Student Stampede Mission Project

BYG Mission Trip APPLICATION

IMPORTANT: READ ALL INSTRUCTIONS CAREFULLY!!!!

A. Complete this entire form as neatly as possible and as soon as possible. B. The Reference Form should be filled out and either turned in with this form or sent to the address below. C. Give the completed application to your BYG leader or send it to: Briarwood Youth Group 2300 Briarwood Trace Birmingham, AL 35243

1. YOUR FULL NAME (this will be used for Airline Ticket info so first, middle and last): Mr. Miss ______2. Name you prefer to be called: ______3. Parents’ Names: ______4. Parents’ Work Numbers: ______(Father) ______(Mother) 5. Street Address: ______6. City ______ST ______Zip ______7. Phone: ______Date of Birth: ______Age ______8. School ______Grade ______9. Email Address: ______

10. School Activities Involvement (state most recent activities first)

ACTIVITY CAPACITY DATES ______

11. Church membership and involvement: ______

12. How long have you been a Christian? ______

13. a) To what extent and for how long have you been involved in the BYG ministry? ______

14. Check the statements that apply to you: In a BYG small group Have given a personal testimony before a group Attend Sunday School Help lead a BYG D-group Attend Wednesday nights Have attended a conference or retreat sponsored On the BYG Servant Leadership Team by BYG

15. Have you ever led anyone to Christ? Yes No Are you willing to be trained in evangelism? Yes No Are you willing to share your faith with an individual? Yes No Are you willing to share or speak to a group in a church setting Yes No

Please answer the following questions in the space provided and write your response as neatly as possible.

16. How did you come to know Jesus Christ personally? ______

17. In what ways have you grown and developed in your faith since coming to Christ? ______18. Describe your personal devotional live. How consistent are you in the Word and in prayer? What are you currently studying or using for your devotional time?

______

19. State briefly your interest in missions. ______

20. List your specific reasons for believing the Lord is leading you to participate in the mission trip? ______

21. What are 3 areas in ministry and in your spiritual walk with the Lord in which you need development/training? ______

22. If you were asked to do something by the Director of the Mission Trip that you did not want to do, how would you respond? ______

23. We will have and Orientation meeting (parents and students) and 6 (students only) very important planning/training meetings. Please indicate by marking an X by any classes that you will NOT be able to attend.

*All Meetings will be from 3:00-4:30 except for Parent/student orientation meeting

JANUARY 8 – ORIENTATION MEETING (PARENTS AND STUDENTS) 7:30pm ______

MARCH 5 ______

MARCH 12 ______

MARCH 19 ______

APRIL 30 ______

MAY 7 ______

JUNE 11 ______

24. List two people as references other than the one filling out your Reference Form. (May not be a family member.)

______NAME PHONE

______NAME PHONE 25. Do you have any medical problem, disease, or physical condition that you are currently being treated for?

Yes No If yes, please explain. ______

26. I submit that the above information is accurate and true to the best of my knowledge. I understand that in the event the above information should be found to be untrue, it will result in forfeiting my right to be a part of the mission trip.

______NAME DATE BYG MISSION TRIP REFERENCE FORM

Name of Applicant ______Your Name ______Phone ______

IMPORTANT!! PLEASE READ CAREFULLY!!!

A. Please complete this form prayerfully and honestly. B. Please return it as soon as possible to the applicant in a sealed envelope or mail to: Briarwood Youth Group 2300 Briarwood Trace Birmingham, AL 35243

C. All responses will be kept confidential.

1. Your relationship to the applicant is? ______

2. How long and how well have you known the applicant? ______

3. Do you know of any physical or health problems that the applicant has or had in the past? Yes No

4. What is the applicant’s greatest strength? ______

5. What is the applicant’s weakest area? ______

Please rate the applicant in these different areas on the scale below and elaborate on your rating.

1 2 3 4 5 Poor Below Average Average Good Excellent

1. ______The applicant’s teachability ______

2. ______The applicant’s faithfulness and dependability ______

3. ______The applicant’s hunger for spiritual growth ______

4. ______The applicant’s attitude toward evangelism ______

5. ______The applicant’s response to authority ______

6. ______The applicant’s ability to get along with people ______

7. ______The applicant’s leadership potential ______8. ______The applicant’s emotional stability ______

9. ______The applicant’s maturity ______

10. ______Other comments that would be helpful in considering the applicant. ______

4/29/18 BRIARWOOD PRESBYTERIAN CHURCH CONSENT AND RELEASE FORM

BYG MISSION TRIP 2017

I hereby consent to the participation of my child in the Briarwood Youth Group Mission Trip to Yakama for the dates of June 17-25, 2017.

In consideration of the church making this trip available, I do hereby release and discharge Briarwood Presbyterian Church, its employees and agents from all liability of any kind or nature, claim, demand or cause of action which might be asserted against the church. I understand that this is a RELEASE and with that knowledge, I voluntarily sign it.

 Further, if I cannot be reached in case of emergency, I give permission for the church to seek medical treatment for my child.

CHILD’S NAME: ______PHYSICIAN’S NAME: ______PHYSICIAN’S PHONE: ______

Allergies to food or medicine: ______

 In an emergency, if I cannot be reached, contact:

NAME: ______

PHONE: ______RELATION: ______

______Signature (Parent/Guardian) Date Phone