*Online Registration Form

This form should take you less than 30 minutes to complete. If you don’t have the time to fill it out right away feel free to just submit the form with some of the information missing, and we will contact you to get all the information we need to proceed with your registration form.

 if you want to fill it out offline

Thank you for wanting to volunteer with the YWAM Medical Ship.

Filling out this Registration Form is the first step in securing your spot on an Outreach.

It shouldn't take you more than 15-20 minutes.

 





Outreach Details

(If you are flexible with your time frame, please select any outreaches that would work for you)










Welcome to our Online Registration Form. 

Please fill out all fields to speed up the registration process.

If you have any questions during the registration process please do not hesitate to contact us and save your progress as you go. Another option is to download a hard copy here and mail, fax or email it to us.

Personal Details



Please enter the date in the following format day/month/year 28/10/1980 04/01/1990

(Women's Sizes: 8, 10, 12, 14, 16, 18, 20, 22, etc.; Men's Sizes: S, M, L, XL, 2XL, 3XL, 4XL)


Marital Status






Please enter the date in the following format day/month/year 28/10/1980 04/01/1990

Please upload a recent photo of yourself

Mailing Address






Permanent Address



Zip is your Postcode

Please include your country and area code. E.g 001 425 8889 472 or 0061 7 4771 2123


Passport / Visa Information


Please enter the date in the following format day/month/year 28/10/1980 04/01/1990




Please enter the date in the following format month/date/year 10/28/2010 01/04/2010



Church Information (if applicable)





Please include you country and area code. E.g +1 425 8889472 or +61 7 4771 2123




Medical Personnel Only - Please provide for Professional Registration and Administration



Additional Information

Criminal Record








Registration Fee:

A 20 AUD registration fee is required upon receipt of registration. It cannot be processed otherwise.

After submitting your registration form you will be redirected to our payment page.

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