Application Form  
Student's name:

___________________________________________________
Last / Family First / Given Preferred


Sex: Male___ Female___ Birth date: _____________

Day/Month/Year)_______________

Citizenship: __________________MaritalStatus:____________

Level of Education: (Highest Level Achieved)_______________

Permanent Address: ___________________________________________
Street

__________________________________________________
City/State/Province Zip/Postal Code

___________________________________________________ Telephone number Fax number e-mail address


Mailing Address: ______________________________________________
Street

__________________________________________________ City/State/Province Zip/Postal Code

___________________________________________________
Telephone number Fax number e-mail address
Module number you are applying for___________

1. Do you:

a) Own / have access to a personal computer? Yes_____ No_____

If yes, what type is it? IBM_________ Macintosh__________

What type of word processing software do you use____________

b) Prefer contact with your distance tutor through regular mail, fax or e-mail?

__________________________________________

c) Have access to reference materials (such as Bible Encyclopedia, Bible

Dictionary and Concordance)? Yes_____ No_____

If yes, where (e.g. personal, public, university, or church library)?

_________________________________________________

2. On a separate sheet of paper, please write about:
a) your current ministry involvement.
b) any past YWAM involvement (if applicable).
c) your reasons for taking the SBS as a distance learning course.
d) your personal expectations of the course.
e) the approximate weekly time commitment you are able to make
f) how did you hear about the sbsdlc?

3. Please include a recent photo of yourself with this application form.

4. Please see the financial information sheet for the cost of each module.

Enclosing a cheque in British Pounds with this application form (please tick) ____

I have paid by PAYPAL via the internet (please tick)_______