150 Radnor Chester Road, Suite F 200 Radnor, PA 19087 USA Contact: Marcy Lindenmuth 1-888-445-4696 Fax: (484)489-2777 Email: hopeforkidsinfo@gmail.com HOPE for Kids Leadership Academy 2014 Application for participation Thank you for applying to HOPE for Kids Leadership Academy (HFKLA). This summer, the HFKLA will take place in Schwenksville, PA, at Camp HOPE for Kids. Participants will have the opportunity to evangelize on local campuses, be educated at the Ministry Training Academy, mentor kids from the inner city of Philadelphia and be a counselor for at least one week of R Camp, Teen Camp or one of the NY Camps. As a faith-based program, HFKLA is a spiritually focused program. There will be times of prayer, Biblical devotionals, and times when the group visits with members of a local Church of Christ in order to encourage local Christians. HFKLA participants must be members, in good standing, of the International Churches of Christ. HOPE for Kids leadership Academy will take place in three tracks between the dates of Monday, June 9-Saturday, August 9, 2014. If you are accepted, you will be assigned to one of the three tracks. We encourage you to apply to this year’s HOPE for Kids Leadership Academy by completing the application provided below and by submitting the $250 deposit. Space in this program is limited and will be filled on a first-come, first-served basis. Applicant Qualifications: HFKLA Individual Applicant*: Must be at least 16 years old by time of service and in good standing in the International Churches of Christ. Application and Program Fee Deadlines: HFKLA First Deadline to submit application: February 15, 2014 Second Deadline to submit application: April 15, 2014 Deadline to submit $250 deposit: April 15, 2014 Deadline to submit remaining $1100: June 1, 2014 The total cost of $1350 does NOT include airfare; this fee does include all meals, lodging, local transportation, activities, etc. during your stay. The $250 deposit becomes non-refundable at the point of acceptance; should an application be rejected, the deposit will be fully refunded. Raise $2000 and $500 will be given to your college as a scholarship. What do I need to do to apply to HFKLA? 1. Complete the application below and send to: HOPE for Kids Attn: HOPE for Kids Leadership Academy 150 N. Radnor Chester Road, Suite F-200 Radnor, PA 19087 Or, e-mail or fax applications to Marcy Lindenmuth at hopeforkidsinfo@gmail.com, fax: (484) 489-2777 2. Failure to submit all required funds by the dates above will likely result in the cancellation of the applicant’s participation in HFKLA. 3. After acceptance, all volunteers will be required to sign and submit all applicable waivers to confirm participation. HOPE for Kids Leadership Academy is a program of HOPE for Kids. HOPE for Kids Leadership Academy Application PERSONAL INFORMATION (please print clearly) _________________________________________________ First (given name) ___________________ Middle: ________________________________ Last (surname): Write your name exactly as it appears on your birth certificate and/or passport Address ___________________________________________ Apt. ______ City ____________________ State/Province _______________ Zip/Postal Code ______________ Home Telephone # _______________ Email ________________________________________ Country __________________________________ Date of Birth (mm/dd/yyyy) ___________________ Nationality (USA, Canada, etc.)________________)___ Gender (check): Male ________ Female ________ Church Affiliation: ___________________________________ Lead Evangelist:_______________________ What is the earliest date you can begin? What is the latest date you can travel home? EMERGENY CONTACT 1 __________________________________________________________________________ Name ____________________________________________________________________________________ Relationship to Participant ___________________________________________________________________________ ____________________________________________________________________________________ Home or Cell # Email EMERGENY CONTACT 2 __________________________________________________________________________ Name ____________________________________________________________________________________ Relationship to Participant ___________________________________________________________________________ ____________________________________________________________________________________ Home or Cell # Email CHURCH LEADER REFERENCE Please provide your church leader’s contact information below. HOPE worldwide will communicate with this person directly, but we recommend that all applicants follow up with this person to ensure a recommendation form is submitted in a timely manner. ______________________________ _____________________________ Name Congregation ________________________ ___________________________________ Telephone Email (required) HOPE for Kids Leadership Academy is a program of HOPE for Kids. ESSAY – to help HOPE for Kids get to know you better Please briefly describe the reason for your interest in attending the program ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ____________________________________ ___________________________________________________________ HOPE for Kids Leadership Academy is a program of HOPE for Kids. ___________________________________________________________ ___________________________________________________________ PREVIOUS SERVICE EXPERIENCE Please briefly describe past service with HFK Camp, HYC, AmeriCorps, or your local HOPE worldwide Chapter, or other related volunteer experience. Name of Organization(s)/ Site(s)/ Year(s) ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Leadership Experience Please briefly describe any leadership experience you have: ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ______________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________ ___________________________________________________________ HOPE for Kids Leadership Academy is a program of HOPE for Kids. ___________________________________________________________ ___________________________________________________________ TRAVEL & PROGRAM FEE INFORMATION HOPE for Kids Leadership Academy DATES: 3 Tracks between June 9-August 9, 2014 PRICE: $1350 total – does NOT include airfare; the fee covers all meals, lodging, local transportation, t-shirts, activities, and coordination services of HOPE for Kids Travel note: Dates listed are from the day you should arrive at the program site until the day you leave to return to your home city. (For example, you should arrive in Philadelphia on June 9th to begin the HFKLA. Then, you will depart from Philadelphia on August 9th to return to your home city.) Further travel details will be provided after you have received notice from HOPE for Kids on the selection of your track. Please do not book any flights until you have received explicit instructions from HOPE for Kids. Acceptance notice: If accepted, all applicants will be required to submit health forms and release waivers to confirm participation. Acceptance notices will be sent via email to the address(es) provided in this application. HOPE for Kids Leadership Academy is a program of HOPE for Kids.