SOUTHSIDEINTERNS. Certificates of Completion will be awarded to interns who have successfully completed the program in the following areas:

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1 Southside Church is passionate about the next generation. We believe this generation is going to change the world, and this is the reason why Southside Interns exists. This one year discipleship training school for year olds combines the spiritual, academic and practical aspects of Christianity. Our Interns will work out the intensive head and heart knowledge gained in the classroom by practical service to the local church and to the poor in Mirebalais, Haiti. Southside Interns will raise up leaders who first follow Jesus, and then lead their generation to impact the world. COURSES (subject to change) Southside Interns has partnered with Portland Bible College and the courses taken during the Interns program are eligible for Portland Bible College credit. These courses were selected in order to provide each student with a foundation of Christianity, Church and how to live out their faith. 1 st Semester 2 nd Semester Basic Doctrine I Basic Doctrine II Personal Discipline Doctrine of the Church GRADUATION REQUIREMENTS Certificates of Completion will be awarded to interns who have successfully completed the program in the following areas: Instruction Standards Ministry Standards Mentoring Standards Attendance Standards Financial Standards You must complete all assignments and worksheets on time and maintain at least 70% to pass credit courses. You must receive above average ratings in your Ministry. These will be based on promptness, attendance, completion of tasks and attitude. You must maintain consistent attendance in an interns freedom session small group and meet monthly with an assigned mentor. You cannot accrue more than three unexcused absences per semester. (Excused absences include: mission trips and outreaches, and prearranged excused personal absences.) You must be current on your payments each month and be paid in full at the time of graduation. Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 1

2 WEEKLY SCHEDULE (subject to change) SOUTHSIDEINTERNS Wednesday, Thursday, Friday 9:00am 10:00am Prayer / Devotions 10:00am 11:00am Class 1 11:00am 12:05pm Class 2 12:05pm 1:00pm Lunch Break Wednesday 1:00pm 5:00pm Thursday 1:00pm 5:00pm Friday 1:00pm 5:00pm Serving Spiritual Growth Life / Leadership Development Sunday Serve 2, Sit 1 DAILY SCHEDULE Prayer/Devotion: We will begin each day learning how to maintain a daily devotional life with Jesus. This will look different day to day but the goal is the same: to start off each day putting Jesus first, and learning how to have a daily devotional life that lasts long after the Interns program. Class Time: We will be using material provided by Portland Bible College to teach these courses. They will be taught by passionate leaders seeking to get the best out of young leaders. Spiritual Growth and Life/Leadership Development: The afternoons will turn from a focus on the academic to a focus on developing as a Christian and as a leader. This will look different each day and encompass learning materials from numerous sources and current church leaders. Ministry: Each student will choose a ministry to serve during their commitment to Southside Interns. Every Wednesday afternoon each student will work closely with a leader in the ministry they are serving in. This provides a hands-on learning experience and provides a glimpse of what it is like to work at a church. On Sundays each student will be expected to serve at 2 services and sit through 1. Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 2

3 FINANCES SOUTHSIDEINTERNS The tuition for Southside Church Interns Program is $6000 per year per student (subject to change). The tuition covers instructors, guest speakers, PBC tuition, textbooks, retreats, leadership conference in the USA (location subject to change), 2 week Haiti mission trip etc. It does not, however, cover housing. There is a minimum $2215 down payment, which must be paid August 15, The remaining balance can be divided over nine monthly installments. Description Amount Payment Due Date (subject to change) Domestic Students Application Fee $50.00 Aug. 1 st (With application) Minimum Down Payment $ August 15 th Remaining Tuition $ payments due monthly NOTE: A minimum down payment of $2215 is due August 15, 2014 ($825 non-refundable) and may be paid to Southside Church, Olds Drive, Chilliwack, BC V2P 0B8. The outstanding balance will be divided into nine monthly installments beginning September and running through May. These monthly payments are due on the 1 st of each month, and will be considered late on the 10 th. The first installment is due September 1 st. Monthly payments are determined by the size of the down payment initially made. Refund Policy If a student withdraws from school or is dismissed, tuition refund will be made as follows: First class week 85% Fourth class week 40% Second class week 75% Fifth class week 25% Third class week 60% After fifth class week none Financial Preparedness Financial preparedness is a key factor in determining whether this is the right time to become an Intern at Southside Church. This is the beginning of your leadership training. Acceptance to Southside Church Interns Program is contingent on your submission of the Potential Sources of Income Form. During your time as an Intern, you are solely response for all financial obligations. Financial Stewardship Financial stewardship is a key factor in maintaining your status as an intern. If you fall behind in the monthly payments it could jeopardize your status as an intern and could result in an early dismissal from Southside Church Interns Program. No intern may graduate without full payment of their intern bill. Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 3

4 ENTRANCE QUALIFICATIONS Age Requirement Education Requirement years old High School Graduate or GED Application Acceptance into Southside Church Interns Program will be determined by your application, interviews and the prayerful consideration of our ministry team. Timing Three factors contribute to determining whether it is the right time for you to be a Southside Intern. - Spiritual Authority Do the spiritual authorities in your life (e.g. Pastors, mentors, and parents) all agree that this is the right training environment for you at this time? - Personal Are you spiritually prepared to enter into this intensive ministry training program? Have you been faithfully attending and participating in a local church and developing your spiritual growth over the last 6 months? - Finances Are you financially able to enter the program at this time? Working full time is not an option as a Southside Intern. Part time work (up to 20 hours a week) is permitted as long as it does not interfere with your church schedule and responsibilities. APPLICATION PROCESS Step One Step Two Pray about it! Be sure that this is what God wants for you. Send a self-written letter/ explaining your current ministry involvement, your future plans, your personal salvation testimony, and why you want to be an intern. Step Three Have your Pastor send in a recommendation letter by August 1, This letter should attest to your character, ministry faithfulness, tithing practices, church involvement, and why Southside Church Interns Program is the next step for you. (If you are a partner of Southside Church, please have your current small group leader complete this). Step Four Complete and mail in the Southside Church Interns application (a checklist is included on the following page). These should be completed and submitted by August 1, Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 4

5 Step Five Step Six Step Seven SOUTHSIDEINTERNS Apply for a passport at your local post office, if you do not already have one. This will enable you to travel abroad during the year when necessary. Southside Church will contact you after receiving all recommendations, forms and fees to schedule an interview. After conducting the interview via phone or in person, you will be notified regarding your enrollment status. UPON ACCEPTANCE Step Eight Step Nine Submit the Financial Plan Form to cover intern expenses and the Medical Release/Waiver Form. Be at Southside Church Interns registration. Prepare to submit your minimum down payment of $2215 ($825 is non-refundable) APPLICATION CHECKLIST Applications must be mailed directly to Southside Church, Attn: Southside Interns, Olds Drive, Chilliwack, BC V2P 0B8 or handed in to the Southside Office. If you have any questions or call the Complete and submit the full application Complete and submit the Potential Sources of Income Form Complete and submit the Self-written Letter Include the $50, non-refundable application fee with application (cheques may be made out to Southside Church ) Include a recent photo of yourself, or to The following should be mailed and submitted separately: Have your Pastor/Small Group leader complete and mail in the Pastoral Recommendation Letter (to be completed by Small Group leader if you are a partner of Southside Church) Have a parent complete and mail in the Parental Recommendation Letter (for all applicants under the age of 21) Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 5

6 APPLICATION Mail To: Southside Church Attn: Southside Interns Olds Drive Chilliwack, BC V2P 0B5 PERSONAL INFORMATION Name Last First Middle Address City Province Postal Code Phone Cell Phone Gender Male Female Age Birthday Birthplace (City, Province) Social Insurance Number Marital Status: Single Engaged Married Widowed Divorced Separated Spouse s Name (if applicable) Name and ages of children (if applicable) Citizenship Current Occupation Do you have a passport? No Yes Expiration Date FAMILY INFORMATION Do you still reside with a parent or guardian? No Yes Father or Guardian Name Address Phone Occupation Mother or Guardian Name Address Phone Occupation Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 6

7 CHURCH INFORMATION SOUTHSIDEINTERNS Home church Church mailing address Pastor s name Pastor s phone How long have you been attending this church? Have you accepted Christ as Savior? Have you been baptized? Why have you decided to apply for Interns? ACADEMIC BACKGROUND Name of high school attended City/Province Years completed GED Date of graduation Date of completion List below the colleges, universities or other schools that you have attended: Name Dates Name Dates Location Diploma Location Diploma Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 7

8 HEALTH SOUTHSIDEINTERNS Do you have any physical limitations, disabilities, diseases or other health issues that may affect your ability to fully function in Southside Church Intern program? Yes No If so, please explain: Describe your general health: Have you used any of the following in the past year? Tobacco Alcohol Drugs Medications Prescriptions Yes No Yes No Yes No Yes No Yes No If so, please explain: Please attach any medical information that would be pertinent to your acceptance into the program. INSURANCE Southside Church does not offer health insurance of any kind. You will be responsible for you own medical needs. Will you have medical coverage should the need arise? Yes No Upon acceptance you will be required to complete and sign a Medical Release/Waiver Form, found on page 17, and submit it by August 1, Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 8

9 FINANCES SOUTHSIDEINTERNS There are two financial forms with this application. -Potential Sources of Income (this must be completed and submitted with the application by August 1, 2014) -Financial Plan (this must be completed and submitted with the application by August 1, 2014) HOUSING We will do our best to provide host families for those who need assistance. A host family opens up their home to house an intern. There are strict guidelines for interns who live with a host family. These guidelines are laid out in the Housing Request Form included in this packet. REFERENCES List names, addresses and telephone numbers of two people (unrelated, adult Christians) Name Phone Address Name Phone Address Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 9

10 PERSONAL SKILLS AND EXPERIENCE SOUTHSIDEINTERNS Indicate your personal skills and experience in the following areas including a brief explanation. Personal Skills Years Experience/Details Music Children Missions Media Computer Video Audio Public Speaking Other How did you hear about Southside Church Interns Program? Define your idea of ministry. What are some of the necessary qualities that you feel you must have to be a spiritual leader? What do you plan to do after your Interns Program with Southside Church? How do you generally spend free time? Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 10

11 PERSONAL HISTORY SOUTHSIDEINTERNS It is very important that the following questions are answered truthfully and honestly. By answering yes to the following, you are not necessarily preventing your acceptance into the intern program. If you check or answer yes to any of the following, please include an explanation on a separate piece of paper (3-4 sentences). Misleading information or deliberate dishonesty are grounds for immediate denial of application, or dismissal from the program. All applications are kept with the utmost confidentiality. Have you ever been involved with Drugs/Illegal Substances Alcohol Tobacco Occult/Any Cult Have you ever been involved with Abortion Abuse Have you ever struggled with Homosexuality Pornography Severe Depression An Eating Disorder Have you been sexually active with the past 12 months? Yes No Are you currently involved in a dating relationship? Yes No Have you ever intentionally inflicted harm upon yourself? Yes No Have you ever been arrested, charged with or convicted of a crime? Yes No (A criminal record check is required) Have you participated in any activity that may affect or bring into question your fitness for working or supervising children? Yes No Are you involved in private or public activity that is inconsistent with accepted Biblical standards of conduct? Yes No Have you ever been asked to leave a church for any reason? Yes No Describe your family and relationship with them: PERSONAL COMMITMENTS I pledge that, if admitted into Southside Church Internship Program, I will at all times conduct myself as a Christian, faithfully and diligently applying myself to Southside Church Internship requirements, and promptly meet all financial and other obligations. Signature Date Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 11

12 GUIDELINES FOR INTERNSHIP Spiritual Standards You will be expected to maintain consistent spiritual disciplines on a daily basis, because our internship program is focused on deepening, discovering and developing our faith. You will be expected to maintain daily alone time with God, as well as reading a series of required books on spiritual disciplines. Academic Standards You will be expected to complete all of the assignments that are given out and turn them in at the appropriate time. You are also expected to maintain at least 70% to pass credit courses. We are committed to maintain a level of academic excellence in our internship program to go along with its spiritual emphasis. Social Standards You will be expected to set aside this time for the purpose of growing your faith in the Lord as well as being involved in ministry. Because the nature of the program includes meeting new people and being socially engaged with others and because intimacy with God is the focus, we will expect all of the interns not currently dating to not pursue a relationship through the duration of the interns program. For those who enter interns already in a dating relationship, you will not be forced to end your relationship, however, would you be willing to set parameters on your dating relationship for the duration of Southside Interns program? (Please attach answer separately). Ministry Standards You will be given a unique opportunity to represent both the Lord and Southside Church to our community. Because we are very committed to maintaining a high level of integrity and excellence in all we do, the standard of your ministry involvement is to be of the highest level. Living Standards If you will be living with a host family, you will be expected to be clean, considerate, and respectful at all times. You will be expected to honor the other interns, as well as the host families and the staff at all times. Should a problem arise, it should be brought to our attention at once. Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 12

13 Disciplinary Standards You will be given every opportunity to make any adjustments needed to raise your level of performance to meet our standards for involvement. However, if the guidelines and/or the expectations are not maintained, the following actions will be taken: Verbal Warning Written Warnings Dismissal of an Intern Immediate Removal If and when it becomes apparent that the standards and the expectation of the program are being compromised, a verbal warning will be given. After two verbal warnings, a written warning will follow. If a violation occurs, a written warning will be given and the intern will be placed on thirty day probation. If there is no measurable change within fifteen days, plans for dismissal will be initiated. If for any reason the warnings have not resulted in measurable change, the intern will be dismissed from the program and released from any further obligations to the program. If an intern is dismissed after 5 weeks there will be no refund. Should the unfortunate occasion arise in which the moral character of an intern should come into question or their attitude become disrespectful, dishonest, or disloyal, the intern will be dismissed from the program immediately. Signature Date Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 13

14 POTENTIAL SOURCES OF INCOME FORM Southside Church will keep all financial information confidential. You have prayed and believe that this is the time to enter Southside Church Interns Program. Planning and securing the financial resources needed is the initiation of your leadership training. You will need to create a budget of proposed expenses and then prayerfully seek God and step out in faith to appropriate the funds you will need for the duration of your time at Southside Church Interns Program. The apostle Paul believed you should work to support yourself. Many time he solicited funds for support from believers in the Church; however, he also developed the skill of tent making to provide his own way. What will be your plan to raise all the financial resources needed to complete your training at Southside Church Interns Program? Do you have savings that you will use? Yes No Will you work before you come? Yes No Will you need to work while you are here? Yes No Will you receive a parental allowance? Yes No Will you solicit individual support? Yes No Other sources of income? Yes No Proposed Income Total Potential Income FINANCIAL PLAN FORM Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 14

15 Upon acceptance this financial plan is to be sent in by August 1, Southside Church will keep all financial information confidential. The following is a list of expenses to consider in preparing your budget: Required Deposits Monthly Payments Tuition Rent Utilities Telephone Food Auto Insurance Gas Entertainment Miscellaneous = Sub Totals + Total Income Needed for Nine Months = Line 4 below 1. I have presently secured finances in the amount of $ 2. My total monthly income will be $ 3. Sub total of line 1 and line 2 $ 4. I project my total expense to be (Total Income Needed) $ 5. Anticipated surplus or deficit (subtract line 4 from line 3) $ If there is a deficit reflected above, what are your plans to secure additional revenue? Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 15

16 HOUSING ASSISTANCE REQUEST Name Address City, Province, Postal Code Phone Male Female Age SOUTHSIDEINTERNS I am willing to abide by the expectations set forth by the intern house rules or by my host family and Southside Church Interns Program. Yes No I have a car, current driver s license and car insurance. Yes No Please Explain your request for housing and any special needs. Filling this request form does not guarantee housing at Southside Church. Please contact the Southside Church office to confirm housing availability. Please contact Southside Church by July 1, 2013 to secure a host family for the duration of the Interns program. Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 16

17 MEDICAL RELEASE/WAIVER FORM SOUTHSIDEINTERNS Upon acceptance, this is to be mailed by August 1, 2014 (you may include this in your initial application). I, the undersigned, in consideration of participating in the activities of Southside Church Interns Program and Southside Church, my parents, my heirs, executors, administrators and assigns, also referred to hereafter as Releasors, herby release and forever discharge Southside Church Interns Program and Southside Church, its employees, agents, servants and friends, also referred to hereafter as Releasees, from any and all claims, demands, actions, or right of actions of whatsoever kind or nature, either in law or in equity, arising from or by reason of any bodily injury or personal injuries, known or unknown, death and/or property damage resulting or to result from any accident which may occur as a result of participating in the activities of Southside Church Interns Program and Southside Church and/or ministries, such as ministry travel excursions and all other ministry activities of any nature, whether local, national, or international in scope, whether by negligence or not. Signature Date RECOMMENDATION FORM: PARENTAL / GUARDIAN REFERENCE Please complete this form, to the best of your ability, and submit it directly to Southside Church, Attn: Southside Interns, Olds Drive, Chilliwack, BC V2P 0B5 Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 17

18 Name of Applicant (Last) (First) (M.I.) The person named above is applying for admission to the Southside Church Interns Program of Southside Church, Chilliwack. The program is church-related and supportive of parental authority in student s lives, therefore, we request your cooperation in completing this form. All information will be held in strict confidence. SECTION 1: PARENTAL / GUARDIAN INFORMATION Parent / Guardian Name Phone Number What relationship does the applicant have to you? Son Daughter Other SECTION 2: PLEASE ANSWER THE FOLLOWING Has the applicant discussed or counseled with you concerning his / her interest in participating in the Southside Church Interns Program? Yes No Has the applicant had any serious problems in submitting to parental or other authority? Yes No Please Comment: What, do you understand, is the motive for the applicant wanting to attend the Southside Church Interns Program? Has the applicant read through and discussed with you the guidelines and standards of the Southside Church Interns Program and personal commitments? Yes No What was his / her general attitude to these guidelines and standards? Understanding that it is our desire that there be no conflict with parental and church authority, would you be supportive of these guidelines and stands? Yes No SECTION 3: PLEASE RATE THE APPLICANT IN THE FOLLOWING AREAS Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 18

19 One a scale of 0 to 4 (0=low, 4=high), rate the applicant in the following areas 0 = Unknown 1 = Deficient 2 = Average 3 = Moderate 4 = Superior Personal Disciple Initiative Spiritual Maturity Making New Friends Consistence / Faithfulness Finishing Projects Leadership Abilities Submission to Authority Listening Lifestyle Example Self-Confidence Positive Speech Response to Correction Maintaining Friendships Obedience Financial Discipline Excellence in Homework Punctuality Emotional Stability Judgment Compassion Please Comment: SECTION 4: PARENTAL / GUARDIAN APPROVAL Do you fully approve of the applicant participating in the Southside Church Interns Program? Yes No Please Comment (Please describe any reservations or concerns): Signature Date Thank you for completing this form. Please keep this form confidential and mail it directly to Southside Church, Attn: Southside Interns, Olds Drive, Chilliwack, BC V2P 0B5 If you have any questions or concerns please or call RECOMMENDATION FORM: PASTORAL REFERENCE Please complete this form, to the best of your ability, and submit it directly to Southside Church, Attn: Southside Interns, Olds Drive, Chilliwack, BC V2P 0B5 Name of Applicant (Last) (First) (M.I.) Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 19

20 The person named above is applying for admission to the Southside Church Interns Program of Southside Church, Chilliwack. The program is church-related and supportive of parental authority in student s lives, therefore, we request your cooperation in completing this form. All information will be held in strict confidence. SECTION 1: PASTORAL INFORMATION Name Phone Number Address City, Province, Postal Code Church Address SECTION 2: PLEASE ANSWER THE FOLLOWING How long have you known the applicant? Years Months In what capacity do you know the applicant? How well do you know the applicant? Very Well Well Casually Does the applicant know Christ as his / her personal Savior and Lord? Yes No Does the applicant demonstrate Christ in his / her lifestyle? Yes No Please Comment: In your association with the applicant, what has been the level of commitment you have seem them exemplify? Faithful Inconsistent Other Describe the applicant s leadership ability: Prefers to follow Makes some effort to lead Good Ability Exceptional Ability What are the applicant s strong points (include special abilities?) Has the applicant discussed or counseled with you concerning his / her interest in participating in the Southside Church Interns Program? Yes No What do you understand is the motive for the applicant wanting to attend the Southside Church Interns Program? Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 20

21 Understanding that it is our desire that there be no conflict with parental and church authority, would you be supportive of these guidelines and stands? Yes No SECTION 3: PLEASE RATE THE APPLICANT IN THE FOLLOWING AREAS One a scale of 0 to 4 (0=low, 4=high), rate the applicant in the following areas 0 = Unknown 1 = Deficient 2 = Average 3 = Moderate 4 = Superior Personal Disciple Initiative Spiritual Maturity Making New Friends Consistence / Faithfulness Finishing Projects Leadership Abilities Submission to Authority Listening Lifestyle Example Self-Confidence Positive Speech Response to Correction Maintaining Friendships Obedience Financial Discipline Excellence in Homework Punctuality Emotional Stability Judgment Compassion Please Comment: SECTION 4: PASTORAL APPROVAL Do you fully approve of the applicant participating in the Southside Church Interns Program? Yes No Please Comment (Please describe any reservations or concerns): Signature Date Thank you for completing this form. Please keep this form confidential and mail it directly to Southside Church, Attn: Southside Interns, Olds Drive, Chilliwack, BC V2P 0B5 If you have any questions or concerns please or call Southside Church : Olds Drive : Chilliwack, BC V2P 0B5 : 21

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