| Your Name |
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| Gender |
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| Street Address | |
| Street Address (continued) | |
| City | |
| State/Province | |
| Zip/Postal Code | |
| Email Address | |
| Phone Number | |
| Birthday (MM/DD/YY) | |
| Age | |
| Marital Status |
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| Name of church you regularly attend? | |
| List all schools/training courses you have attended since high school, even if you did not complete them. (For each list the name of the school/agency, the location and the nature of study or degree pursued.) |
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| List your employment and non-church volunteer experience (or attach a recent resume in the field below). For each please list the employer, the type of work and the length of time you where involved. |
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| Attach your resume. | |
| Please list any other involvement with youth work (past or present) not covered in the above question. |
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| Do you have any current debts that could cause difficulty in your ability to finance your LIFE Teams experience? |
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| If you answered yes to the above question, please indicate the approximate amount of indebtedness and your plans for repayment. |
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| Briefly describe your future career hopes or directions of interest. |
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| Have you had or are you now receiving professional assistance for emotional or mental difficulties? |
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| If you answered yes to the above question, please provide a brief overview of the situation. |
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| Do you now have any chronic diseases or physical disabilities that require special attention? |
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| If you answered yes to the above question, please explain. |
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| Some LIFETeams outdoor adventures will require a level of physical fitness from participants. How would you rate your fitness level at this point? |
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| Do you use alcohol or tobacco? |
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| If you answered yes to the above question, how regularly? | |
| Are you now or have you ever been involved with non-prescription drug use? |
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| If you answered yes to the above question, please explain your involvement more fully. | |
| Have you ever been charged or convicted of a criminal offense? |
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| If you answered yes to the above question, please explain the circumstances more fully. |
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| What are your main interests? How do you spend your free time? |
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| What do you see as your greatest challenge in attending a program such as this? |
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| In response to the above question, why? |
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| Describe briefly your journey toward knowing Jesus personally. |
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| What was your last significant spiritual decision or commitment? What has God been working on within you most recently? |
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| Describe your present relationship to Christ, and what evidence of this commitment someone watching your daily life might see? |
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| Why do you want to attend this program? Why now? |
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References
Choose a reference who has know you for at least one year from each of the following categories:
- someone who has been in direct leadership over you such as a boss, supervisor, pastor, or teacher
- a friend
- an adult who could speak of your spiritual journey
Please ask these three people to fill out the Reference Form located at http://lifeteams.ca/v2/pages/referenceOnline.php . They can return it to us either by submitting the form above, downloading the form ( here ) and sending it by email, or downloading the form printing it out and sending it to the address below. If any of your references are unable to access this form through the internet, please provide us with their name and address and we will send a form in the mail to them.
Y.F.C. Lifeteams
4055 Lakemount Road
Abbotsford, B.C.
V3G 2J1
email: rob@youthunlimited.com
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