GENERAL INFORMATION CONTACT INFORMATION EDUCATION EMPLOYMENT HISTORY CHURCH HISTORY MEDICAL HISTORY CHARACTER REFERENCES

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1 The SBTC Engage Ministry exists to evangelize the lost and revitalize churches through worship services, evangelistic training and encounters, and children and youth activities. The SBTC has the following objectives for the program: Evangelize lost children, youth, and adults in host communities Train and engage youth in personal evangelism. Revive a passion for evangelism in host churches Develop a pattern of evangelism in lives of Engage Team members. Engage Teams will each consist of three to four college/seminary students who will each be responsible for a specific ministry of the team, with one person assuming two responsibilities. The team will consist of the following leadership components: Preacher/Team Leader Worship Leader Youth Leader Children s Leader While the entire team will work together to carry out every aspect of the ministry, one person will take the lead in the coordination element. The teams will conduct Sunday through Wednesday worship services, and Thursday the option of youth rally, block party, or worship meeting at the host church. During the day Monday through Thursday, the teams will conduct kid s camps in the morning and evangelism training/outreach in the afternoons. The team will have the day off on Friday. On Saturday, they will travel to the next church, meet the staff and the Engage preparation team, and prepare for the week ahead. All team members will go through an intensive three-day orientation retreat at the beginning of the summer. To serve as an Engage Team member you must: Be a Christian who is an active member of a church affiliated with the SBTC Be at least 18 years old and be either currently enrolled or graduated from college and/or seminary Live a life of moral integrity Be a faithful witness of Jesus Christ Have personally experienced a call by God to the ministry. Affirm basic Southern Baptists distinctive's, including the inerrancy of Scripture, as found in the Baptist Faith and Message Your application must be turned in by March 27, 2015 please reserve several dates on your calendar for interviews and orientation. Interviews for team members will be conducted all winter and spring at the SBTC office, and will be by appointment. Orientation for the team members selected will be May The ministry for 2015 will run from the week beginning June 7 through July 30. You will get one week off July 5 July 10. Students will also be asked to attend a debriefing on Friday, August 7. We look forward to getting to know you better through the interview. We will be in contact with you regarding specific interview time. God Bless you as you serve the Lord. In Christ, Garrett Wagoner, Student Evangelism Associate Southern Baptists of Texas Convention

2 Full Legal Name: Name You Go By: Have you ever used or been known by any aliases? If so, what other name might you have gone by? Why did you use an alias? Male/Female: Date of Birth (MM, DD, YYYY): / / Age: Social Security Number: - - Driver License Number: State: Marital Status: Single Divorced Married Widowed GENERAL INFORMATION Permanent Home Address: City/State/Zip: Alternate Mailing Address (location you would like important mail sent to you over the summer, if different from above): City/State/Zip: Phone Number:

3 Prior Address (If different from permanent) and any out of state addresses from the last 8 years: Address: From: to Address: From: to GENERAL INFORMATION Name of School Currently Attending: Classification: Major/Minor: Grade Point Average: Expected Graduation Date: Specific Ministry Calling (if known): Other Colleges or Seminaries Attended: Please list college organizations/honors/ offices held: High School Attended: City: Please list high school organizations and honor:

4 1. Firm Name: Address: City/ State/ Zip: Supervisor: Telephone: Dates of Employment: Type of Work Performed: Reason for Leaving: 2. Firm Name: Address: City/ State/ Zip: Supervisor: Telephone: Dates of Employment: Type of Work Performed: Reason for Leaving: 3. Firm Name: Address: City/ State/ Zip: Supervisor: Telephone: Dates of Employment: Type of Work Performed: Reason for Leaving: 4. Firm Name: Address: City/ State/ Zip: Supervisor: Telephone: Dates of Employment: Type of Work Performed: Reason for Leaving: Church Convention Affiliation: Southern Baptist Other: Please list Present Church Membership (where you are a member, not an attendee):

5 City/ State: Pastor s Name: How long have you been a member: Prior Church where you held Membership: City/State: Church Leader Positions Held: Position: Volunteer or Paid: Church: Position: Volunteer or Paid: Church: Position: Volunteer or Paid: Church: Please indicate if you have or have ever had problems with any of the following: asthma migraine headaches heart communicable disease diabetes mononucleosis allergies psychiatric counsel stomach tuberculosis seizures nervous disorder Please explain: Any other serious illness or physical disabilities (please specify): Are you allergic to any medications or food (please specify): Current medications:

6 Have you been hospitalized within the last 12 months? If yes, please explain: My health is: Excellent Good Fair Poor Do you have current certification in: CPR Lifeguard First Aid Spouse or Parent Information: Spouse or Parent name: Address: City/State/Zip: Home Phone:

7 Cell Phone: Work Phone: What is their attitude concerning your participation on an Engage Team? Please explain: In case of emergency, notify: Name(s): Address: City/State/ Zip: Home Phone: Cell Phone: Work Phone:

8 Please print clearly. Give the name and complete address and phone number of three references in the appropriately numbered boxes below. Do not list yourself or any relative as a reference. Three reference forms are included with this application. It is your responsibility to personally distribute these forms to the three people listed below and provide them with an envelope so that the reference may be sealed. Upon doing this you waive your right to see the reference form. It is then your responsibility to have all three sealed or unsealed references mailed to the SBTC with this application. 1. Professor Name: Address: City/State/Zip: Phone Number: How long have you known them? 2. Adult Friend Name: Address: City/State/Zip: Phone Number: How long have you known them? 3. Pastor/Church Staff Member Name: Address: City/State/Zip: Phone Number: How long have you known them? Have you used illegal drugs within the last 12 months? If yes, please give a brief description, explaining the circumstance: Have you engaged in sexual activity outside of marriage within the last 12 month? If yes, please give a brief description, explaining the circumstance: Have you viewed pornographic material within the last 12 months?

9 If yes, please give a brief description, explaining the circumstance: Have you consumed alcohol as a beverage within the last 12 months? If yes, please give a brief description, explaining the circumstance: Have you used tobacco products within the last 12 months? If yes, please give a brief description, explaining the circumstance: Is there anything in your life, if made known, that would hinder your witness or be an embarrassment to your ministry or the agency or group you represent? If yes, please explain: Have you ever been accused of, or arrested for any crime, including a traffic violation? If yes, Please explain: Have you ever been abused, molested, assaulted, or subjected to a sex offense of any nature?. If yes, please explain:

10 Have you ever been accused of abusing, molesting, physically assaulting/or sexual offenses of any nature? If yes, please explain: 1. Describe your salvation experience with Jesus Christ and how that experience has changed your life. (Please write in detail and attach on separate sheet of paper). 2. Please explain your experience with believer s baptism, and what it means to you. If you have not yet been baptized, please explain. (Please write in detail and attach on separate sheet of paper). 3. How have you shared your faith with others? (Please write in detail and attach on separate sheet of paper). 4. When and how did you realize you were called to ministry? (Write in detail on separate sheet). 5. What specific calling has God placed on your life (if known)? 6. Why do you want to serve in this ministry opportunity? 7. What role would you most like to fill on an Engage Team? Preacher/ Team Leader Worship Youth Children

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13 Release and Signature: By affixing your signature to this application, you hereby authorize SBTC to conduct a criminal background check and other background checks as the SBTC may deem appropriate. Since you will be working with children and other potentially vulnerable persons, SBTC has a legal obligation to determine your suitability to be selected for this ministry. A photocopy of your driver s license, car insurance, and medical insurance verification must accompany this form in order to complete the application process. I hereby certify that my answers are true and correct to the best of my knowledge. If I am allowed to work with youth or children, I agree to be bound by the bylaws and policies of the Engage Team program, Southern Baptists of Texas Convention, and host church. I agree to refrain from any and all unscriptural conduct in the performance of services while participating in the Engage Team program. I understand that if I am deemed by the SBTC Student Evangelism Associate to be in violation of appropriate Christian conduct and/ or in some manner am hindering to the work of the team, then I may be immediately dismissed from the program without warning or notice. Applicant Signature: Date: Witness Signature: Date:

14 As born-again believers, we recognize that we come from families and communities of various backgrounds, moral concerns, and social norms. When we agree to voluntarily become missionaries of the North American Mission Board, we join a community of like-minded individuals who are devoted to serving Christ and working to fulfill the Great Commission. As members of the North American Mission Board community, each one of us is responsible for our behavior, and for the well-being of others with whom we serve and those whom we serve. Part of being a responsible and caring member of the North American Mission Board community is to recognize that we are joining a community that is under the authority of the Southern Baptist Convention and the Trustees of the North American Mission Board and, as such, has specific requirements for service. Among them is an expectation about personal ethics beyond reproach. The Policy and Guidelines statement below reflects the Southern Baptist Convention and North American Mission Board s long-standing support of abstinence from alcohol, tobacco, the use of illegal drugs, marijuana or abuse of other controlled substances as a faithful witness to God s liberating and redeeming love for persons. Missions personnel are expected to abstain from the use of alcohol, tobacco and illegal drugs. They will neither advocate nor condone the use of alcohol as a beverage, the use of tobacco in any form or the use of illegal drugs, marijuana or abuse of other controlled substances. STATEMENT OF AGREEMENT TO ABSTAIN FROM DRUGS, ALCOHOL, AND TOBACCO PRODUCTS: In accordance with the action taken by messengers to the 2006 Southern Baptist Convention in the resolution on alcohol use and in compliance to NAMB Policy & Guidelines, I agree that abstinence from the use of alcohol as a beverage is the expected standard of practice for all missionaries of the North American Mission Board. Furthermore, I am resolved that as a part of my Christian walk, I will not participate in the teaching, promotion, sale, distribution, or use of alcohol as a beverage, tobacco use in any form, use of illegal drugs, marijuana or abuse of other controlled substances. Furthermore, I understand that I will be under the guidelines and policies of the North American Mission Board. I understand that the consumption of alcohol as a beverage, use of tobacco or illegal drugs or marijuana or the abuse of other controlled substances will be cause for dismissal as a North American Mission Board missionary. My signature below represents my covenant to carry out my responsibilities in accordance with this statement and not contrary to the North American Mission Board s Policy and Guidelines. Signature of Applicant Date

15 I am under the conviction that sexual activity outside of marriage is a detriment to my Christian life and witness. I commit myself to maintaining a lifestyle that is above reproach in regard to any and all behavior and conversation, including sexual inference, implication or action. I understand that I will be under the guidelines and policies of the North American Mission Board and my supervisor. I agree to abstain from the use of tobacco products, alcoholic beverages, illegal drugs, and any other behavior that would hinder my ministry, reflect negatively on the North American Mission Board and the cause of Christ during my term of service as a student missionary. I understand that viewing of pornography, the use of these substances, or involvement in questionable conduct, will be cause for immediate dismissal as a student missionary. Furthermore, I release NAMB and its representative to share the contents of this letter and statement with my immediate supervisor prior to my assignment. Signature of Applicant Date I am under the conviction that pornography is a detriment to my Christian life and witness. I testify that I have not engaged in the viewing of child pornography at any point in my life. I also testify that I will not participate in the viewing, promotion, sale, distribution or any use of pornography. Furthermore, I understand that I will be under the guidelines and policies of the North American GENERAL INFORMATION Mission Board and my supervisor. I agree to abstain from the use of tobacco products, alcoholic beverages, illegal drugs, and any other behavior that would hinder my ministry, reflect negatively on the North American Mission Board and the cause of Christ during my term of service as a student missionary. I understand that viewing of pornography, the use of these substances, or involvement in questionable conduct, will be cause for immediate dismissal as a student missionary. Furthermore, I release NAMB and its representative to share the contents of this letter and statement with my immediate supervisor prior to my assignment. Signature of Applicant Date Please mail to: Southern Baptists of Texas Convention 4500 State Hwy 360 Grapevine, TC Or to: and

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