DISCIPLESHIP FOCUS APPLICATION

(Permanent Address)
Date I will be returning to permanent address:		Phone:
Address:
City:		State:	Choose One AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY
Zip:		E-mail:

Home City:		State:	Choose One AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY
Age:		Birth Date:
Gender:	MaleFemale
Date graduated from High School
College		Class Next Year	Choose OneNone Freshman Sophomore Junior Senior Graduate School Graduated Not in School
Major		Career Leading
Hobbies and Interests:
T-shirt size:	* Choose * Youth L Adult S Adult M Adult L Adult XL Adult XXL Adult XXXL
Preference (not guaranteed)	MissouriTennesseeEither
Why?

From whom did you hear about this program?

Name:
Position or relationship to you:

Tell us a little bit about yourself.
1. How long have you been a Christian? Share the highlights of your spiritual journey since becoming a Christian, being honest about your high points and low points. Especially share your experience this past year.
2. What is your definition of a Christian?
3. Why do you want to be in this program?
4. Explain two of your strengths and two weaknesses. (This is not to determine acceptance. Please be honest)

5. Please check the traits you feel best describe you and add others not listed.
Shy or quiet, but warm to others	Critical Spirit	Good Social Skills
Outgoing	Bold/Direct	Lacking in Social Skills
Fun Loving	Easy Going	Popular with Peers
Self Assured	Keeps room neat	Small Group of Good Friends
Loud and Boisterous	Messy room OK	Very few friends
Disciplined	Moody	Relates well with adults
Struggles with Authority
Other:
6. Young Life Involvement
YL Club	YL Volunteer Leader
YL Campaigners	YL Student Staff
YL Camp	YL Intern
YL Leader Training	Other

7. What, if any, college ministries have you participated in?

The leadership team wants to minister to you in every possible way, so we prayerfully assign housing and small groups. Your answers to the following two questions will help us.

8. Please describe your immediate family and how they have influenced your life.

9. Please share any past problems, or struggles you are dealing with now, or any information about your background or family that will help us know you and serve you better. This information will be kept confidential.

10. Most of the available positions involve long periods of standing and lifting objects weighing at least 25 pounds. Have you had any injuries, surgeries, or other conditions that might require special placement or accomodations?

11. Do you play any musical instruments or sing in public? Have you used these talents to play or lead singing in Young Life clubs, or other worship services?

12. Do you think you might bring a car?

Yes

No

13. Have drugs, tobacco, or excessive use of alcohol been part of your lifestyle in the past three months? If so, please explain:

Are you confident you can refrain from using these substances during the program?YesNo

14. Please list your previous work experience, paid or volunteer.

15. Do you have any Young Life camp assignments or other commitments you must keep during the program period?

16. I have read the complete description of this program on the website.

YesNo

I am willing to keep the following commitments:

a) I will stay for the entire length of the program, unless I prearrange a short leave for school or Young Life reasons. If I have to miss any of the program, I will keep up with the required study.

b) I will attend and be on time to all required meetings, and other functions.

c) I will submit to the program leadership and those in authority at work.

d) I will read the chapter(s) assigned each week, write out answers to the questions, and come prepared to small group discussion meetings.

e) I will spend regular one-on-one time with the leadership.

f) I will work willingly, cheerfully, and to the best of my ability at whatever job I am assigned. I will be at work each scheduled day, unless legitimately sick, be on time, and submit to the authority and regulations of leads and supervisors.

g) I will make every effort to develop closeness and unity with my cabinmates, be open and available to friendships with the entire community, include others in activities and avoid "cliques".

h) I will refrain from the use of tobacco, alcohol, and drugs, the entire time you are living at either property-before, during, or after program.

i) I will be "non-exclusive" and "non-physical" in relationships, both within and outside the program, as outlined in the commitments section.

j) I will be in my own cabin and in my own bunk by the designated curfew times.

SIGNED

(note, this qualifies as a digital signature)

17. I have given the evaluation form to:
Name:
Phone:

18. If you will e-mail us a picture, it will help the leadership recognize, and get to know you as quickly as possible (optional).