Gate2013 Intern Application

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To: Intern Candidate Enclosed is an internship packet with information about The Gate Annual Youth Conference’s Intern program. It gives information about what it means to be an intern, expectations, responsibilities, financial obligations, reference forms, background check form and an intern application. It is not only a privilege to be an Intern for The Gate but also a privilege for me to have so many amazing people gifted and willing to serve in this capacity. Please read this packet thoroughly and contact me with any questions. I can be reached at 615-­‐653-­‐111 or kbrownlow@aldersgaterenewal.org. Kourtney Brownlow Director of The Gate Annual Youth Conference Aldersgate Renewal Ministries


What is a Gate Annual Youth Conference Intern? This program was implemented in 2011 as a means for equipping, empowering, and ministering to young people between the ages of 18 – 21 who are not yet old enough to serve on the Gate Leadership team, but desire to work with young people in this capacity. The purpose of the Gate Intern is to come along side of The Gate Annual Youth Conference Director and leadership team and assist in the preparation and implementation of the conference. This is a servant’s role in which the goal is not to receive in any capacity, but instead give wholeheartedly to others. General Qualifications o Must be between 18 -­‐21 years of age and have already completed your first year of college or the equivalent. o Must attend church regularly. o Must be active in some kind of ministry leadership role in your local church. o Must abstain from drugs, alcohol, tobacco products, and sexual impurity. Spiritual Qualifications o Must be able to communicate a clear calling to youth ministry either as a vocation or a volunteer. o Must possess evidence of spiritual growth and maturity o Must demonstrate a growing knowledge of the faith through evidence of continued study in the Word. o Have regular time of prayer and personal devotion. Expectations of the Gate Intern o Engage in regular email correspondence with the Gate Director leading up to the conference. Inability to respond to emails in a timely fashion without reason would result in disqualification from the intern program. o Arrive promptly to sessions, meetings, and anything noted on the interns schedule. o To do whatever is asked without complaint or questioning unless it is deemed unethical, illegal, etc. o Represent Christ at all times and remember that as an intern you are an adult leader not a youth participant. o If the Gate Intern has a dual role at the conference such as worship team member, drama team, etc., he/she is still considered an intern at that time and all expectations, rules, etc. apply for the duration of the conference. o The Gate Intern should make sure that all rules and regulations are followed at all times. If the intern feels they need assistance in enforcing such rules they should immediately contact the Gate Director or a member of the Adult Leadership team for assistance. Financial Responsibility o $10.00 application fee is to be turned in with your application. This will pay for your background check as required of all leadership. o The Gate Intern is responsible for his/her own transportation to and from the Conference site. o The Gate Intern is responsible for securing and paying for his/her own hotel room during the duration of the conference. (It may be advisable for interns of the same sex to split the cost and get a room together if necessary).


o

The Gate Intern is responsible for payment of all meals unless a group meal is provided on site for all leadership by the Gate Director.

Safe Sanctuaries The Gate Annual Youth Conference is a Safe Sanctuaries ministry. This means that the ministry has implemented and abides by a policy for the purpose of protecting the young people attending this event. Strict rules are in place to ensure the safety and security of all involved, and a violation of such safety will result in immediate termination of the internship. o All Adult leadership, speakers, bands, and Gate Interns will submit to a criminal background check. o No Gate Intern will be permitted to be ALONE in a room with a youth (anyone 18 or under who has not graduated high school). o No Gate Intern will hang out with any youth after curfew (unless they are a sibling) after 11pm. o Any Gate Intern seen with a youth (even a sibling) outside of their hotel rooms after curfew will be immediately terminated as a Gate Intern. o All adult leadership is encouraged to eat meals with youth attending the conference, however in doing so remember that you are an Intern and represent the Gate and this covenant at all times. o No public displays of affection with a member of the opposite sex unless they are your spouse and those displays should be appropriate and within reason. o Appropriate touch should be maintained throughout the conference. Practice the “side hug” method at all times. v The purpose of not hanging out after curfew with a youth is because as adult leadership we believe that a lack of sleep can hinder a person’s ability to be fully present and awake and receive all that God has for them. It is inevitable that many youth will choose to stay up late at these events, but no Gate leader should encourage or participate in this activity. Job Purpose The purpose of the Gate Annual Youth Conference Intern program is to gain experience, training, and equipping in various aspects of youth ministry under the direction of the Gate Director. These aspects could include but are not limited to: prayer, preparation, study, teaching, relational ministry, leadership development, small group ministry, prayer ministry, administration, set up & take down, security, media & technology, crowd control, running errands, gathering supplies, assisting another Adult leader, speaker etc. Duties and responsibilities: • To actively participate in various aspects of The Gate Annual Youth Conference as may be required by the Gate Director. • To assist in the planning, implementation, and leading of the Gate Annual Youth Conference as may be required by the Gate Director. • To assist the Gate Director and all members of the Adult Leadership team as needed. • To pray for and interact with the participants of The Gate Annual Youth Conference. • To report any questionable behavior to the Gate Director immediately.


To represent Christ in all areas while in leadership as a Gate Intern.

The following standards are considered priorities for all persons seeking an internship with the Gate Annual Youth Conference. § Spiritual Development The applicant must have a personal experience of salvation through Jesus Christ, a consistent life that brings glory to Him, and a conviction of call to serve in youth ministry. § Personality and Character The applicant must have leadership abilities and exhibit a basic compatibility with all people. He/She must have a willingness to adapt to new situations and show patience and perseverance under trial. He/She must have a sense of humor and optimism. They must be conscientious in all manners of work and spiritual life. § Physical and Emotional Health The intern must be in good general health and possess emotional stablilty. § Organization Compatibility Aldersgate Renewal Ministries and The Gate Annual Youth Conference is a team effort. Each staff member, adult volunteer and Intern must be willing to give to this ministry even if it means personal sacrifices. § Calling Each applicant needs to be able to communicate a clear calling to serve in youth ministry as a Gate Intern. Non-­‐Negotiable Expectations The following are non-­‐negotiable expectations for getting the position of Gate Intern. o Submit this application and references to the Gate Director no later than February 1st 2012. o Submit your $10.00 application fee with application. (Cash or Check made out to ARM) o Arrive in Lexington, KY on Tuesday July 9thth 2013 by 3:00 pm. o Depart from Lexington, KY no sooner than Sunday July 14th 2013. o Provide the Gate Director with details of your travel plans no later than May 1st 2013. 1. How are you arriving in Lexington, KY? 2. Do you need to be picked up at the airport? 3. What hotel are you staying at? 4. What is your confirmation #? 5. Do you have any one else staying in your hotel room? o Once you are accepted as a Gate Intern you are expected to attend the Conference. Though you come at your own expense there are monies that are budgeted for you as well. Failure to attend the conference will result in your repaying those monies and may result in you not being considered for future leadership. (emergency situations can be discussed if the come up) o Respond to any questions by phone or email promptly in order to finalize your application. o Submit to a phone interview with the Gate Director Prior to acceptance as a Gate Intern. o Submit to a Post Experience Evaluation. (what went well, how can we do better, etc.).


The Gate Annual Youth Conference Intern Application Date: ________ Basic Information Full Name: ____________________________ Age:_______ Date of Birth: ___ / ___ / ___ Occupation: ____________________________________________ Home Address: _________________________________________________________________ Cell Phone: ______________________ SS# _______________________ (necessary for background check)

Student Address: ________________________________________________________________ (Mail Can be sent here until ________________) Marital status: ____ (single) ____ (Married) ____ (engaged) ____ (wedding date) Spouse’s Name: ____________________________ Is he/she accompanying you? ____________ Name of Parent/Guardian: _________________________________________________________ Address of Parent/Guardian: ________________________________________________________ Name of School Attending: ________________________ Graduation Year: __________________ Grade Point Average: ____________ Major: ___________________________________________ Health: ____ excellent ____ good ____ fair ____ poor I use: ____ tobacco ____ alcohol If yes, to what extent? ________________________________ Do you have your own transportation? _______ Denomination: _____________________ Present Church Membership: _______________________ Pastor’s Name: _____________________ Church Address: _________________________________ How long have you been a member? ____________________________________________________


Health Information: If you have now or have ever had any of the following, please indicate below and explain in autobiography: ____ Asthma ____ Migraine Headaches ____ Anxiety/Depression ____ Diabetes (if yes are you insulin dependent? ____ ) ____ Heart problems ____ Eating Disorders ____ Addictions (specify) _____________________________ ____ Seizures/Epilepsy ____ Allergies (specify) ______________________________ ____ other illnesses or disabilities (specify) ___________________________________ References: List five references. Include name, complete address, and relationship to you. Please include your pastor and a peer as 2 of the 5 references. Make sure all of the below reference receive and complete a reference form included in this packet. 1. ______________________________________________________________________________ 2. ______________________________________________________________________________ 3. ______________________________________________________________________________ 4. ______________________________________________________________________________ 5. ______________________________________________________________________________

Employment History: (Please include all previous internships) Employer: ____________________________ Position held: ___________________________________ Company Address: _____________________________________________________________________ Supervisors Name: _______________________________ Phone Number: _______________________ Dates Employed: _____________________ Reason for Leaving: ________________________________


Employer: ____________________________ Position held: ___________________________________ Company Address: _____________________________________________________________________ Supervisors Name: _______________________________ Phone Number: _______________________ Dates Employed: _____________________ Reason for Leaving: ________________________________ Employer: ____________________________ Position held: ___________________________________ Company Address: _____________________________________________________________________ Supervisors Name: _______________________________ Phone Number: _______________________ Dates Employed: _____________________ Reason for Leaving: ________________________________ Personal Information: List activities in home church and college church and describe your role in these areas: List School organizations you have belonged to, offices held, and honors received: For Office Use Only Interview Date: ___ / ___ /___ Conducted By: ________________________ Reference Forms ____ Biography _____ Application _____ $10.00 Fee ____ Background Check Form ____ Reference Calls Made ____ Comments: ___________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________


Biography Questions On a separate piece of paper please communicate the following: o Communicate your calling to youth ministry in the capacity of a Gate Intern o What are your expectations regarding this experience should you be chosen? o Why should you be chosen as a Gate Intern? o In 500 words or less please describe how you came to be in a relationship with God and how that relationship has grown. o Describe your current spiritual growth and development practices. o Include a brief statement of your beliefs concerning the Bible, Christ, Salvation, evangelism, and discipleship, and the Holy Spirit. o List 5 strengths that you bring to the table as a Gate Intern and 5 Weakness. o Do you have experience preaching/teaching? If so please describe that experience. Please have the following mailed no later than February 1st 2013: o Application o $10.00 Application Fee o Reference forms (sealed in individual envelops) o Biography Questions o Background Check Form


The Gate Internship Reference Form __________________ is applying to become an intern with The Gate Annual Youth Conference and has given your name as a personal reference. The person in this intern capacity will be in close contact with minors. We want to ensure that these relationships will be healthy and that the applicant has the emotional and spiritual maturity to serve in this role. Therefore, please complete the form below evaluating this person’s gifts, character, and integrity. Your response will remain confidential. Describe your relationship to the applicant: How long have you known the applicant? Less than 6 months ______ 6 mo. – 1 year ______ 1-­‐3 years _____ 3 or more years ____ Please use the following scale to respond to questions 1-­‐6: 1-­‐low 2-­‐ below average 3-­‐average 4-­‐ very good 5-­‐ excellent How would you rate the following? (Circle one) 1. Interpersonal skills 1 2 3 4 5 2. Emotional Maturity 1 2 3 4 5 3. Conflict Resolution 1 2 3 4 5 4. Follow through with commitments 1 2 3 4 5 5. Ability to relate to Jr. High/Sr. High Students 1 2 3 4 5 6. Spiritual Maturity 1 2 3 4 5 What is the applicant’s greatest strength? What is the applicant’s greatest weakness? Do you have any concerns or reservations about the applicant’s involvement with Jr. or Sr. High students? If so, please explain. Thank you for taking the time to fill out this reference. Your input is very valuable to us as a youth ministry. If you have any questions please feel free to contact me at kbrownlow@aldersgaterenewal.org or 615-­‐653-­‐1111. Please seal this form in an envelope prior to returning it to the applicant. Your Name: _________________________ Date: ________________________ Signature: __________________________ Email: ________________________ Phone: ____________


The Gate Internship Reference Form __________________ is applying to become an intern with The Gate Annual Youth Conference and has given your name as a personal reference. The person in this intern capacity will be in close contact with minors. We want to ensure that these relationships will be healthy and that the applicant has the emotional and spiritual maturity to serve in this role. Therefore, please complete the form below evaluating this person’s gifts, character, and integrity. Your response will remain confidential. Describe your relationship to the applicant: How long have you known the applicant? Less than 6 months ______ 6 mo. – 1 year ______ 1-­‐3 years _____ 3 or more years ____ Please use the following scale to respond to questions 1-­‐6: 1-­‐low 2-­‐ below average 3-­‐average 4-­‐ very good 5-­‐ excellent How would you rate the following? (Circle one) 1. Interpersonal skills 1 2 3 4 5 2. Emotional Maturity 1 2 3 4 5 3. Conflict Resolution 1 2 3 4 5 4. Follow through with commitments 1 2 3 4 5 5. Ability to relate to Jr. High/Sr. High Students 1 2 3 4 5 6. Spiritual Maturity 1 2 3 4 5 What is the applicant’s greatest strength? What is the applicant’s greatest weakness? Do you have any concerns or reservations about the applicant’s involvement with Jr. or Sr. High students? If so, please explain. Thank you for taking the time to fill out this reference. Your input is very valuable to us as a youth ministry. If you have any questions please feel free to contact me at kbrownlow@aldersgaterenewal.org or 615-­‐653-­‐1111. Please seal this form in an envelope prior to returning it to the applicant. Your Name: _________________________ Date: ________________________ Signature: __________________________ Email: ________________________ Phone: ____________


The Gate Internship Reference Form __________________ is applying to become an intern with The Gate Annual Youth Conference and has given your name as a personal reference. The person in this intern capacity will be in close contact with minors. We want to ensure that these relationships will be healthy and that the applicant has the emotional and spiritual maturity to serve in this role. Therefore, please complete the form below evaluating this person’s gifts, character, and integrity. Your response will remain confidential. Describe your relationship to the applicant: How long have you known the applicant? Less than 6 months ______ 6 mo. – 1 year ______ 1-­‐3 years _____ 3 or more years ____ Please use the following scale to respond to questions 1-­‐6: 1-­‐low 2-­‐ below average 3-­‐average 4-­‐ very good 5-­‐ excellent How would you rate the following? (Circle one) 1. Interpersonal skills 1 2 3 4 5 2. Emotional Maturity 1 2 3 4 5 3. Conflict Resolution 1 2 3 4 5 4. Follow through with commitments 1 2 3 4 5 5. Ability to relate to Jr. High/Sr. High Students 1 2 3 4 5 6. Spiritual Maturity 1 2 3 4 5 What is the applicant’s greatest strength? What is the applicant’s greatest weakness? Do you have any concerns or reservations about the applicant’s involvement with Jr. or Sr. High students? If so, please explain. Thank you for taking the time to fill out this reference. Your input is very valuable to us as a youth ministry. If you have any questions please feel free to contact me at kbrownlow@aldersgaterenewal.org or 615-­‐653-­‐1111. Please seal this form in an envelope prior to returning it to the applicant. Your Name: _________________________ Date: ________________________ Signature: __________________________ Email: ________________________ Phone: ____________


The Gate Internship Reference Form __________________ is applying to become an intern with The Gate Annual Youth Conference and has given your name as a personal reference. The person in this intern capacity will be in close contact with minors. We want to ensure that these relationships will be healthy and that the applicant has the emotional and spiritual maturity to serve in this role. Therefore, please complete the form below evaluating this person’s gifts, character, and integrity. Your response will remain confidential. Describe your relationship to the applicant: How long have you known the applicant? Less than 6 months ______ 6 mo. – 1 year ______ 1-­‐3 years _____ 3 or more years ____ Please use the following scale to respond to questions 1-­‐6: 1-­‐low 2-­‐ below average 3-­‐average 4-­‐ very good 5-­‐ excellent How would you rate the following? (Circle one) 1. Interpersonal skills 1 2 3 4 5 2. Emotional Maturity 1 2 3 4 5 3. Conflict Resolution 1 2 3 4 5 4. Follow through with commitments 1 2 3 4 5 5. Ability to relate to Jr. High/Sr. High Students 1 2 3 4 5 6. Spiritual Maturity 1 2 3 4 5 What is the applicant’s greatest strength? What is the applicant’s greatest weakness? Do you have any concerns or reservations about the applicant’s involvement with Jr. or Sr. High students? If so, please explain. Thank you for taking the time to fill out this reference. Your input is very valuable to us as a youth ministry. If you have any questions please feel free to contact me at kbrownlow@aldersgaterenewal.org or 615-­‐653-­‐1111. Please seal this form in an envelope prior to returning it to the applicant. Your Name: _________________________ Date: ________________________ Signature: __________________________ Email: ________________________ Phone: ____________


The Gate Internship Reference Form __________________ is applying to become an intern with The Gate Annual Youth Conference and has given your name as a personal reference. The person in this intern capacity will be in close contact with minors. We want to ensure that these relationships will be healthy and that the applicant has the emotional and spiritual maturity to serve in this role. Therefore, please complete the form below evaluating this person’s gifts, character, and integrity. Your response will remain confidential. Describe your relationship to the applicant: How long have you known the applicant? Less than 6 months ______ 6 mo. – 1 year ______ 1-­‐3 years _____ 3 or more years ____ Please use the following scale to respond to questions 1-­‐6: 1-­‐low 2-­‐ below average 3-­‐average 4-­‐ very good 5-­‐ excellent How would you rate the following? (Circle one) 1. Interpersonal skills 1 2 3 4 5 2. Emotional Maturity 1 2 3 4 5 3. Conflict Resolution 1 2 3 4 5 4. Follow through with commitments 1 2 3 4 5 5. Ability to relate to Jr. High/Sr. High Students 1 2 3 4 5 6. Spiritual Maturity 1 2 3 4 5 What is the applicant’s greatest strength? What is the applicant’s greatest weakness? Do you have any concerns or reservations about the applicant’s involvement with Jr. or Sr. High students? If so, please explain. Thank you for taking the time to fill out this reference. Your input is very valuable to us as a youth ministry. If you have any questions please feel free to contact me at kbrownlow@aldersgaterenewal.org or 615-­‐653-­‐1111. Please seal this form in an envelope prior to returning it to the applicant. Your Name: _________________________ Date: ________________________ Signature: __________________________ Email: ________________________ Phone: ____________


FORM 1 - AUTHORIZATION FOR THE RELEASE OF INFORMATION FOR BACKGROUND CHECK United Methodist Renewal Services Fellowship, Inc. Dba: Aldersgate Renewal Ministries 121 East Avenue Goodlettsville, TN 37072 Phone: 615.851.9192 Fax: 615.851.9372 Email: info@aldersgaterenewal.org This confidential release is to be completed by team members having involvement with minors at Aldersgate Renewal Ministries (ARM) local church renewal weekends. PERSONAL INFORMATION Name:

Please indicate: Female __ Male__

Address: City:

State:

Zip:

Previous address (if current is less than one year): City:

State:

Zip:

Home Phone:

Work Phone:

Occupation:

Social Security #(required):

Birthdate:

Age:

Email Address: BACKGROUND SCREENING

Have you ever been convicted of a crime? Yes or no. If yes, please explain:

Are there any legal charges pending against you? Yes or no. If yes, please explain:

Race: White___

Black___

Hispanic___

American Indian___

Asian/Pacific Islander___


CRIMINAL RECORDS CHECK AUTHORIZATION

I hereby give my permission for Aldersgate Renewal Ministries (ARM) to obtain information relating to my criminal history record for the purposes intended by ARM through this Authorization and Release and the Policy for Those Working with Minors which has been previously disclosed to me. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudications. I understand that this information will be used, in part, to assure the safety of minors participating in ARM events. I also understand that as long as I remain active on renewal teams, the criminal history records check may be repeated at any time. I understand that I will have the opportunity to review the criminal history and a procedure is available for clarification, if I dispute the record as received. I also understand that, by law, I may see a copy of the transcript, for its review, but may not receive a copy of the document in any fashion or form. I, the undersigned, do for myself, my heirs, executors and administrators, hereby remise, release and forever discharge and agree to indemnify ARM and each of its officers, directors, employees, and agents harmless from and against any and all causes of action, suits, liabilities, costs, debts, and sums of money, claims, demands, whatsoever, and any and all related attorney’s fees, court costs, and other expenses resulting from the investigation of my background in connections with my application to become a volunteer or employee of ARM. MINISTRY TO MINORS CODE OF ETHICS AND RULES While serving in ministry to minors in ARM events, the following shall apply: 1. Smoking or using tobacco products in the presence of minors is prohibited. 2. Using, possessing, or being under the influence of alcohol, illegal, or illicit drugs will not be tolerated. 3. Sponsors and volunteers of minors shall not abuse minors, which shall include, but not be limited to, the following actions: a. Any direct observations or evidence of sexual activity in the presence of or in association of a minor; b. Any display or demonstration of sexual activity, abuse, insinuation of abuse, or evidence of abusive conduct; c. Infliction or physically abusive behavior or bodily injury to a minor; d. Physical neglect of a minor, including failure to provide adequate supervision in relation to the activities of ARM; e. Mental or emotional injury to a minor; f. Possession of obscene or pornographic materials at any function of ARM; 4. Limit access to the locked records to the Administrator in the ARM office. 5. Sponsors and volunteers must treat all people of all races, religions, and cultures with respect and consideration. 6. Sponsors and volunteers shall not use or tolerate the use of profanity in the presence of minors. 7. Sponsors and volunteers must be free of physical and psychological conditions that might adversely affect any minor’s health, including, but not limited to, contagious disease. ARM reserves the right to request written statements of physicians or other necessary medical professionals should reasonable suspicion arise regarding physical and/or psychological conditions and their possible adverse affect on the sponsor or volunteer being able to perform required duties or possible adverse impact on minors. 8. Sponsors and volunteers will portray a positive role model for minors by maintaining an attitude of respect, loyalty, patience, courtesy, and maturity. 9. Sponsors and volunteers will be expected to act and react with Christian love and understanding in all situations. 10. Sponsors and volunteers will do everything in their power to avoid being put in a situation where they are alone with a minor other than their own minor relative. 11. I understand that any violation of this code may be grounds for removal from participation in ministry to minors.


TEAM MEMBER’S STATEMENT The information contained in this application form is correct to the best of my knowledge. I authorize any references to give you any information, including opinions, which they may have regarding my character, medical condition and/or fitness for work with minors or the mentally handicapped. In consideration of the receipt and evaluation of this application by ARM, I hereby release any individual, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me or my references in this screening form. I agree to be bound by these policies and to refrain from unscriptural conduct in the performance of my services on behalf of ARM. I further state that I have carefully read all of the above and know the contents thereof; and sign this release as my own free act. This is a legally binding agreement which I have read and understand. Print name:

Date:

Signature: The signature above represents my current legal name and any previously used names are listed below. Additional names:

Print witness name: Witness signature:

Date:


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