Omega Lamplighters Club Dear Prospective Student, You have been referred to us for membership consideration in the Omega Lamplighters Club. The Omega Lamplighters Club is the signature mentoring program for the Alpha Phi Chapter of Omega Psi Phi Fraternity, Inc. for young men ages 12 18 in the Birmingham Metropolitan area. The program is designed to extend the vision of the fraternity by encouraging and cultivating the development of young men in the areas of Leadership, Academic, Maturity, and Perseverance. The mission of the Omega Lamp Lighters Club is to positive engage and establish meaningful relationships with young men, thereby, promoting and supporting their development as positive, constructive, contributing citizens in society. The program criteria: The applicant must be between the ages of 12 18 years of age. Theapplicantmustbecurrentlyenrolledinschool. Theapplicantmustsubmitacompleted teacher/counselor recommendationform. Theapplicantmustsubmitdocumentationtoverifythat heismakingprogressin schoolandthat heregularlyattendsschool (i.e. report card or transcript). Theapplicantmustsubmitawrittenpersonalstatement(minimumof 250words). Theapplicantmustagreetofollowinstructions,cooperate,andbewellbehaved whileparticipatingintheprogram. The applicant must have 3 letters of favorable recommendations for the program. Theapplicantmustsubmitacompletedparentalconsentformandrelease. If you are interested in joining and/or learning more about the Omega Lamplighters Club, please complete and return the application by January 5, 2016. More information will be provided upon acceptance into the program. If you have any questions regarding the program please feel free to contact Dr. Charles L. Willis, Jr. by cell at (205) 902-9784 or by email at clwillisjr@yahoo.com We are looking forward to hearing from you. Sincerely, Dr. Charles L. Willis, Jr. Dr. Charles L. Willis, Jr. Program Chairman The Omega Lamplighters Club Alpha Phi Chapter of Omega Psi Phi Fraternity, Inc.
OMEGA LAMPLIGHTERS Club Please complete all information requested. Print (black ink) or Type. Name Date Home Address_ Street City State Zip Code Home Phone Cell Phone Birthday Age Sex Current School Grade Grade Point Average (un-weighted) Referred By Is the referral by a member of Omega Psi Phi Fraternity, Inc.? Yes / No (Circle one) Parents / Guardian Emergency Contact Emergency Phone Church Affiliation: Medical Disability: List organizations/ extracurricular activities Career goals and plans Applicant Signature Parent Signature_ Date Date
Personal Statement/ Letter of Intent Attach your personal statement answering the following questions in your letter of intent (letters must not exceed 250 words): 1. What are your life goals (Career, Academic, and Personal)? 2. What weaknesses do you think could keep you from being successful? 3. What strengths will help you reach these goals? 4. What do you hope to get out of this experience? 5. What gifts, talents, motivations, and interests do you bring that would enhance the experience for the group?
Parental Release Form 1B Primary Guardian Home phone Email address Cell phone Note: communication regarding Lamplighters events will normally be done by email. Please list an email that you check on a regular basis. I hereby grant permission for my child/ ward to participate in the Alpha Phi Chapter s Omega Lamplighters Club governed by Omega Psi Phi Fraternity, Inc. and to participate in activities arranged by the Youth Club's Committee and Advisors. By signing below, I release the Omega Psi Phi Fraternity, Inc. and all of its affiliates and volunteers from liability in case of accident, injury, or loss resulting from all causes in connection with such membership including outings, field trips, and/ or other activities which necessitate travel away from Birmingham, Alabama, except for those involving gross negligence or intentional misconduct on the part of Omega Psi Phi Fraternity, Inc. In granting this permission and release, I specifically recognize that my child may be transported to events by private vehicles operated by advisors or Omega Psi Phi Fraternity, Inc. members. I specifically release and will hold harmless Omega Psi Phi Fraternity, Inc. their officers, members, etc. of any and all liability which may arise as a result of such transportation. Signature of Participant Signature of Parent / Guardian Date Date Enclosed is my check for $100.00 If Non-Omega Member, Your Omega affiliation: Participation of parents is essential for us to have a successful year. Please indicate how you would like to help: Transportation Chaperone Communications Event planning and coordination Other (please specify) Please be sure to return all forms with payment: Youth Group Application Form Prospective Member Personal Statement Parental Release Form 1B Health Release Form 1C Code of Conduct Form 1D Mastery Permission Form 1E Letters of Recommendation (3)
Health Information Form 1C Participant s Name Doctor s Name Birth Date Office Phone Health Insurance Policy or Plan # Participant s Medical # (if applicable) Name of emergency contact_ Relationship Does this participant have any physical or emotional conditions of which the Lamplighter advisors should be aware? Restrictions on activities Regularly prescribed medications Date of most recent tetanus booster Allergies to drugs Allergies to food or special diet Allergies, other Parent s Authorization: This health history is true to the best of my knowledge. The person herein described has my permission to engage in all prescribed activities except as noted above. The following authorization empowers the staff of Omega Lamplighters Youth Group to take whatever steps they deem necessary to insure the well-being of my child should a medical emergency occur during a youth group meeting/activity. I, do hereby authorize Omega Psi Phi Fraternity, Inc. to take necessary emergency measures in the treatment of my child if needed. My child is in good physical health and does not have any disabilities which may be aggravated except as noted on this form. I release Omega Psi Phi and its members from all responsibilities other than supervised, scheduled activities. In the event that I cannot be reached in an emergency, I hereby the authorize the advisors or members of the Omega Psi Phi Fraternity, Inc. to secure proper treatment for my child in the case of emergency. Note: Every attempt will be made to contact the parent or emergency contact provided in case of an emergency. Signature of Parent / Guardian Date
Code of Conduct Form 1D: Events of Alpha Phi Chapter s Lamplighters Club School Year 2016-2017 1. Possession and use of any drug, marijuana, tobacco, or alcohol is strictly forbidden. Violations will result in immediate dismissal from the event and will be expelled from the program. 2. Attendance at all aspects of an event is mandatory. Three absences from mandatory meeting will result in expulsion from the program 3. No participant in any event may exit prematurely or fail to attend any part of an event without the express consent of their parent and the acknowledgement of the advisor. No participant may leave the grounds of any sanctioned Omega Lamp Lighters event without the express permission of the advisor. 4. Any rules announced by the advisor/leadership of the event are be observed as if they were written rules. 5. All local state and federal laws shall be in force. 6. No foul language or disruptive behavior (as determined by the advisor) will be tolerated. 7. At all times during an event, participants are expected to show respect and courtesy to advisors, chaperones and all other Omega Lamplighter Youth Group participants. The participant s parents will be notified immediately if any of the rules are broken. Anyone who does not follow these rules will not be allowed to participate in future events and risk dismissal from the Omega Lamplighters Youth Group. Any member who is dismissed from the program will forfeit all Omega Lamplighter paraphernalia and money paid to the program. I understand the above outlined Code of Conduct: Events of Omega Lamplighter Club and agree to follow such Code. Signature of Participant Signature of Parent / Guardian Date Date
MASTER PERMISSION SLIP Form 1E This permission slip is to cover all field trips that your child will attend this year. Parents will be notified in advance of the dates and destinations of all trips. has permission to go on all Omega Lamplighters Youth Groups Events for the 2016-2017 school year. Signature of Parent /Guardian Date
Letters of Recommendation Letters of Recommendations Letters of Recommendation (two letters of recommendation must come from either a financial member of Omega Psi Phi Fraternity, Inc. or a school faculty member. The third may come from coach/pastor/mentor/etc.) Please have the following questions answered in your letter of recommendation (must not exceed 250 words): 1. Why would it be good for this applicant to participate in the Omega Lamplighters Club? 2. What character attributes have you experienced from the applicant that would make him a valuable person to have in our program? Please illustrate how you have observed these attributes. *An official transcript with the seal of the school MUST accompany your letter of intent.
Omega Lamplighters Teacher/ Counselor RecommendationForm Please Print or Type Student: Last Name First Name MI Name of School Name of Teacher/ Counselor Grade Telephone/ Email GPAand/orProgressinSchool Character: Good Fair Poor I do no do not recommend the above named student for participation in the Omega Lamplighters program. Comments: Teacher/ Counselor Signature Date
Omega Lamplighters Personal RecommendationForm Please Print or Type Student: Last Name First Name MI Name of School Name of Sponsor Grade Telephone/ Email Member of Omega Psi Phi Fraternity, Inc. Yes No If no, are you a member of a Greek Letter Organization? Yes No Name of Organization How long have you known the applicant and in what capacity? Character: Good Fair Poor I do no do not recommend the above named student for participation in the Omega Lamplighters program. Comments: Sponsor Signature Date
Omega Lamplighters Personal RecommendationForm Please Print or Type Student: Last Name First Name MI Name of School Name of Sponsor Grade Telephone/ Email Member of Omega Psi Phi Fraternity, Inc. Yes No If no, are you a member of a Greek Letter Organization? Yes No Name of Organization How long have you known the applicant and in what capacity? Character: Good Fair Poor I do no do not recommend the above named student for participation in the Omega Lamplighters program. Comments: Sponsor Signature Date
Omega Lamplighters Club CONSTITUTION I. NAME The name of the organization shall be the Omega Lamplighters Club. II. MISSION STATEMENT The mission is to work with and establish relationships with young men to offer support, guidance assistance and to teach the transformation to manhood and instill, character, leadership and academic skills. III. PURPOSE/OBJECTIVES A. The purpose and objectives of the organization are: B. To work with young men toward personal development. C. To assist young men in setting and achieving high academic, moral and ethical goals to become a better citizen. D. To teach organizational and time management skills. E. To encourage and foster Christian principles. F. To help and encourage the young men to adopt the principles of Manhood. G. To help and encourage the young men to develop leadership skills to serve as role models. H. To assist parents, teachers, in the development of a total work effort. I. To develop the desire to persevere in adverse situations. J. To develop an awareness of Community needs and desire to render community service. K. To develop well rounded young men with values, perception and skills to thrive and succeed in today s society and yet maintain strong ties to their families and communities. IV. MEMBERSHIP A. A member of this organization must agree to be bound by the provisions of this constitution. B. Membership shall consist of young men ages 12 through 18. Young men that are younger are only permitted if he is a son of a member of the Omega Psi Phi Fraternity, Inc. and that member agrees to be present at the meeting and work with the Lamplighters mentoring program. C. Member and prospective members shall have or pursue good moral standards and pursue academic excellence and have a desire to be a team player. D. All members of the Omega Lamplighters Club shall be approved for a probationary period by the advisory committee. E. Financial members of the Alpha Phi Chapter of Omega Psi Phi Fraternity, Inc. are eligible to submit names of prospective Lamplighter members. F. Members who fail to attend three (3) consecutive regular meeting without an acceptable excuse shall automatically be dropped from the membership.
G. Acceptance into the organization will be determined by attendance, behavior and performance during a four (4) month probationary period. H. Membership status and admission will be undertaken from July 1 st of each year to August 31 st of each year. I. The previous school year report card and/or transcript of each aspiring member shall be required as part of the application for membership. J. Dues will be determined by a vote of the membership. K. Any member who conducts himself properly, is in good financial standing, and attends meeting regularly shall be eligible to hold office and/or chair a committee. L. Dues shall be determined annually by the membership. Members who are not financial will not participate in any activities of the organization. M. The selection of new members shall follow a probationary period and be based on the number of names submitted through the fraternity and Lamplighter members. Selection shall be by the advisory committee. V. MEETINGS A. Meeting of this organization shall be on the #? Sunday evening of each month during the school year. The meeting time and place shall be mutually agreed upon by the group. B. Call meetings shall be scheduled by the advisor when necessary. VI. QUORUM Twenty percent (20%) of the membership shall constitute a quorum for the transaction of business. VII. ADVISORS The advisors shall be members of the Alpha Phi Chapter of Omega Psi Phi Fraternity, Inc. At least one advisor must be in attendance at all meetings. The advisors serve as consultants on all matters pertaining to the organization s activities and to veto any action proposed by any committee, the officers and/or the organization itself that is not in accord with this Constitution or the policies of the Alpha Phi Chapter of Omega Psi Phi Fraternity, Inc.
Omega Lamplighters Club Workshops & Training Examples 1. Workshop Area 1 - Community Interest/Citizenship [Resources Needed: Teachers, Community Leaders, Step Masters, Shirts and Literature] 1.1. Community Service Organizations 1.2. How to hold a meeting 1.3. Higher Education 1.4. Voting, NAACP, and others 1.5. Fun Activities 1.6. Museums, Arts, Humanity 2. Workshop Area 2 Health [Resources needed: Healthcare Professionals, Sample Products and Literature] 2.1. Grooming 2.1.1. Body and Hair Care 2.1.2. Dental Care 2.1.3. Appropriate Dress, including neckties, and issues around sagging 2.1.4. Shoe Shine and Tennis Cleaning 2.1.5. Fitness 2.1.5.1. Athletics 2.1.5.2. Dietary 2.2 Sexuality 2.2.1. Intercourse, Abstinence, Media 2.2.2. Venereal Diseases, Peer pressure 2.3. Drugs 2.3.1. Legal Drugs: Alcohol, Cigarettes, etc. 2.3.2. Illegal Drugs: Marijuana, Cocaine, etc. 3. Workshop Area 3 Financial [Resources Needed: Financial Professionals, Ledgers, Computer, etc.] 3.1. Budgeting and Spending 3.2. Saving 3.3. Investing 3.4. Tithing, Charity 4. Workshop Area 4 Spiritual [Preachers, Deacons, Laymen, Literature] 4.1 Boyhood 4.1.1. This is a step and an age of innocence, an age of learning boundaries, respect, and accountability to authority. As young boys they need to learn how to resolve conflict with other children. Boys need to be taught how to build relationships, and
how to respond morally to the choices that they must make. 4.1.2. Fathers in particular must set the moral tone and the relational tone of our families, so our boys can take the next step up to Adolescence. 4.2. Adolescence 4.2.1. A teenage young man can be characterized by selfishness, hormones, conflict, rebellion, anger, and because of his emergence into sexual maturity lust. 4.2.2. A boy moving into adolescence can get very, very confused. He needs a man who is higher up on the steps to lead him through this phase. He needs a man to help him step on up to maturity and become the man that God has called him to be. He needs a vision that calls him to turn from selfishness and step up. If the call comes, and the teenager responds, he is eventually able to take another step up to Manhood. 4.3. Manhood 4.3.1. What is a real Man? In essence manhood involves five things: 4.3.1.1. Initiative nothing comes to a man by waiting. And to become a real man, we must step out and assume responsibility. 4.3.1.2. Courage a man is never more of a man than when he is defeating fear by stepping out and risking his life, his comfort, and his agenda to protect his community, wife, and family. His protection should not merely be the physical safety, but the moral, spiritual, and emotional well-being of those allotted to his charge. 4.3.1.3. Sacrificial Love a real man gives up his life for his sheep. He loves others and denies himself. He is tough, but tender. 4.3.1.4. Servant Leader a real man doesn t cling to his rights, he gives them up so that he can meet the needs of those he leads at home, at work, and in his community. 4.3.1.5. Mission he is a man who knows what he is about and where he is headed and can take others with him. Here is the man who has found the adventure that His Creator has for him and is living it out all his days. 4.4. Mentor 4.4.1. I believe God has more for men beyond manhood; I believe He wants us to become mentors to other men. As He teaches us, we reach out with His wisdom and love to boys who are facing adolescence, to teens who need to move to manhood, and to the men who need to become mentors. Every man ought to make it his goal to be a mentor to some one. 4.5. Patriarch/Elder 4.5.1. The term Patriarch in Scripture is a term of dignity and nobility. It is a heavenly mandate that falls upon a man in his later years. 4.5.2. A patriarch is a man who is finishing well and is using his influence to encourage others to do the same. This is a man who calls his family to take spiritual responsibility for Christ s Great Commission. He calls them to turn away from the lust of the flesh, of materialism, and devote themselves to reaching their world. He calls them to that
which will last for eternity. 4.5.3. A patriarch is not perfect. His family is not perfect. A patriarch is a man who is enjoying the fruit of his labors and experiencing the reward of his hands. 5.0. Life Skills 5.1. Dining Etiquette 5.2. Transportation Schedules & Bookings 5.3. Public Speaking & Presentations 5.4. Resume Writing & Job Interview Skills 6.0 College Preparation 6.1. College Research 6.2. College Applications 6.3. How to Apply for College Scholarships 6.4. Essay Writing 6.5. Financial Aid 7.0. Driving and Automobile Care 8.0. Community Service Hours 9.0. Others