORY WITH YWAM FOR THE LAST 10 YEARS, STARTING WITH THE MOST CURRENT: USE A SEPARATE SHEET OF PAPER IF NECESSARY.DATES // COURSE/POSITION // NAME OF COURSE/WORK LEADEREDUCATION & QUALIFICATIONSUNIVERSITY/COLLEGE/HIGHER OR FURTHER EDUCATION (POST 16 YEARS OLD) DATES // LOCATION // QUALIFICATIONS RECEIVEDPRESENT OCCUPATION/CAREER DETAILS PLEASE LIST ALL CAREER DETAILS OTHER THAN YWAM FOR THE LAST 10 YEARS, BEGINNING WITH THE MOST CURRENT. USE A SEPARATE SHEET OF PAPER IF NECESSARY.DATES // EMPLOYER // JOB TITLE OR MAIN RESPONSIBILITIES COMPETENCIES WHAT LANGUAGES DO YOU SPEAK, IN ORDER OF FLUENCY?HOW WELL DO YOU SPEAK ENGLISH?VERY WELL WELLAVERAGEPOORLYPRACTICAL SKILLS AND ABILITIESOTHER TALENTS, SPECIAL INTERESTS, HOBBIESShould we run a DTS, would you be willing to be involved, and in what capacity? *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?YESNOIF 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). 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)?YESNOIF 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)?YESNOPLEASE PROVIDE DETAILS, WE WILL NEED TO DISCUSS THIS WITH YOUHAS THERE EVER BEEN ANY CAUSE FOR CONCERN, ANY DISCIPLINARY ACTION EVER BEEN TAKEN AGAINST YOU OR WRITTEN WARNING GIVEN TO YOU IN ANY COUNTRY, BY ANY EMPLOYER OR ANY CHARITABLE OR OTHER ORGANIZATION OR BODY WORKING WITH CHILDREN OR YOUNG PEOPLE IN RELATION TO YOUR BEHAVIOUR WITH CHILDREN OR YOUNG PEOPLE? YESNOPLEASE PROVIDE DETAILS, WE WILL NEED TO DISCUSS THIS WITH YOU (copy)YWAM ENGLAND AND WALES, AS AN AGENCY WORKING WITH CHILDREN AND YOUNG PEOPLE, IS EXEMPT FROM THE UK REHABILITATION OF OFFENDERS ACT (1974) AND THEREFORE APPLICANTS MUST DECLARE ALL PREVIOUS CONVICTIONS. POLICE RECORD CHECKS CAN BE MADE BY YWAM TO VERIFY INFORMATION.FINANCES STAFF IN YWAM ARE RESPONSIBLE FOR PROVIDING THEIR OWN FEES AND PERSONAL LIVING EXPENSES. WE ASK THAT SINGLE STAFF COME WITH AT LEAST £350 A MONTH COMMITTED SUPPORT. PLEASE CONTACT US FOR MINIMUM AMOUNTS FOR COUPLES AND FAMILIES. HOW WILL YOU RAISE THE REQUIRED FINANCES?COMMITTED FROM YOUR CHURCH PER MONTHCOMMITTED FROM FRIENDS/RELATIVES PER MONTHOTHEROTHER (SPECIFYDO YOU HAVE DEBTS OR OTHER FINANCIAL OBLIGATIONS?YesNoLIABILITIES MAY INCLUDE DOCTORS’ BILLS, COURSE FEES, LOANS FROM BANKS, CREDIT CARD DEBT ETC. LIST ANY FINANCIAL OBLIGATIONS YOU CURRENTLY HAVE, AND WHEN AND HOW YOU EXPECT TO FULFILL THEMYES (PLEASE LIST BELOW)BACKGROUND QUESTIONS DESCRIBE YOUR CHRISTIAN CONVERSION EXPERIENCE AND YOUR PRESENT RELATIONSHIP WITH GOD:WHAT IS YOUR PURPOSE IN JOINING STAFF? WHAT IS YOUR VISION?WHAT GIFTS AND STRENGTHS DO YOU THINK YOU BRING TO THE MINISTRY?HOW DID GOD LEAD YOU TO APPLY TO THIS LOCATION?IN WHICH AREAS OF YOUR LIFE HAVE YOU RECENTLY SEEN GROWTH, E.G. SPIRITUAL GIFTS, CHARACTER ETC, AND HOW IS THIS DEVELOPING?WHAT DO YOU AND OTHERS RECOGNIZE YOUR MAIN WEAKNESSES TO BE?WHAT LEADS YOU TO BELIEVE YOU COULD LIVE IN THE CONDITIONS OF A COMMUNITY SETTING? (SUCH AS DIFFERENT FOOD, CULTURE AND LIMITED PERSONAL SPACE)GIVEN THE CHOICE WOULD YOU PREFER TO LIVE IN YWAM ACCOMMODATION OR MAKE YOUR OWN ARRANGEMENTS?IF YOU ARE UNABLE TO MAKE A TWO YEAR COMMITMENT, PLEASE EXPLAIN WHY AND THE LENGTH OF COMMITMENT YOU ARE ABLE TO MAKEDO YOU HAVE ANY HEALTH PROBLEMS, DIETARY RESTRICTIONS OR ANY DISABILITIES THAT MAY AFFECT YOUR DAY-TODAY FUNCTIONING? IF YES, PLEASE OUTLINE HOW YOUR FUNCTIONING MAY BE LIMITED.IS THERE ANYTHING ELSE YOU THINK WE SHOULD KNOW ABOUT YOURSELF OR YOUR FAMILY? (E.G. CURRENT PERSONAL ISSUES, HEALTH OF YOURSELF AND CHILDREN, CHILDREN’S EDUCATIONAL NEEDS, DEPENDENT CLOSE RELATIVES)WE ARE CURRENTLY RUNNING MINISTRIES AND PLANNING A 9 MONTH DTS (STARTING AUTUMN 2020) WHICH WILL ALSO BE WORKING WITH AND PIONEERING LOCAL OUTREACHES. WE ARE ASKING ALL THOSE APPLYING TO STAFF TO PRAYERFULLY CONSIDER STAFFING THE DTS, WHICH WILL MEAN ALSO BEING INVOLVED IN LOCAL OUTREACH AND CURRENT MINISTRIES.DISCIPLESHIP TRAINING SCHOOL STAFF – FOR FUTURE TRAINING WE’RE PLANNING TO HOST MANNA CART – REACHING OUT TO THE HOMELESS COMMUNITY IN THE CITY CENTRE. FRIDAY NIGHT COMMUNITY – EVENING WORSHIP AND FELLOWSHIP AT A CHRISTIAN CAFÉ & BOOKSHOP IN THE CITY CENTREOTHER – PLEASE GIVE DETAILS BELOWOTHER – PLEASE GIVE DETAILS BELOWReferences YWAM Leader NameYWAM Leader EmailChristian Friend Reference NameChristian Friend Reference EmailChurch Leader/Christian Mentor NameChurch Leader/Christian Mentor EmailDECLARATIONSI UNDERSTAND THAT: • YOUTH WITH A MISSION (YWAM) REQUIRES LONG-TERM STAFF TO HAVE SUCCESSFULLY COMPLETED A DISCIPLESHIP TRAINING SCHOOL (DTS). • ACCEPTANCE ON STAFF IS CONDITIONAL, SUBJECT TO A 3 MONTH MUTUAL EVALUATION PERIOD. BY THE END OF THIS TIME WE WILL AIM TO HAVE A MUTUAL REVIEW TO DETERMINE IF THIS IS THE RIGHT PLACE FOR YOU. • IF I AM ACCEPTED I WILL COMPLY WITH THE VALUES AND ETHOS OF YWAM. • AS A VOLUNTEER WITH YWAM ENGLAND, I AM CLASSIFIED AS SELF-EMPLOYED AND I UNDERSTAND IT IS MY RESPONSIBILITY TO REGISTER WITH HMRC WITHIN 90 DAYS OF ENTERING THE UK. I UNDERSTAND THAT IF I FAIL TO DO THIS, I WILL BE RESPONSIBLE FOR ANY FINES OR CONSEQUENCES RELATING TO THIS. • IN ACCORDANCE WITH THE UK DATA PROTECTION ACT (1998), THE INFORMATION PROVIDED ON MY STAFF APPLICATION FORM WILL BE HELD SECURELY, CONFIDENTIALLY AND WILL NOT BE KEPT FOR LONGER THAN IS NECESSARY TO ACHIEVE THE STATED PURPOSED OF RECRUITMENT, SELECTION, SUPPLEMENTARY PERSONAL DETAILS AND STATISTICS, OR THAT REQUIRED BY LAW OR OUR INSURANCE COMPANY. I UNDERSTAND THAT: *YesNoYES, I GIVE YWAM PERMISSION TO SAVE MY CONTACT DETAILS FOR THE PURPOSES STATED IN THE PRIVACY POLICY, FOUND ON OUR WEBSITE, WWW.YWAMLIVERPOOL.CO.UK (copy)YesNoCONSENT FOR TREATMENT – AN EMERGENCY PROVISION 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 RECOGNIZE THAT IN AN EMERGENCY SITUATION IT IS STANDARD OPERATING PROCEDURE TO ALWAYS ACT IN THE INTEREST OF PRESERVING LIFE.= 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. 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. ACCORDINGLY PARTICIPANTS ARE REQUIRED TO HAVE ADEQUATE MEDICAL INSURANCE FOR ALL PHASES OF THEIR INVOLVEMENT WITH YOUTH WITH A MISSION LIMITED. SAFEGUARDING DECLARATION IF NEEDED, I CONSENT TO A CRIMINAL RECORDS CHECK IF APPOINTED TO THE POSITION FOR WHICH I HAVE APPLIED. I AM AWARE THAT DETAILS OF PENDING PROSECUTIONS, PREVIOUS CONVICTIONS, CAUTIONS, OR BINDOVERS AGAINST ME MAY BE DISCLOSED ALONG WITH ANY OTHER RELEVANT INFORMATION, WHICH MAY BE KNOWN TO THE POLICE. IF NEEDED, I UNDERSTAND THAT, IF I AM A UK RESIDENT, A CHECK WILL BE MADE WITH THE DISCLOSURE AND BARRING SERVICE (DBS) AND THAT IT IS AN OFFENCE FOR ANY PERSON TO COMMENCE REGULATED ACTIVITY WITHOUT FIRST PROVIDING A VALID DBS DISCLOSURE. IF I AM AN OVERSEAS RESIDENT, I UNDERSTAND THAT I WILL NEED TO PROVIDE A POLICE CHECK FROM MY HOME NATION IF THE POSITION I AM APPOINTED TO REQUIRES IT. I AGREE TO INFORM THE PERSON WITHIN THE YWAM BASE/TEAM RESPONSIBLE FOR PROCESSING APPLICATIONS FOR DISCLOSURE AND BARRING SERVICE CHECKS IF I AM CONVICTED OF AN OFFENCE AFTER I TAKE UP ANY POST WITHIN YWAM ENGLAND. I UNDERSTAND THAT FAILURE TO DO SO MAY LEAD TO THE IMMEDIATE SUSPENSION OF MY WORK WITH CHILDREN OR VULNERABLE ADULTS AND/OR THE TERMINATION OF MY WORK/TRAINING ASSOCIATION WITH YWAM. I AGREE TO INFORM THE PERSON WITHIN YWAM RESPONSIBLE FOR PROCESSING APPLICATIONS FOR THE DISCLOSURE AND BARRING SERVICE IF I BECOME THE SUBJECT OF A POLICE AND/OR A SOCIAL SERVICES/(CHILDREN’S SOCIAL CARE OR ADULT SOCIAL SERVICES)/SOCIAL WORK DEPARTMENT INVESTIGATION. I UNDERSTAND THAT FAILURE TO DO SO MAY LEAD TO THE IMMEDIATE SUSPENSION OF MY WORK WITH CHILDREN OR VULNERABLE ADULTS AND/OR THE TERMINATION OF MY WORK/TRAINING AND ASSOCIATION WITH YWAM. 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 SIGN THIS STATEMENT. I CONFIRM THAT I AM NOT BARRED FROM WORKING WITH CHILDREN/VULNERABLE ADULTS I HAVE READ AND AGREE WITH THE DECLARATIONS, CONSENT FOR TREATMENT AND RELEASE OF LIABILITY ABOVE, AND I DECLARE THAT I HAVE COMPLETED THIS APPLICATION TRUTHFULLY, TO THE BEST OF MY KNOWLEDGE.CONSENT FOR TREATMENT *YesNoPrinted NameDateSignatureClear SignatureSubmit