2015 Summer Youth Enrichment Application

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1 SHILOH MISSIONARY BAPTIST CHURCH CHARITABLE FOUNDATION 185 EDDIE ROBINSON SR. DRIVE BATON ROUGE, LOUISIANA Summer Yuth Enrichment Applicatin Shilh Baptist Church Charitable Fundatin is spnsring a summer yuth wrk prgram. This prgram is designed fr yuth between the ages f 14 and 18 years ld. Thse accepted in the prgram have the pprtunity t spend 6 weeks during June and July btaining valuable wrk experience. In additin, participants receive a stipend. The prgram is funded by Shilh Missinary Baptist Church Charitable Fundatin. Students wrk Mnday thrugh Thursday 16 hurs a week at their placement sites and n Friday attend 4 hur life skills wrkshps. Tpics include self imprvement, leadership, cmmunity service and Bible Study. If yu are interested in this prgram, please neatly cmplete the attached applicatin and return it by the deadline. The applicatin perid is Wednesday, March 6, 2015 thrugh Wednesday, April 8, NO APPLICATIONS WILL BE ACCEPTED AFTER THE DEADLINE WHICH IS 8:00 p.m. n APRIL 8, PLEASE RETURN COMPLETED APPLICATIONS TO THE FOUNDATION OFFICE. Interviews will be held at Shilh Missinary Baptist Church. Yu will be ntified when t cme t yur interview. Please submit yur cmpleted applicatin by the deadline and include all necessary infrmatin. An incmplete applicatin will keep yu frm being cnsidered fr this prgram. Please make sure all infrmatin given is accurate. Thank yu fr yur cnsideratin.

2 Shilh Missinary Baptist Church Charitable Fundatin Summer Yuth Enrichment Criteria and Rules Autmatic disqualificatin if yu are nt a 70% Sunday schl r Yuth Bible Study participant. Attendance recrds will be checked. Please nt the fllwing: Criteria: A member f Shilh Baptist Church. Actively invlved in at least ne yuth auxiliary/prgram. (Reference Letter) At least 14 years f age by June 1, Must have 70% participatin in Sunday schl and/r Yuth Bible Study. Must have a vcatinal interest. Must have a grade pint average f 2.0 r abve, (Cpy f semester grades required) Write a statement justifying vcatinal interest. Nn Shilh Members: Yu must have Sunday schl r Yuth Bible Study dcumented attendance recrds frm yur church. Actively invlved in at least ne yuth auxiliary/prgram (Reference letter required, this letter must include a phne number fr future cntact) At least 14 years f age by June 1, Must have 70% participatin in Sunday schl and/r Yuth Bible Study. (Recrds shuld be submitted by Sunday Schl Superintendent, Bible Grup Leader r Pastr, Name and phne number f persn submitting infrmatin shuld be included). Much have a vcatinal interest. Must have a grade pint average f 2.0 r abve. (Cpy f semester grades required) Write a statement justifying vcatinal interest.

3 Rules: Able t participate fully fr the entire 6 week prgram. This includes Life Skill wrkshps n Fridays. (N vacatins, n schling that will interfere with full participatin). N vertime r make up time. Dress cdes must be fllwed accrding t wrk lcatin. (Abslutely n earrings n male participants.) Yu must have yur wn transprtatin (including Friday activities.) Anytime during the six week perid that the participant has t be reprimanded fr any disciplinary actin, the participant will be dismissed immediately frm the prgram. I have read and fully understand the criteria f the Shilh Summer Yuth Enrichment Prgram. Signature Date

4 Shilh Missinary Baptist Church Charitable Fundatin Inc. Summer Yuth Enrichment Read carefully befre cmpleting applicatin Applicant must be years ld Name Last First Middle Address Zip Cde Phne Number Scial Security Number Date f Birth Grade Sex Height Weight What Schl d yu attend? D yu take any Medicatins? N Yes If Yes, Explain Mther s Name Mther s Place f Emplyment Father s Name Father s Place f Emplyment What is yur vcatinal interest? 1 st Chice 2 nd Chice (We reserve the right t put yu in yur 1 st r 2nd chice) D yu plan t attend cllege?

5 D yu have any f the fllwing skills? Typing Cmputer Other D yu (r have yu) participated in any type f wrk experience during the summer r after schl hurs? Yes N If yes, where when Church Affiliatin Hw lng have yu been a member? List ne f the church auxiliaries in which yu participate and attach a reference letter: List the names f tw (2) persns wh culd attest t yur character. Name Phne number Name Phne number Nn Shilh members: List the names f tw (2) persns wh culd attest t yur character. (One persn shuld be ne f yur high schl teachers and we are requesting a letter f reference) Name Phne number Name Phne number I have read and fully understand the criteria f the Shilh Summer Enrichment Prgram. Signature f applicant Date Signature f parent Date

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