--Application-- Wisconsin Dells, WI | May 30– August 2, 2016 • Please complete this Navigator Summer Training Program (STP) application electronically by filling in the provided grey blanks (using Microsoft Word only). • Please see Section V of this application for instructions regarding submitting this application and your deposit to the program director. Date: SECTION I – PERSONAL INFORMATION Last Name: First Name: Gender: (Select One) Year in School: (Select One) Campus: Will you be under 18 at the beginning of the program? (Select One) Your “At-School” Address: City: State: School Phone: Zip Code: Cell Phone: Email: Permanent Address: City: State: Zip Code: In case of emergency, please notify: Name: Relationship to You: Address: City: State: Zip Code: Home Phone: Work Phone: T-shirt size (S, M, L, XL, XXL) Cell Phone: Are you applying as a team member or team leader? 1 of 4 JJS – 10/11 SECTION II – BIOGRAPHICAL INFORMATION Briefly describe when and how you came to faith in Christ. What lessons are you currently learning in your walk with Christ? (Questions, insights, character issues, etc.) Briefly describe your involvement with The Navigators (or similar Christian ministry) including any previous summer training programs or missions trips/work trips. Current Navigator Staff or ministry leader: (Included with this application is a reference form for your ministry leader to complete on your behalf) What do you hope to gain from this program? What things do you think you will be able to contribute to others at the program? Describe your recent experience with the following disciplines: Personal Devotional Life Small Group Bible Study (attending and leading) Scripture Memory Evangelism Discipleship (being discipled and discipling others) 2 of 4 JJS – 10/11 Please list any special talents or abilities you have (e.g. musical abilities/worship, work experience, foreign language, etc.) How do your parents feel about you attending this program? Are there any habits or hindrances that you have that are destructive or that might isolate you or keep you from enjoying unity within the body? (For instance, cigarettes, chemical or alcoholic dependency, pornography, etc.) These are kept confidential between the directing staff, team leader and yourself. SECTION III – FINANCES Participants in our 11 week DELLS STP will be expected to raise $2600 to cover food, housing, and program costs. Team Leaders have the option to raise an additional $1275 to supplement your income since you will only be working part-time. Most students successfully fundraise the entire amount needed and manage to take home several thousand dollars in work income; however, if for some reason you do not fundraise the full amount, you will be responsible to cover the gap. We will send you an informational packet complete with excellent tools and resources for your funding. Your campus staff will also give you hands on coaching and encouragement. We are in this together! Do you have any special concerns in regard to fundraising? SECTION IV – MY COMMITMENT I verify that all of the following information provided is correct to the best of my knowledge. I understand that the purpose of this program is to grow and develop Christ-like character and vision for the glory of God and for a lifetime of fruitful ministry wherever He leads me. I understand that it is a work/study program and that I will be working a set number of hours each week. I understand that if I withdraw from the program after April 1st, that I am responsible for paying any costs The Navigators face as a result of this (Ex. Housing costs). I also understand that I will be joined to a discipleship team as part of the program, and I will do my best to support the team and be a vital contributor to it. In addition, I will cooperate with the leadership and the authority of The Navigators. By God’s graces, I will seek to be a positive influence at this program. Electronic Signature: Date: Your typed name will serve as your signature on this electronic form. 3 of 4 JJS – 10/11 SECTION V – APPLICATION SUBMISSION Please save this completed STP application and E-MAIL it as an attachment to: DellsSTP@gmail.com After emailing your application, please mail your $50.00 non-refundable deposit to: David Teten Attn: Dells STP 556 Anderson Rd. Duluth, MN 55811 Please make checks payable to The Navigators (if your name is not on the check, please include a note so we can link it to the appropriate application). You application will be considered complete when each of the following is received: 1. This application 2. The staff reference 3. $50 deposit (counts towards your total STP cost of $2600) Please feel free to contact the program director at the above e-mail address with any questions regarding the summer or this application. 4 of 4 JJS – 10/11