This application is confidential and will only be read by the leadership
of
Team Xtreme. Please print neatly or type. If you use a
separate
sheet of paper, refer to the number of the question.
|
| You are applying for: |
DTS
Mission Builder
Staff
|
| |
|
| Start Date |
|
| |
|
| Name:
(write your name as found in passport) |
Mr.
Mrs.
Miss.
|
| Family/Surname:
|
|
| Legal
First Name: |
|
| Middle
Name: |
|
| Preferred:
|
|
| |
|
| Permanent Address |
Street
Adress |
|
| City |
|
| State/Province |
|
| Post/Zip
Code |
|
| |
|
| Curent Address (if different
from above) |
|
| |
|
| Contact Info: |
Home
phone : |
|
| Fax
number: |
|
| Work
Phone : |
|
| Email: |
|
| |
|
Emergency
Information
Who do we need to contact in case of emergency
|
Name: |
|
| Phone: |
|
| Address: |
|
| Relationship: |
|
| |
|
Health
Information
Who do we need to contact in case of emergency
| Blood type : |
|
| Are you allergic to any drugs? If so, please specify : |
|
| How would you describe your general health? |
|
| Any handicaps or illnesses (diabetes etc.) that demands special equipment and will affect your situation at the school : |
|
| Do you take any prescription drugs? If YES, which ones and for what reason? |
|
| Have you received any psychiatric or ongoing medical treatment within the last five years? If YES, please specify! |
|
| Have you ever abused alcohol or drugs? |
|
| Do you smoke/use tobacco? If YES, please specify! |
|
| Have you ever been involved in occult phenomenon (i.e. hypnosis, meditation, yoga) or other religions and sects? If YES, please specificy and explain your connection to it today! |
|
| Have you had any of the following diseases? |
Chickenpox
Measles (Rubeola)
Measles (Rubella)
Pertussis
Scarlet Fever
Mumps
|
| Immunizations. When was the last time you were immunized (or received a booster) for: |
Pertussis
Polio
Rubella
Rubeola
Mumps
|
| |
|
| Birth Details: |
Birthdate: |
|
| |
Country
of Birth: |
|
| |
Age: |
|
| |
|
| Citizenship: |
|
| |
|
| Passport détails: |
Passport
number : |
|
| |
Expiry
Date : |
|
| |
Place
of issue: |
|
| |
|
| English Language |
How
do you speek English ? |
Bad
1
2
3
4
5
6
7
8
9
10 Good |
| |
|
| Other Languages Spoken : |
|
| Marital
Status |
Single
Married
Divorced
|
Engaged
Remarried
Widowed |
| Spouse's
name: |
|
| |
|
|
Children's Details
Name, birth details, passport details, citizenship
|
|
| |
|
|
Education
Give a brief overview of your educational history
|
|
| |
|
Occupational Skills
Give a brief overview of your employment hiystory (or a current CV/resume) |
|
| |
|
| Have you ever been convicted
of a crime? (if yes, please explain) |
|
| |
|
| Musical Abilities |
|
| |
|
| Other Talents or Skills |
|
| |
|
| Do you have the complete
school/staff fees ? |
|
| |
|
| If not, how much do you prensently
have in US Dollars (USD)? |
|
| |
|
| How do you anticipate the
provision of the outstanding amount ? Do you have any financial support
? |
|
| |
|
|
PERSONAL QUESTIONS FOR DTS APPLICANTS:
|
DTS applicants please fill out the questions below.
All other applicants, please send the above information and the registrar
will email you with further information and application details upon
receipt of the email.
|
| Please describe
how you came to the decision of making Jesus Lord of your life: |
|
| |
|
| Please describe your present
relationship with the Lord. Be as specific as you can (e.g. your prayer
life, your struggles, etc...): |
|
| |
|
| What areas of your character
are you desiring to change and further develop ? |
|
| |
|
| Is God leading you into any
particular area of ministry? |
|
| |
|
| Describe the involvement
you have had with your church. Does your church support you in your
decision to join the DTS? |
|
| |
|
| Describe the state of relationships
within your immediate family: |
|
| |
|
| What are you expecting to
receive during the DTS? What do you want to see happen in and through
your life during the DTS? |
|
| |
|
| Are there any areas of your
life you consistently struggle with that you would like help with during
the DTS ? |
|
| |
|
| How did you find out about
the DTS ? |
|
| |
|
| |
|
| |
Please also email a current photo to kevin@teamxtremeintl.com after submission of this form. Also remember to get a friend and pastor to fill out their forms and sending them to us in a seperate envelope |
| |
|
|
|
Join us 
Kiwi's record break of 84 bricks in one hit, is an unofficial world record. His Double forarm break is another record of 44 bricks broken in one hit. 
RK, while being able to perform most of the feats of strength, is best known for calling down the fire!!! 
Meet the strong and powerful policeman all the way from Canada, Marlin. His true power, however, is divine...