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 www.actsthedalles.org and are due September 10 th, 2017. We hope you decide to be a part of this exciting program! Sincerely, Joe Martin/Executive Director
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
Personal Information Date of Birth: Address/Street City State Zip Student Cell Phone # E-mail 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
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
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.