Team Servant Application Summer 2012

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High School Students Only Form

* Name

* Middle

* Last

* Address Street

Apt #

* City

* State

* Zip Code

* Sex

Male

Female

* Age

* Date of Birth

* Height

* Weight

* T-Shirt Size

* Home Phone

Cell Phone

* Your Email Address

* Classification at the end of Spring

* Tentative Vocational Choice

* What are your Plans after High School

* List school organizations to which you belong, and offices held:

* List ministry-related or church-related work experiences, part-time, fulltime,
or volunteer:

Your Health

If you have now, or have had any of the following, please indicate:

	Specify Bellow
Severe Allergies
Recent Injuries / Surgery

* Do you have a physical disability or
serious illness?

Yes

No

If yes, specify below:

* Date of last Tetanus shot:

* Are you currently under any medication?

Yes

No

If yes, list below:

* My Health is:

Excellent

Good

Fair

Poor

* Check which is applicable: I use:

Tobacco	Drugs
Alcoholic Beverages	None of the Above

Family or personal insurance policy:

	IF None - Enter None in each box below
Insurance Co.:
Insurance Co. Address:
Policy & Group #:

Check the weeks of Camp you Wish to Serve

* You may choose to serve one or two weeks. . Thses are the Dates for 2012 Camps

* Have previously served in the Team
Servant program?

Yes

No

If Yes, When.

Employment History

Company

Supervisor

Phone

Dates

Position

Reason for Leaving

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Company

Supervisor

Phone

Dates

Position

Reason for Leaving

0/255 characters

Church Membership

* Present Church Membership:

* Regular Attendee?

Yes

No

* Church Address:

* City:

* State:

* Zip:

* Pastor's Name:

* Youth Minister's Name: answer none if none

* How long a member there?

* Church Convention Affiliation:

Southern Baptist

Other

If other what denomination?

List your church involvement and leadership experience (ex. VBS, SYATP, Youth Council, etc.):

Missions

* Have you ever been on a Mission Trip?

Yes

No

If yes, when? where?

* Define servant leadership:

* What does "serve wholeheartedly" (Ephesians 6:7) mean to you?

* Have you surrendered to the ministry?

Yes

No

If so, when? where?

* Have previously served at a Baptist encampment?

Yes

No

If so, when? where?

About Your Parents (For Emergency Purposes Only)

*

	Father	Mother
Name
Address
Occupation
Home Phone
Work Phone
Cell Phone
Email address

Testimony

In no more than 1,000 words, please give a brief autobiographical sketch, including the following information:
1. Tell how and when you became a Christian and about your personal growth in your relationship with Christ.
2. What is God teaching you right now about where you need to be and what you need to be doing within the next year?
3. Explain how God is currently using you in your youth group.
4. Why do want to participate in the Team Servant program?

*

0/1000 characters

Personal References

NO APPLICANT WILL BE CONSIDERED FOR APPROVAL UNLESS MANDATORY PERSONAL REFERENCE REQUIREMENTS ARE MET. Please fill-in the contact information for three (3) references. In relation to the ministry, choose two (2) from the following list: pastor, associate staff member, Sunday school teacher, church leader (elder, deacon, etc.), or director of a campus ministry you are actively involved in. In relation to your personal life, choose one (1) from the following list: friend, older adult friend, employer, work supervisor, or teacher. Please select people who have known you for at least three years. To ensure we receive the required recommendations, please follow the procedures listed below:
1. Provide us with the name, address, and telephone numbers of three (3) specified personal references.
2. Send the link for the Recommendation From on our web site, under the ministry oportunities tab, to your references and have them fill it out online or request a paper copy to distributeto each of your three (3) stated personal references.
3. Communicate to your personal references the importance of them filling out the online form or returning the paper copy form within ten (10) days of receiving. It is suggested that you
provide each of your references with a self-addressed, stamped envelope for the quick handling of your request for those who you choose to send a paper copy to fill out.
4. Personal references who receive a paper copy should mail their completed Recommendation Form directly to:
Highland Lakes Camp and Conference Center • Attn: Team Servant Program
5902 Pace Bend Rd. N. • Spicewood, TX 78669
OR/ Fill out Online Form.
5. Personally follow up with your personal references to ensure they have completed and/or mailed your recommendation form within ten (10) days of
receiving.

*

	MINISTRY RELATED	MINISTRY RELATED	PERSONAL
Name and Relation to You
Address
Home Phone
Work Phone
Email Address

When the application has been completed, please mail it as soon as possible to:(Unless it is the online version-you will only need to fill out one)
Highland Lakes Camp and Conference Center • Attn: Team Servant Program
5902 Pace Bend Rd. N. • Spicewood, TX 78669
Each applicant must:
• Possess a lifestyle that demonstrates a genuine love for and faith in Jesus Christ as Lord and Savior.
• Have completed the 9th grade.
• Be actively involved in a Baptist church
• Possess a passion to share the gospel with individuals in need of salvation.
• Possess a willingness to use your God-given gifts to serve wholeheartedly.
• Be in good physical and emotional health, able to withstand the rigors of nonstop Christian service.
• Complete the application process within ten (10) days of receiving.

I guarantee that to the best of my knowledge all the above information requested
has been completed accurately and completely.

* Electronic Signature Fill in your name here

* Date

* Indicates Response Required

Asthma	Headaches	Stomach Trouble	Diabetes
Mononucleosis	Nervouse Disorder	Tuberculosis	Seizures
Psychiatric Counsel	Migrane	Heart Trouble	Recent Serious Injury or Surgery(Describe Below)
Severe Allergies (List Below)

June 2-9	June 9-16	June 16-23	June 23-30
June 30- July 7	July 7-14	July 14-21	July 21-28
July 28- Aug 4	August 4-11