STUDENT MINISTRY TRIP APPLICATION DAYTON CHRISTIAN SCHOOL SYSTEM R 10/07
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1 STUDENT MINISTRY TRIP APPLICATION DAYTON CHRISTIAN SCHOOL SYSTEM R 10/07 For Office Use Date of submission_reference Forms Parent Pastor Teacher Friend Passport Information: Current Application Name Campus Grade Address City Zip Home Phone Number Cell Phone Number Trip Destination Student s Address _ Date of Trip _ Parent s Address Church _ Phone Number Address City Zip 1. Have you previously been on a mission/ministry trip? Was it a DCSS trip? When? Where? Who was the leader? _ 2. Why do you want to go on this ministry trip? What have you heard about this trip? 3. If you have been on a previous trip to this same destination, why do you want to go again? 4. Name one thing God has taught you in the last few months. Explain how. 5. What things do you hope to accomplish in your own life by participating in this ministry trip? 6. How have you been serving the Lord here at home? Explain how.
2 7. Why do you think God wants you on this trip? 8. What specific skills/talents has God given you that you could use on this trip? 9. Do you have any fears or apprehensions about this trip? 10. Do you believe you can raise the necessary funds? How do you plan to do this? 11. Will you be available to attend the Discipleship/Training meetings? 12. Are you responsible and obedient to those in authority? Please give an example. 13. If you are applying for a J-Term trip have you checked to make sure that you are not missing a required course necessary for graduation? Yes No 14. Please attach either a completed but UNSIGNED copy of your passport application or a copy of your current passport. *Parent signature signifies that you give permission for your child to be considered for a mission trip. Please know that seniors are not automatically accepted and that seldom are dating couples both accepted. Parent s Name Parent s Signature Date Please have Reference Forms from the following persons sent to the Ministry Director: 1. Must have a Parent Reference submitted with your application 2. Must have a Pastor or Youth Pastor from your church 3. Must have a Teacher who knows you pretty well 4. Must have an Adult Friend who knows you well from church, a supervisor at work, or family friend.
3 STUDENT MINISTRY TRIP REFERENCE FORM DAYTON CHRISTIAN SCHOOLS, INC. 11/01 Parent I, have applied to participate in a Ministry Trip (student s name) sponsored by Dayton Christian School System. Trip applying for is: Applicant s signature: Date What is your observation of your child in the following areas: Academic Performance: Social Adjustment: Emotional Adjustment: Christian Character and Commitment: How would your child benefit the Ministry Team? List other strengths your child has: List any weaknesses your child has: How would your child benefit from participating in this ministry trip? Will this trip prevent your child from participating in a church-sponsored trip? Y or N (Your name - printed) (Your signature) (Date) *This form must be submitted with the application.
4 STUDENT MINISTRY TRIP REFERENCE FORM DAYTON CHRISTIAN SCHOOLS, INC. 11/06 Pastor I, have applied to participate in a Ministry Trip (student s name) sponsored by Dayton Christian School System. Trip applying for is: _ I would like you, _ to answer the following questions (Name filling out form) about me and send to the Ministry Trips Director at Dayton Christian School System. Waiver of right of access to confidential statement: I, the undersigned, hereby voluntarily waive any right to inspect the content of this letter of recommendation. Applicant s signature: Date How long have you known this student? What is your observation of the student in the following areas: Academic Performance: Social Adjustment: Emotional Adjustment: Christian Character and Commitment: How would this student benefit the Ministry Team?
5 List other strengths the student has: List any weaknesses the student has: Please check one: I highly recommend this student I recommend this student I recommend this student with some reservations I do not recommend this student _ (Your name - printed) (Your title/position) _ (Your signature) (Date) (Your telephone number at home and/or at work) ( Address) Send to: Nancy Snook Ministry Trips Director 9391 Washington Church Rd. Miamisburg, OH *Student will provide envelope and stamp. Or you may put this form in (sealed envelope) the Ministry Trips Director s box, or use campus mail. Thanks for your support, prayer, and encouragement.
6 STUDENT MINISTRY TRIP REFERENCE FORM DAYTON CHRISTIAN SCHOOL SYSTEM 11/06 Teacher I, have applied to participate in a Ministry Trip (student s name) sponsored by Dayton Christian School System. Trip applying for is: _ I would like you, _ to answer the following questions (Name filling out form) about me and send to the Ministry Trips Director at Dayton Christian School System. Waiver of right of access to confidential statement: I, the undersigned, hereby voluntarily waive any right to inspect the content of this letter of recommendation. Applicant s signature: Date How long have you known this student? What is your observation of the student in the following areas: Academic Performance: Social Adjustment: Emotional Adjustment: Christian Character and Commitment: How would this student benefit the Ministry Team?
7 List other strengths the student has: List any weaknesses the student has: Please check one: I highly recommend this student I recommend this student I recommend this student with some reservations I do not recommend this student _ (Your name - printed) (Your title/position) _ (Your signature) (Date) (Your telephone number at home and/or at work) ( Address) Send to: Nancy Snook Ministry Trips Director 9391 Washington Church Rd. Miamisburg, OH *Student will provide envelope and stamp. Or you may put this form in (sealed envelope) the Ministry Trips Director s box, or use campus mail. Thanks for your support, prayer, and encouragement.
8 STUDENT MINISTRY TRIP REFERENCE FORM DAYTON CHRISTIAN SCHOOLS, INC. 11/06 Adult Friend I, have applied to participate in a Ministry Trip (student s name) sponsored by Dayton Christian School System. Trip applying for is: _ I would like you, _ to answer the following questions (Name filling out form) about me and send to the Ministry Trips Director at Dayton Christian School System. Waiver of right of access to confidential statement: I, the undersigned, hereby voluntarily waive any right to inspect the content of this letter of recommendation. Applicant s signature: Date How long have you known this student? What is your observation of the student in the following areas: Academic Performance: Social Adjustment: Emotional Adjustment: Christian Character and Commitment: How would this student benefit the Ministry Team?
9 List other strengths the student has: List any weaknesses the student has: Please check one: I highly recommend this student I recommend this student I recommend this student with some reservations I do not recommend this student _ (Your name - printed) (Your title/position) _ (Your signature) (Date) (Your telephone number at home and/or at work) ( Address) Send to: Nancy Snook Ministry Trips Director 9391 Washington Church Rd. Miamisburg, OH *Student will provide envelope and stamp. Or you may put this form in (sealed envelope) the Ministry Trips Director s box, or use campus mail. Thanks for your support, prayer, and encouragement.
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