General information |   |
Select course | |
Name | |
Gender | |
Date of birth (dd/mm/yyyy) | |
Marital status | |
Email | |
Tel. (inc country and area code) | |
Address | |
|   |   |
Emergency contact |   |
Emergency contact person | |
Emergency contact e-mail | |
Emergency contact tel | |
Relationship to applicant | |
|   |   |
Personal profile |   |
Level of training completed | |
Work experience | |
Skills / interests / hobbies / sport involvements | |
|   |   |
Temperament tendencies |   |
Introverted / extroverted | |
|   |   |
People / task oriented | |
|   |   |
Which best describes you? | |
|   |   |
How would others characterize you? | |
Do you prefer to work alone or with others? | |
Do you live with your family? | |
Before leaving home in the morning would you have made your bed and tidied your room? | |
Are you actively involved in your local church? How? | |
Are you born again of the Spirit of God? How do you know this? | |
How would you describe your Christian walk? | |
Please give a comprehensive explanation of why you want to participate in our program and what you believe may be your contribution to the team and in what areas you would like others to help you. | |
|   |   |
Health |   |
Do you suffer from any disability that would limit you doing practical duties? | |
Have you had a nervous or mental illness at any time? | |
Have you suffered from and had treatment for anorexia nervosa or bulimia? | |
Do you suffer from any allergies? | |
Do you have diabetes, epilepsy, blackouts or other medical problems? | |
Do you require any regular prescribed medication? | |
Do you require a special diet for medical reasons? | |
Do you require a vegetarian diet? | |
Do you have a learning disability? | |
Have you used alcohol, tobacco or illicit drugs (incl. marijuana) in the last year? | |
Have you ever had treatment for alcoholism or drug addictions? | |
Have you anything in your past that could influence your time here e.g. prison sentence, divorce? | |
If you answered yes to any of these health questions, please provide full details here | |
Conditions of Enrolment
In applying for this program you pledge to apply yourself wholeheartedly:
- To crew the ship, assisting in sailing, mooring, domestic & maintenance
work
- To participate in all aspects of the training program, including the
satisfactory completion of assignments and participation in outreaches
- To attend the whole course from beginning to end. No refunds will be
given for early departure
- To dress modestly, and generally be clean and tidy responding positively
to directives of the leadership team as relates to appropriate
conduct in our environment and culture
- To abstain from smoking, consuming alcohol and illicit drugs
- To financially compensate for any damages caused to property or persons
that you may have caused
- To fully comply with any directives given by the skipper and leadership
team
We reserve the right to terminate the participation of any person
who does not satisfactorily comply and the balance of the fees will
be forfeited.
Enrolment Agreement
I am 18 years of age or over, have read and understood the conditions
of enrolment and am prepared to fully comply as directed in all matter.
|
|