Dear Student, August 2017

Size: px
Start display at page:

Download "Dear Student, August 2017"

Transcription

1 High School Application Dear Student, August 2017 We would like to invite you to apply to be on our ACTS Leadership Development team. Over the past few years we have worked hard to make this program something which will help you to succeed in every area of your life. We do this by teaching students important skills such as how to build strong relationships, good work habits and how to lead their peers as well as younger students. Through all of this we also have a lot of fun! We are looking for students who want to grow spiritually, learn how to lead others in a positive way and seek to discover God s will for their lives. If that s you, keep reading... Each year we are raising the bar higher so the impact and growth of our leaders will be even greater. Students who are selected into the program will have opportunity to serve at ACTS After School and/or with AMP (ACTS Media Productions). Below are the scheduled meetings you would need to attend if you are invited to be an ACTS leader: Weekly leadership training at Gateway Presbyterian Church starts September 14 th from 3:30-5:30, meal included. The After School Program for 3 rd -5 th graders starts October 19 th where we will transition from training to leading the program. Bi-monthly leadership trainings will be at Calvary Baptist Church, throughout the school year, on the 1st & 3rd Mondays starting October 16 th from 5:30-8:00, dinner included. In October we will meet the 3 rd & 5 th Monday. We will also hold and have two weekend retreats September 15 th -17 th & March 16 th 18 th. The retreats will be packed with three days of valuable training, food, friends and fun! The cost to join the ACTS Leadership Development Program is $150 per person which covers meals, two retreats and ACTS Leadership T-shirt. WAIT!! Before you throw this letter away and think you can t afford it, realize we will give you opportunities to raise the money through group fundraisers. We would like each participant s family to invest at least $25-$50 and then we will help you raise the balance but if that s not possible we will let students raise the full amount. If you would like to apply for this exciting opportunity or have questions, please call the ACTS office RIGHT AWAY and let us know. More than likely you will get the answering machine but please leave your full name and phone number and we will call you back. Applications can be found at our website and are due September 10 th, We hope you decide to be a part of this exciting program! Sincerely, Joe Martin/Executive Director

2 Leadership Development Application - High School Last Name First Nickname In submitting this application, I hereby declare my sincere desire to serve God as a volunteer in the Acclaiming Christ Through Sports ministry. I am aware that if I am selected as a leader, I am committing to: 1. Serving at ACTS After School every Thursday for the school year unless I am involved in an after school sport or similar activity that prevents me from attending. I will notify ACTS leadership prior to my absence. We are limiting participants to no more than two other commitments besides ACTS, which occur on the day the program meets. 2. Participating in all student leader training days (1 st & 3 rd Mondays) & retreats (September 15 th -17 th & March 16 th 18 th ). 3. Paying or helping raise money towards the non-refundable $150 - which covers the meals at meetings, retreat and ACTS Leadership T-shirt. I understand that the purpose of my serving as an ACTS leader is to: 1. Be a good example to the younger children. 2. Help the adult leaders in any way I am asked to help. 3. Be challenged and open to growing in my relationship with God so that I may know what the Bible teaches, and learn to live it out daily. 4. Learn leadership skills and how to use them in my life. If I am selected to serve as an ACTS leader, I am committing to be prepared spiritually, mentally, and physically to uphold the high standards as an ACTS Leadership Development Leader. Before signing this agreement, I have; (a) read the above at least two times, (b) asked questions about any word or statement I may not fully understand, (c) discussed with my parents or legal guardian my decision. Signature of Applicant I,, as the Parent/Guardian of Print name of Parent/Guardian Name of Applicant have read over this application and give my permission and blessing in their applying for a leadership position with Acclaiming Christ Through Sports. Signature of Parent/Guardian

3 Personal Information Date of Birth: Address/Street City State Zip Student Cell Phone # Grade Student Employer How long? Mother Home/Cell Phone Employer Father Home/Cell Phone Employer Health Background When was your last complete health examination? List all personal injuries or health problems which have required medical attention in the last three years: Please give dates and a brief description. Do you have any allergies or health problems which could restrict your abilities to participate in different activities? Spiritual Background Do you attend church? Yes No (If yes where?) How often? Once or twice a year Monthly Twice a Month Weekly What are your beliefs about God and Jesus Christ. Describe your relationship with Jesus Christ. Do you have any experience in sharing your faith with others? Please list: References Youth Pastor Friend Work Phone Home Phone Adult Friend or Teacher Friend Phone Home Phone

4 PERSONAL BACKGROUND (Confidential) The idea of setting a good example as an ACTS Leader is important. We want you to understand that a past problem with any of the areas listed below WILL NOT prevent you from being selected. The applicant needs to be committed to growing in these areas in the future. By signing below the applicant is stating that ALL information is true and understands that immediate dismissal is likely if it is found that the applicant was not COMPLETELY TRUTHFUL on any questions. Because answers may be long, please use the back side of this page to write any detailed information (please write the question number, followed by the answer). I would prefer to talk to an ACTS staff member in person, instead of answering the questions listed below. 1. Yes No Have you used tobacco in any form in the last 12 months? If yes, How frequently and how recently? 2. Yes No Have you used alcoholic beverages in the past 12 months? If yes, how frequently and how recently? 3. Yes No Have you used any illegal drugs in the last 5 years? If yes, how frequently and how recently? 4. Yes No Have you ever had a problem with an eating disorder? If yes, please explain if you are still dealing with this and have you ever received treatment. (Use back if needed) 5. Yes No Do you have a police record, or have you been arrested for a crime for which there has not yet been an acquittal or dismissal? If yes, please explain. (Use back of page if needed) 6. Yes No In the last two years have you been sexually active? 7. Yes No Have you ever been physically or sexually abused? 8. Yes No Have you ever been accused or convicted of physical or sexual abuse? 9. Yes No Are you willing to have a background check done on this information? If no, please explain _ 10. Yes No Are you willing to give up any social habits which might lessen your effectiveness and influence as an ACTS leader? If no, please explain. 11. Yes No If, during my time as an ACTS leader, something happens which would change my answer to any of the above questions, I agree to contact the ACTS director immediately to discuss the situation. Signature of Applicant

5 Financial Commitment: EVERYONE CAN AFFORD ACTS! Joining the ACTS Leadership Development team is a wonderful opportunity for students and leaders, but it also brings with it an obligation of your time and finances. It is VERY important for each team member to understand they are personally responsible to pay the $150 required to be included on the team. ACTS is here to assist in raising some of the funds required. We understand there are times when finances are tight but we expect each team member to take personal responsibility by either making payments and/or working fundraisers to cover the cost. We believe there is great value in young people having a personal investment in raising the finances for their trip. The budget form below is to help you come up with a plan to pay for your leadership fee. THE BUDGET BELOW MUST BE COMPLETED. Amount Item Current ACTS Student Account Balance (If you need your current account balance, please call the office.) Family Deposit ($25-$50) Krispy Kreme Sales ($5-$200+) Breakaway Promotion Fundraisers ($25-$75) Discount Card Raking Leaves, Shoveling Snow, Babysitting Weeding $150 Total After reviewing the budget, if you believe raising the entire $150 is too difficult, please speak with Joe immediately to set-up a plan to cover the expenses (possible scholarships available). By signing this commitment form, you agree to pay $150 for the Leadership Development Program. Print Student Name: Student Signature _ Date: Print Parent Name: Parent Signature Date: THE APPLICATION MUST INCLUDE THE COMPLETED BUDGET ABOVE.

2016 SUMMER YOUTH RETREAT INFORMATION

2016 SUMMER YOUTH RETREAT INFORMATION 2016 SUMMER YOUTH RETREAT INFORMATION What is the Gen 180 Youth Retreat? Generation 180 (Gen 180) is currently planning an exciting, engaging and spiritually uplifting youth retreat in 2016 which will

More information

JOIN US FOR BIG CITY 19

JOIN US FOR BIG CITY 19 JOIN US FOR BIG CITY 19 God is at work, all over the world. He is busy restoring relationships, caring for the outcast and the poor, and giving the love of Jesus to anybody who wants it. And the crazy

More information

The Philadelphia Project Summer Intern Application

The Philadelphia Project Summer Intern Application The Philadelphia Project Summer Intern Application Organization Name: The Philadelphia Project, www.thephiladelphiaproject.com Position Title: Summer Intern (4 different/15-16 total positions) Location:

More information

Substance Youth Winter Retreat. February 24-25, 2017 Burtrum, MN

Substance Youth Winter Retreat. February 24-25, 2017 Burtrum, MN What: Winter Retreat is a weekend for Substance Youth Students to gather together to worship God, listen to inspiring messages & have fun connecting with other students & leaders. Substance Worship will

More information

Facilitator Application CA Training

Facilitator Application CA Training Page 1 of 5 Facilitator Application CA Training Note: Please fill out the application completely. Date of the training: City where training will be held: Contact Information: Last Name: First Name: M.I.:

More information

THERE ARE FEW MOMENTS IN LIFE THAT CHANGE EVERYTHING.

THERE ARE FEW MOMENTS IN LIFE THAT CHANGE EVERYTHING. THERE ARE FEW MOMENTS IN LIFE THAT CHANGE EVERYTHING. But these are the moments we live for. The moments when we feel most alive. When we know exactly why we re here. When we leave our mark on this place.

More information

Welcome to The Landing!

Welcome to The Landing! Parent Packet Welcome to The Landing! The Landing is a Brookwood ministry designed to help students in grades 7 12 who are struggling to find a path to freedom, healing and wholeness. This exciting teen

More information

Bikes Not Bombs. Youth s Name : First Middle Last Address: Number Street Apartment. City State Zip Cell Phone. Name of School: Grade:

Bikes Not Bombs. Youth s Name : First Middle Last Address: Number Street Apartment. City State Zip Cell Phone. Name of School: Grade: Bikes Not Bombs Summer 2018 Session #2 Earn-A-Bike July 30th Aug 16th (Mon-Fri, 2:00-6:00) Ages 12-18 ~Program fee $25-50 ( Fee Waivers available! See Program Fee section for more info. ) There are a limited

More information

IN OUR OWN VOICE 2018 Training Application

IN OUR OWN VOICE 2018 Training Application IN OUR OWN VOICE 2018 Training Application Training Location: KIRKLAND, WA One Day Training Schedule APPLICATION DEADLINE Saturday April 28, 2018 9am-5 pm Friday, April 13, 2018 Online Portion to Completed

More information

2014 YouthWorks Participant Release Form Youth & Youth/Beyond Trips Bring original and two copies on your trip

2014 YouthWorks Participant Release Form Youth & Youth/Beyond Trips Bring original and two copies on your trip Name of Participant (please print): Grade as of Fall 2013 (if student): s Attending: Name of Site: Church Name: Trip Leader: Liability Release Agreement I/we understand that there are inherent risks involved

More information

St Louis de Montfort Catholic Church Faith Formation Registration Form

St Louis de Montfort Catholic Church Faith Formation Registration Form FAMILY LAST NAME: Father s Name: Mother s Name: Mother's Maiden Name: Home Phone: Home Address: Registered Parishioner of SLDM: Yes No Father s Cell/Work: Mother s Cell/Work: Are Both Parents Catholic?

More information

Forms should be delivered by June 1 to: Delta Community Presbyterian Church, 1900 Willow Lake Rd, Discovery Bay,

Forms should be delivered by June 1 to: Delta Community Presbyterian Church, 1900 Willow Lake Rd, Discovery Bay, "Do good! Seek peace and go after it! Psalm 34:14b VBS 2017 Hero Central June 19 to 23, 2017, 8:45 am to 11:50 am Held at St. Anne Church - 2800 Camino Diablo Rd, Byron Open to all children entering Kindergarten

More information

Peer-to-Peer 2018 Teacher Training Application & Agreement

Peer-to-Peer 2018 Teacher Training Application & Agreement Peer-to-Peer 2018 Teacher Training Application & Agreement TRAINING LOCATION: KIRKLAND 3-DAY TRAINING SCHEDULE APPLICATION DEADLINE Friday, September 7, 2018 9:00 am 6:00 pm Friday, August 24, 2018 Saturday,

More information

Exploring our faith, Growing together as a community in Christ s love.

Exploring our faith, Growing together as a community in Christ s love. Exploring our faith, Growing together as a community in Christ s love. 2014 Youth Ministry seeks to help youth build community, share their gifts, grow in life skills, develop a positive self-image, overcome

More information

FRESHMAN / SOPHOMORE RETREAT WEEKEND

FRESHMAN / SOPHOMORE RETREAT WEEKEND 2018 FRESHMAN / SOPHOMORE RETREAT WEEKEND November 9-11, 2018 John Paul II Retreat Center Formerly: (The Archdiocesan Youth Retreat Center) CHURCH OF THE PRESENTATION S FRESHMAN/SOPHOMORE RETREAT November

More information

+CBAY Luke Retreat March 1 3, 2019 Disciple & Guardian Team Application Form

+CBAY Luke Retreat March 1 3, 2019 Disciple & Guardian Team Application Form +CBAY Luke 18 2019 Retreat March 1 3, 2019 Disciple & Guardian Team Application Form LUKE 18 WHAT S IT ALL ABOUT? Jesus, however, called the children to himself and said, Let the children come to me and

More information

Family-to-Family 2019 Teacher Training Application & Agreement

Family-to-Family 2019 Teacher Training Application & Agreement Family-to-Family 2019 Teacher Training Application & Agreement TRAINING LOCATION: Yakima 2-DAY TRAINING SCHEDULE APPLICATION DEADLINE Saturday, June 29, 2019 8:00 am 7:30 pm Friday, June 7, 2019 Sunday,

More information

BEYOND THESE WALLS MINISTRY OPPORTUNITIES

BEYOND THESE WALLS MINISTRY OPPORTUNITIES BEYOND THESE WALLS MINISTRY OPPORTUNITIES The Vision: For over a year we have anticipated the building loan being paid off so work could begin on Beyond These Walls. That time has come and we are ready

More information

NAMI California Peer-to-Peer Mentor Training Application

NAMI California Peer-to-Peer Mentor Training Application Page 1 of 5 NAMI California Peer-to-Peer Mentor Training Application Date of the training: City where training will be held: Applicant Information: Name: Affiliate: Address: Phone: Email: Cell Phone: Best

More information

Summer Youth Institute Packet

Summer Youth Institute Packet Dear Prospective Youth Volunteer, Summer Youth Institute Packet Thank you for your interest in the Volunteers of America s Youth Volunteer Summer Institute! Volunteers of America is a national, non-profit,

More information

July 11 th through July 25 th

July 11 th through July 25 th Detroit: Michigan Cost: $845 Registration Begins: April 1 st, 2015 To Apply: Fill out application & turn it in with your 2 references and $50 non-refundable deposit. You will be notified of your acceptance.

More information

2018 Hi Sky Emmaus Walk Application

2018 Hi Sky Emmaus Walk Application Hi Sky Emmaus Walk Application Dates for the Walks: Men s Walks March 22-25, September 20-23, Women s Walks April 19-22, October 18-21, Please note that the Reservation Request for each walk MUST be turned

More information

ROTARY CLUB OF PARADISE INFORMATION SHEET FOR PROSPECTIVE MEMBERS AND SPONSORS Chartered April 9, 1946

ROTARY CLUB OF PARADISE INFORMATION SHEET FOR PROSPECTIVE MEMBERS AND SPONSORS Chartered April 9, 1946 ROTARY CLUB OF PARADISE INFORMATION SHEET FOR PROSPECTIVE MEMBERS AND SPONSORS Chartered April 9, 1946 1. ROTARY INTERNATIONAL ORGANIZATION Founded in 1905 by Paul Harris 1.2 million Rotarians worldwide

More information

ST. RITA OF CASCIA PARISH CONFIRMATION YEAR 2 REQUIREMENTS & SCHEDULE

ST. RITA OF CASCIA PARISH CONFIRMATION YEAR 2 REQUIREMENTS & SCHEDULE ST. RITA OF CASCIA PARISH CONFIRMATION YEAR 2 REQUIREMENTS & SCHEDULE 2018-2019 1. PARENT SESSIONS: Wednesday, September 19, 2018, 7:00 p.m. - ALL REGISTRATION PAPERWORK/PAYMENT DUE Wednesday, January

More information

2016 PORTLAND PLUNGE

2016 PORTLAND PLUNGE 2016 PORTLAND PLUNGE The Portland Plunge is a weeklong opportunity for high school students to learn about homelessness and poverty in Portland. The Plunge is a safe space for students to Listen to the

More information

Trip Details & Frequently Asked Questions

Trip Details & Frequently Asked Questions Trip Details & Frequently Asked Questions Who Can Go? Christ the King is excited to offer an exciting mission trip opportunity to students completing 8 th thru 12 th grade in the spring of 2014. Each member

More information

January, Dear Friend of Camp Sunrise,

January, Dear Friend of Camp Sunrise, At the Warwick Conference Center, P.O. Box 349, 62 Warwick Center Road, Warwick, NY 10990 Phone: 845-986-1164 / Fax: 845-986-8874 / Email: warwickcc@optimum.net January, 2017 Dear Friend of Camp Sunrise,

More information

DIOCESE OF HARRISBURG DIOCESAN CATHOLIC COMMITTEE ON SCOUTING

DIOCESE OF HARRISBURG DIOCESAN CATHOLIC COMMITTEE ON SCOUTING June 2018 DCCS Retreat 2018 150 th Diocesan Anniversary! Dear Scouts, Venturers and Scouters, Join us for the 40 th Annual Diocesan Catholic Scout Retreat is the weekend of September 14, 15 & 16, 2018

More information

come with a servant s heart filled with compassion for the people we serve.

come with a servant s heart filled with compassion for the people we serve. Dear Future Volunteer, Thank you for considering Mel Trotter Ministries as your place of volunteer service. Since 1900, we have served the homeless, hurting and destitute of the greater Grand Rapids area.

More information

Shooting Starz Productions ~ The Little Mermaid Spring 2019

Shooting Starz Productions ~ The Little Mermaid Spring 2019 Shooting Starz Productions ~ The Little Mermaid Spring 2019 Why choose Shooting Starz as the children s theatre for your child? Our musicals are for kids of all experience levels. We believe that all kids

More information

Steve Barns & Associates The Counseling Center of Denton Bible Church Christian Counseling Services Individual, Marriage, & Family

Steve Barns & Associates The Counseling Center of Denton Bible Church Christian Counseling Services Individual, Marriage, & Family : Last First MI Male Female / / Age Email: @ Home: ( ) - Cell: ( ) - Address: Street (or P.O. Box) Apt. # City State Zip Code Emergency contact: ( ) - Place of Employment: How long? yrs. mos. Current Marital

More information

OUTPATIENT SERVICES PSYCHOLOGICAL SERVICES CONTRACT

OUTPATIENT SERVICES PSYCHOLOGICAL SERVICES CONTRACT OUTPATIENT SERVICES PSYCHOLOGICAL SERVICES CONTRACT (This is a detailed document. Please feel free to read at your leisure and discuss with Dr. Gard in subsequent sessions. It is a document to review over

More information

Prader-Willi Syndrome Association of Wisconsin Junior Advisory Board

Prader-Willi Syndrome Association of Wisconsin Junior Advisory Board Prader-Willi Syndrome Association of Wisconsin Junior Advisory Board What is the PWSA of WI, Inc. Junior Advisory Board? PWSA of WI, Inc. realizes that engaging the growing number of interested youth is

More information

LEVEL II Retreat Application (for women who have attended Level I only)

LEVEL II Retreat Application (for women who have attended Level I only) LEVEL II Retreat Application (for women who have attended Level I only) RETREAT DATE: AGE RANGE (at the time of retreat): RETREAT LOCATION: June 20 24, 2018 (Wed arrival - Sunday departure) 19-29 Years

More information

Tomorrow s SMILES Program

Tomorrow s SMILES Program Do you know a promising teen whose future is at-risk due to lack of dental treatment? Would your teen and his or her family understand, appreciate, and value pro-bono dental care? If so, your teen may

More information

To get your school involved call us today! The Volunteer Center SOUTH BAY-HARBOR-LONG BEACH

To get your school involved call us today! The Volunteer Center SOUTH BAY-HARBOR-LONG BEACH To get your school involved call us today! VCYC volunteer.center.youth.coalition. give back to your community Founded in September 1999, VCYC was designed to IDENTIFY, EMPOWER, and MOBILIZE youth from

More information

2016 JUNIOR YOUTH GATHERING

2016 JUNIOR YOUTH GATHERING EAST CENTRAL SYNOD OF WISCONSIN YOUTH BOARD PRESENTS THE 2016 JUNIOR YOUTH GATHERING: The Lane of LIFE FEBRUARY 20-21 AT THE HOLIDAY INN NEENAH FEATURING DAN SCHARNHORST & DAKOTA ROAD JYG 2016 IMPORTANT

More information

123rd Boston Marathon 2019 Charity Program Application

123rd Boston Marathon 2019 Charity Program Application 123rd Boston Marathon 2019 Charity Program Application RUN FOR PEACE OF MIND TEAM QUELL OUR MISSION The Quell Foundation strives to reduce the number of suicides, overdoses, and incarcerations of people

More information

MAIL TO: TEC New Orleans CYO/Youth and Young Adult Ministry Office Archdiocese of New Orleans 2241 Mendez Street New Orleans, LA

MAIL TO: TEC New Orleans CYO/Youth and Young Adult Ministry Office Archdiocese of New Orleans 2241 Mendez Street New Orleans, LA Dear TEC Applicant, TEC is an experience in Christian living designed especially for teenagers and young adults in college. Adults over the age of 25 may attend as adult faith witnesses but these spaces

More information

Learn More: The Reservation Mission Trip July 2019

Learn More: The Reservation Mission Trip July 2019 Learn More: The Reservation Mission Trip July 2019 Why Arizona? 1. Purpose. We will be sharing the love of Christ with a primarily unreached people group. 2. Proximity. The Native American Reservations

More information

Bastrop Pregnancy Resource Center Client Advocate Application

Bastrop Pregnancy Resource Center Client Advocate Application Bastrop Pregnancy Resource Center Client Advocate Application Personal information First, middle initial and last name Home street address City, state, zip code Home phone Cell Phone Email Occupation Employer

More information

Volunteer Orientation

Volunteer Orientation Volunteer Orientation Our Mission Olive Crest is dedicated to Preventing child abuse, to Treating and Educating at-risk children and to Preserving the family One Life at a Time. Importance of Volunteering

More information

What is the SOLdier youth team? SOLdier team members take action by: Responsibilities of SOLdier youth team: Rewards of Serving as a SOLdier:

What is the SOLdier youth team? SOLdier team members take action by: Responsibilities of SOLdier youth team: Rewards of Serving as a SOLdier: What is the SOLdier youth team? SOLdiers are a group of talented young leaders, ages 12-17, who will join Saving Our Legacy (SOL): African Americans for Smoke-Free Safe Places (efforts in education, policy,

More information

PSYCHOLOGIST-PATIENT SERVICES

PSYCHOLOGIST-PATIENT SERVICES PSYCHOLOGIST-PATIENT SERVICES PSYCHOLOGICAL SERVICES Welcome to my practice. Because you will be putting a good deal of time and energy into therapy, you should choose a psychologist carefully. I strongly

More information

ACTION. Youth Advisory Board Toolkit PACER CENTER. I. Who we are. II. PACER s Youth Advisory Board on Children s Mental Health. About PACER Center

ACTION. Youth Advisory Board Toolkit PACER CENTER. I. Who we are. II. PACER s Youth Advisory Board on Children s Mental Health. About PACER Center Youth Advisory Board Toolkit Welcome to the Youth Advisory Board toolkit for PACER Center s Children s Mental Health and Emotional or Behavioral Disorders Project. We re excited that your organization

More information

Bryant Mayor s Youth Advisory Council. Application

Bryant Mayor s Youth Advisory Council. Application Bryant Mayor s Youth Advisory Council Application (For students entering the 10th, 11th, and 12th grade.) Application due by October 31st by 5 o clock to: 210 Southwest 3 rd St. Email: afikes@swbell.net

More information

Tourette Association of America Youth Ambassador Program Information & Application March 5-7, 2017

Tourette Association of America Youth Ambassador Program Information & Application March 5-7, 2017 Tourette Association of America Youth Ambassador Program Information & Application March 5-7, 2017 Thank you for your interest in becoming a part of the Tourette Association of America s Youth Ambassador

More information

Graduate Volunteer Scheme

Graduate Volunteer Scheme Graduate Volunteer Scheme We re Youthscape The most extraordinary group of people [doing] everything from teaching those who are completely disconnected from the church about Ignatian spirituality, through

More information

HAVEN WOMEN S PROGRAM APPLICATION

HAVEN WOMEN S PROGRAM APPLICATION Hello, Thank you for your interest in the Haven of Rest Women s Ministry. We are a long-term (approximately 12 months), residential discipleship program for women with life-dominating issues. Our ultimate

More information

2. Display K-Kids posters, available from the Kiwanis International Office, around the school announcing the first meeting date and time.

2. Display K-Kids posters, available from the Kiwanis International Office, around the school announcing the first meeting date and time. K-Kids Member recruitment suggestions 1. Provide K-Kids brochures to students when they register for the school year. Distribute brochures to faculty and ask that they give information to students and

More information

Through Jerene s Wish

Through Jerene s Wish To qualify for Jerene s Wish: Applicants must have good oral hygiene, not wearing braces and must be motivated to receive orthodontic care. Applicants must complete the application and have their dentist

More information

BPC Senior High Service Trip

BPC Senior High Service Trip BPC Senior High Service Trip 2019 2019 Hello Parents and High School Kids! We are thrilled to announce the destination for the 2019 Refuge Spring Break Service Experience Trip! This year we will be traveling

More information

TEAM NECC 2018 Boston Marathon

TEAM NECC 2018 Boston Marathon TEAM NECC 2018 Boston Marathon Contact: Beth McGonagle, Director of Operations bmcgonagle@necc.org 508-658-7571 The New England Center for Children is a private, nonprofit autism research and education

More information

The Reimagining Health Collaborative 2017: The Church and Mental Health

The Reimagining Health Collaborative 2017: The Church and Mental Health The Reimagining Health Collaborative 2017: The Church and Mental Health Do you or others in your congregation live with mental illness? Does your congregation long to promote mental health and to respond

More information

NEWCOMER PACKET W e r t h R o a d, A l p e n a M I c l h w i r e d. c o m

NEWCOMER PACKET W e r t h R o a d, A l p e n a M I c l h w i r e d. c o m NEWCOMER PACKET WHAT WE ARE AND WHAT WE ARE NOT THINGS WE ARE: A SAFE PLACE TO SHARE A REFUGE A PLACE OF BELONGING A PLACE TO CARE FOR OTHERS AND BE CARED FOR A PLACE WHERE RESPECT IS GIVEN TO EACH MEMBER

More information

Attach a student photo. to receive your registration confirmation and to be added to the parent communications group.

Attach a student photo.  to receive your registration confirmation and to be added to the parent communications group. Information and Registration Packet 2018 Norman Rockwell PTA in partnership with Youth Theatre Northwest will present Willy Wonka the Musical Jr. Saturday, April 21, 2018 at 2pm and 6pm REGISTRATION: Rockwell

More information

A NEW FUNDRAISING IDEA FOR YOUTH GROUPS INFORMATION PACKET

A NEW FUNDRAISING IDEA FOR YOUTH GROUPS INFORMATION PACKET A NEW FUNDRAISING IDEA FOR YOUTH GROUPS INFORMATION PACKET Serving others through sponsorship is an amazing way for young people here in the U.S. to expand their worldview and do good in the world, and

More information

PROGRAM YEAR 2018 REGISTRATION PACKAGE

PROGRAM YEAR 2018 REGISTRATION PACKAGE PROGRAM YEAR 2018 REGISTRATION PACKAGE Full Stride Track Club is a competitive track club for Contra Costa and Solano County youth ages 5 to 18 years old. We are committed to providing our youth with a

More information

RFL Team Engagement Strategy

RFL Team Engagement Strategy RFL Team Engagement Strategy Schools Benefits of RFL/School Partnership RFL provides the platform needed to bring nutrition, physical activity, sun safety and tobacco prevention education standards to

More information

Transitional Housing Application

Transitional Housing Application Transitional Housing Application Applicant Information Name: Date of birth: SSN: ID Number: Current address: City: State: ZIP Code: Phone: Email: Name of Last Social Worker or Probation Officer:: Original

More information

OCI Associate Membership Criteria

OCI Associate Membership Criteria OCI Associate Membership Criteria Definition A family project is a ministry or mission operation run by a family or group of close friends. While the project supports the family, its primary purpose is

More information

FAQs IS THERE A REQUIRED ADULT TO YOUTH RATIO? CAN EXTRA ADULTS GO? WHAT IS THE MENU? WHAT IF THERE ARE SPECIAL DIETARY NEEDS?

FAQs IS THERE A REQUIRED ADULT TO YOUTH RATIO? CAN EXTRA ADULTS GO? WHAT IS THE MENU? WHAT IF THERE ARE SPECIAL DIETARY NEEDS? FAQs WHO CAN PARTICIPATE? IS THERE A REQUIRED ADULT TO YOUTH RATIO? CAN EXTRA ADULTS GO? ARE BACKGROUND CHECKS REQUIRED? WHAT ABOUT TRANSPORTATION? WHAT S THE SCHEDULE? WHAT WILL WE BE DOING? WILL OUR

More information

ENROLLMENT FORMS for Wellspring Bible Fellowship s. AWANA Sparks, T&T, and Cubblies Clubs

ENROLLMENT FORMS for Wellspring Bible Fellowship s. AWANA Sparks, T&T, and Cubblies Clubs 2018-2019 ENROLLMENT FORMS for Wellspring Bible Fellowship s AWANA Sparks, T&T, and Cubblies Clubs PLEASE make sure that all sheets in this packet remain stapled together. SIGN all sheets in the appropriate

More information

JDRF Hampton Roads Youth Ambassador Program Description

JDRF Hampton Roads Youth Ambassador Program Description JDRF Hampton Roads Youth Ambassador Program Description The Youth Ambassador Program offers youth opportunities for personal growth and development of leadership skills, while creating awareness for JDRF

More information

Name: Address: City: State: Zip: Phone: Cell: Work: Fax: Best time to call: Reference (Name and or phone):

Name: Address: City: State: Zip:   Phone: Cell: Work: Fax: Best time to call: Reference (Name and  or phone): TRAINING APPLICATION 2018 No trainings are currently planned but you are welcome to complete and return this application form. You will be contacted when a training is scheduled. Please complete the application

More information

C O U P L E S I N T A K E F O R M

C O U P L E S I N T A K E F O R M COUPLE S INTAKE FORM CONFIDENTIAL Name Today s Date Contact information: Address: City: State: Zip: Phone number (cell): (home): (work): Email address: Date of Birth May I leave a voicemail on your cell

More information

INVITES YOU TO THE 2015 Hudson River Regional Youth Forum

INVITES YOU TO THE 2015 Hudson River Regional Youth Forum INVITES YOU TO THE 2015 Hudson River Regional Youth Forum For young people ages 13-28 who have a disability, who have been labeled, or who have experience with a NYS system. When: Monday, August 31 st,

More information

- Always remember to sign-in. The book is located in Room S267. It s a white binder that says Teen Center Volunteer Sign-In Book.

- Always remember to sign-in. The book is located in Room S267. It s a white binder that says Teen Center Volunteer Sign-In Book. Welcome to the 92Y Teen Center s SummerGiving 2016 program. We are a group of teen volunteers from NYC high schools looking to give back to our community and we cannot wait to get started! If you are a

More information

Our Lady of Hope s Famine 2015

Our Lady of Hope s Famine 2015 Our Lady of Hope s Famine 2015 "I tell you the truth, whatever you did for one of the least of these brothers of mine, you did for me." Matthew 25:40 March 2015 Hello High School Parents! We are quickly

More information

Volunteering at Jonathan s Place

Volunteering at Jonathan s Place Volunteering at Jonathan s Place Thank you so much for your interest in volunteering to help the abused, abandoned and neglected children assisted by Jonathan s Place. Here are the steps to becoming an

More information

Becoming a Peer-to-Peer Mentor

Becoming a Peer-to-Peer Mentor Becoming a Peer-to-Peer Mentor Thank you for your interest in becoming a Peer-to-Peer mentor! Before agreeing to participate in this training event and teach Peer-to-Peer, please review the main responsibilities

More information

Henderson Alternative Breaks

Henderson Alternative Breaks Henderson Alternative Breaks The Henderson State University s alternative break program, Spring Break 2018: March 19- March 23 Site Leader Application 2017-2018 ABOUT THE POSITION Site Leaders make alternative

More information

2 nd Annual WayCross Fest Free Gospel Concert SPONSORSHIP PACKET

2 nd Annual WayCross Fest Free Gospel Concert SPONSORSHIP PACKET Dear Prospective Sponsor, Greetings from The WayCross Fest Planning Committee. We are pleased to announce the gathering of our 2 nd Annual Waycross Fest on July 18, 5pm to 10pm and July 19, 2pm to 10pm.

More information

Alive Ministries alivestudentconference.org

Alive Ministries alivestudentconference.org THE WHO S WHO AND THE WHAT S WHAT OF THE ALIVE STUDENT CONFERENCE 2018 Student Session Speaker We are very excited to announce that this year s speaker is Alex McFarland. http://www.alexmcfarland.com As

More information

Next Step s Face Forward Conference 2012 Participant Application Packet

Next Step s Face Forward Conference 2012 Participant Application Packet Dear Participants and Parents/Guardians, Next Step s Face Forward Conference 2012 Participant Application Packet Welcome to the 2012 application for Next Step s Face Forward Young Adult Conference! This

More information

Application to Livingston Robotics Club Season Part A: Student information. Name: (Student) Home Address:

Application to Livingston Robotics Club Season Part A: Student information. Name: (Student) Home Address: Due s: July 30, 2017 for FLL and FTC Mail to: P.O. Box 771, Livingston, NJ 07039 Email to info@livingstonrobotics.org Application to Livingston Robotics Club Part A: Student information Name: (Student)

More information

Fundraising Information Packet

Fundraising Information Packet Fundraising Information Packet Contact: Down Syndrome Association For Families of Nebraska Lincoln NE 68505 www.dsafnebraska.org Email: stepupwalk@dsafnebraska.org (402) 421-1338 Page 1 Dear Team Captain,

More information

Junior Volunteer Application

Junior Volunteer Application Junior Volunteer Application The mission of GROW is to cultivate, conserve, engage and explore. Thank you for your interest in helping us. To be considered as a possible JR Volunteer, please complete the

More information

Our Lady of Hope s Famine 2014

Our Lady of Hope s Famine 2014 Our Lady of Hope s Famine 2014 "I tell you the truth, whatever you did for one of the least of these brothers of mine, you did for me." Matthew 25:40 March, 2014 Hello High School Parents! We are quickly

More information

APPLICATION FOR ADMISSION (PLEASE PRINT CLEARLY)

APPLICATION FOR ADMISSION (PLEASE PRINT CLEARLY) 1317 w. Washington Blvd. Fort Wayne, In. 46802 260-424-2341 APPLICATION FOR ADMISSION (PLEASE PRINT CLEARLY) NAME: _ FIRST MI LAST DATE OF BIRTH: / / AGE: SOCIAL SECURITY NUMBER: LAST OR CURRENT ADDRESS:

More information

CONFIDENTIAL. Name Today s Date. Address: City: State: Zip: Phone number (cell): (home): (work): address: Emergency Contact (name): (number):

CONFIDENTIAL. Name Today s Date. Address: City: State: Zip: Phone number (cell): (home): (work):  address: Emergency Contact (name): (number): INTAKE FORM CONFIDENTIAL Name Today s Date Contact information: Date of birth Address: City: State: Zip: Phone number (cell): (home): (work): Email address: May I leave a voicemail on your cell or home

More information

MAKING A JOY JAR DISCOVERING GRATITUDE DAY BY DAY

MAKING A JOY JAR DISCOVERING GRATITUDE DAY BY DAY MAKING A JOY JAR DISCOVERING GRATITUDE DAY BY DAY 1. A Joy Jar is a jar that your guests will decorate and take home with them. Each day they will put a dated slip of paper in the jar. On the slip of paper

More information

On behalf of JDRF, we are looking forward to working with you. Together, we can make a difference!

On behalf of JDRF, we are looking forward to working with you. Together, we can make a difference! Dear Prospective or Returning JDRF Youth Ambassador: We would like to invite you to participate in the 2017 JDRF Youth Ambassador Program. This group is made up of children and their families living with

More information

PYM News & Events Update September 2015

PYM News & Events Update September 2015 Quaker Parent Meet-Up 2015 Save the Date! Saturday, September 19 PYM News & Events Update September 2015 Parents from across the Yearly Meeting are invited to meet up for a potluck meal and Quaker fellowship

More information

HOW TO START A CHAPTER OF STAND FOR THE SILENT

HOW TO START A CHAPTER OF STAND FOR THE SILENT TO END BULLYING HOW TO START A CHAPTER OF STAND FOR THE SILENT STANDFORTHESILENT.ORG 6918 W. 128th St. Perkins, OK 74059 contact@standforthesilent.org it s time to stand! Hello, potential SFTS chapter!

More information

FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS FREQUENTLY ASKED QUESTIONS Why are we doing this as a church? We want to help everyone learn and apply biblical principles to be set free from the bondage of debt and manage their resources in ways that

More information

APPLICATION FOR SERVICES

APPLICATION FOR SERVICES APPLICATION FOR SERVICES CLIENT - PERSONAL INFORMATION First Name M.I. Last Name Today s Street Address City State Zip Birth date Home phone (ok to leave msg? Y - N) Cell phone (ok to leave msg? Y - N

More information

SPONSORED BY THE CENTRE BAPTIST ASSOCIATION of the American Baptist Churches of PA & DE. March 19, 2019 March 24, 2019 REGISTRATION FORM

SPONSORED BY THE CENTRE BAPTIST ASSOCIATION of the American Baptist Churches of PA & DE. March 19, 2019 March 24, 2019 REGISTRATION FORM March 19, 2019 March 24, 2019 REGISTRATION FORM Name Local Church Home Address Home Phone Cell Phone Office Phone Email Emergency Contact Phone I will be participating in the events held: o All Week o

More information

NEW PATIENT PAPERWORK

NEW PATIENT PAPERWORK NEW PATIENT PAPERWORK Welcome! Please fill out the necessary paperwork provided. It is our pleasure to serve you and your family. How did you find out about us? If It was a friend or doctor, please list

More information

Kairos 79 November (Seniors) Kairos 80 February19-22 (Seniors)

Kairos 79 November (Seniors) Kairos 80 February19-22 (Seniors) Kairos Retreats 2017-2018 There are 40 spaces available on each retreat, 20 for girls and 20 for boys. Don t delay! Sign up for the Kairos of your choice now! Kairos 79 November 19-22 (Seniors) Kairos

More information

Journey to Truth Counseling

Journey to Truth Counseling ADULT / COUPLE INTAKE FORM (Please Print) Date: / / Social Security # Date of birth: Age: Mr. Ms. Dr. Mrs. Miss. Rev. Full Name (Last) (First) (Middle) Parent/Guardian/Power of Attorney: (if applicable)

More information

Dear Parent/Guardian:

Dear Parent/Guardian: Dear Parent/Guardian: The of Delta Sigma Theta Sorority, Incorporated, invites you and your teenager to join our 2016-2017 E.M.B.O.D.I (Empowering Males to Build Opportunities for Developing Independence)

More information

Promote Leaders. Teresa Schmidt

Promote Leaders. Teresa Schmidt Teresa Schmidt I am super excited to share this training segment with you and I am confident it will support your efforts in promoting out Units. Let s open up with a quote from my absolute favorite trainer,

More information

LA CONGRESS YOUTH DAY 2015 TALK JESUS WITH ME!

LA CONGRESS YOUTH DAY 2015 TALK JESUS WITH ME! LA CONGRESS YOUTH DAY 2015 TALK JESUS WITH ME! WHAT IS THE YOUTH DAY? It is with great joy that we invite you to register for Youth Day 2015 the largest event of its kind in the world! At Youth Day, there

More information

Please click going on the Shanty Town facebook event invite for timeline, tips and more information as it becomes available.

Please click going on the Shanty Town facebook event invite for timeline, tips and more information as it becomes available. SHANTY TOWN 2018 Set-up 4-5:30, activities start at 5:30pm Sat. October 13 th to 9am October 14 th West Bloomfield Congregational Church 9035 Rts 5 & 20, W. Bloomfield NY 14585 What is it? Shanty Town

More information

MRC S RECOVERY COACH ACADEMY APPLICATION

MRC S RECOVERY COACH ACADEMY APPLICATION MRC S RECOVERY COACH ACADEMY APPLICATION TRAINING DATES I AM APPLYING FOR: April 23-27, 2018 I AM APPLYING: MRC SCHOLARSHIP EMPLOYEE OF AN ORGANIZATION SELF-FUNDED Other (please specify) IF APPLYING WITH

More information

Address (if different from above):

Address (if different from above): Lee H. Baker, DDS 1243 Augusta West Pkwy Augusta, GA 30909 (706) 855-8989-Phone (706) 855-0321-Fax www.drleebaker.com Welcome to our practice! In order to know you and your child better, please complete

More information

July 5th-7th, 2016 Thompson Rivers University, Kamloops

July 5th-7th, 2016 Thompson Rivers University, Kamloops Speak Out Loud Conference July 5th-7th, 2016 Thompson Rivers University, Kamloops Who? Members 13 to 19 years old before January 1st When? July 5th-7th 2016 Where? Thompson Rivers University, Kamloops

More information

Town of West Seneca Youth Engaged in Service New Volunteer Orientation Guide

Town of West Seneca Youth Engaged in Service New Volunteer Orientation Guide Town of West Seneca Youth Engaged in Service New Volunteer Orientation Guide Important Information: Youth & Recreation Department Office Phone Number: 674-6086 Program Email: wsyes@twsny.org Program Information

More information