Monday, June 10th - Friday, June 14th. Oklahoma Baptist University Shawnee, Oklahoma

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1 Monday, June 10th - Friday, June 14th Oklahoma Baptist University Shawnee, Oklahoma

2 Monday, June 10th - Friday, June 14th Oklahoma Baptist University Shawnee, Oklahoma Cost is $205 per person Application is due by noon on March 31st Interviews will begin April 1st Payment is due in full by Sunday, June 2nd Scholarships are available; contact Matt for more information SUPER SUMMER OKLAHOMA STUDENT SELECTION PROCESS 1. Students submit completed application packet. 2. Applications will be reviewed by Student Ministry Leaders, who will recommend if the student should be interviewed. Leaders will evaluate applications based on the responses alone, and will not know who it is that is applying. 3. Students will be interviewed by a panel of 3 Student Ministry Leaders, who will recommend if the student should proceed to the 2nd interview, which will be one on one with Matt. 4. After 2nd interview, students will be notified if they will be invited to attend Super Summer.

3 Super Summer exists to inspire and equip students as Kingdom-minded leaders. Our goal for participating in Super Summer is that students would come away better prepared to lead, primarily in the setting of the local church (Ephesians 4:11-14). This means that every student is not necessarily ready for what Super Summer offers and requires. Past attendance at Super Summer does not necessarily mean that you are currently ready to attend again. It is up to you to honestly evaluate your current spiritual standing and, along with the Student Pastor and adult leaders, determine if you should attend Super Summer this year. The following guidelines are from the Letter to Pastors from the Super Summer Board of Directors. These six criteria will be used to determine who exhibits a readiness for Super Summer. During the required interview process (conducted by the Youth Pastor or Leader), the following criteria should be taken into consideration. (The student): 1. Has made a commitment to follow Jesus. 2. Has an active devotional life. 3. Regularly attends and supports youth ministry events at their home church. 4. Is an active leader in their total student ministry. 5. Has a positive witness/testimony outside of church and with their family. 6. Expresses a willingness to share their faith with their peers. If these statements do not describe your current spiritual life, you should carefully evaluate whether you should apply for Super Summer this year. The following page has instructions for completing the application; please read and follow these instructions carefully and thoroughly. If you have any questions about them, please do not hesitate to contact me.

4 INSTRUCTIONS FOR SUPER SUMMER OKLAHOMA STUDENT INTERVIEW QUESTIONS 1. For the essay questions, please write legibly and answer all questions. Continue on the back or on another page if necessary; do NOT write small to squeeze it all into the space. Do not leave a question blank. 2. For question 2, be sure you accurately evaluate your participation in the EHC Student Ministry over the past school year. For instance, the middle bubble, between Often and Seldom is 50%, meaning that if you mark that bubble you participate in that activity at least half of the time. Mid-week Bible Studies is the Wednesday youth service. There is a requirement of at least 50% attendance at Youth services to go to Super Summer. It is tracked by you checking in at the Youth Building when you arrive for a service. The Church Worship Services is the EHC Sunday morning service; it is expected that Super Summer attendees will regularly attend EHC on Sunday mornings. 3. On question 3, in addition to your prayer or vision for each group, also include at least one action step you believe God is leading you to take, as a way of seeing your vision or prayer fulfilled for each group. 4. For question 4, please be transparent. These things will not keep you from going to Super Summer, unless you are willfully making them a consistent practice in your life with no desire or effort at repentance. 5. For question 6, keep in mind that witnessing is sharing the gospel with someone. It doesn t require that they follow Jesus, but that you explained to them how to be saved. Praying for and with people, encouraging each other, inviting friends to church, etc., are all very good and very important, but they are not witnessing. Make sure your application is signed, and that all information is provided. Check it carefully before turning it in, following all instructions. When it s ready, submit it as follows: * Registration form with copy of insurance card stapled together * Student Interview run front and back or 2 pages - DO NOT STAPLE TOGETHER * Health History Form and Silver School Form (if applicable) * All of the above paper clipped together

5 Staple'a'copy'of'your'insurance'card'front'and'back'to'this'paper' $Super$Summer$ Student$Registration$Form$ Please$print$legibly$(circle$the$name$you$normally$go$by)$ Student'Personal'Information' Week$Attending:$$$$$$$$$$1$$$$$$$$$$$2$$$$$$$$$$3' Last$Name:$$ $ FOR OFFICE USE Rm.$#$ $ School$ $ First$Name:$ $$$$$$ $ $Red$(students$entering$Grade$8$Fall$ ) Middle$Name:$$ $ Address:$$ $$$$$$ $Orange$(students$entering$Grade$10$Fall$ )$$ City,St,Zip:$$ $ Home$Phone:$ $ Student$Cell$Phone:$ $ $ $ Gender:$$$$$$$Male$$$$$$Female$$Grade$Fall$201 :$ $ Church'Information' Church$attending$with:$$ $ City:$$ $State:$$ $ Emergency'Contact'Information' Name:$$ ' Relationship:$$ $ Cell$Phone:$ $ *Special$Accommodations:$$$$$$$$$$$$Yes$$$$$$$$No$ *If$yes,$ $Ronda:$$ronda@supersummerok.com Check$which$school$you$will$attend$below:$ $ $Blue$(students$entering$Grade$9$Fall$ )$ $Yellow$(students$entering$Grade$11$Fall$ )$ $Green$(students$entering$Grade$12$Fall$ )$ $Silver$(high$school$graduates$in$ )$ Have$you$ever$attended$Super$Summer?$$$$$Yes$$$$No$ TXShirt$Size$$$$$$S$$$$$$M$$$$$$L$$$$$$XL$$$$$$2X$$$$$$$Other $ Medical'Information$ Waiver!and!Release!of!Liability! If$you$do$not$have$medical$insurance$check$here$ Company:$$ $ Policy$Number:$$ $ (staple$a$copy$of$your$insurance$card$front$&$back)$ Date$of$birth:$$ $ Date$of$last$tetanus: $ Physical$Limitations:$$(diabetes,$migraines,$asthma)$ $ $ Medications$allergic$to:$$ $ The$following$is$a$WAIVER$AND$RELEASE$OF$LIABILITY$which$releases$Super$Summer$and$it s$affiliates,$associates,$officers,$employees,$ agents,$servants,$directors,$volunteers,$representatives,$sponsors$and$any$others$(hereinafter$releasees)$who$may$or$could$be$liable$for$any$ claims,$losses,$liability,$fault,$damage,$injury$to$person$or$property,$medical$bills$or$any$other$loss$or$claim$which$the$undersigned$have$or$ could$have$as$a$result$of$any$alleged$incident,$claim,$negligence,$act$and/or$omission$of$any$kind$or$character.$$the$undersigned$forever$ discharges,$releases$and$holds$harmless$super$summer,$it s$affiliates,$associates,$officers,$employees,$agents,$servants,$directors,$volunteers,$ representatives$and$sponsors$from$any$allegations$of$any$kind,$including,$but$not$limited$to,$negligence,$breach$of$duty$of$claims$in$regard$to$ the$undersigned$and$any$and$all$persons$who$the$undersigned$represent$regarding$attendance$at$any$super$summer$camp$of$activity.$ The$undersigned$agrees$to$hold$harmless,$indemnify$and$defend$Releasees$from$claim,$damage,$injury,$loss$or$suit,$including$any$claims$by$ third$ parties$ and$ agree$ to$ indemnify$ Releasees$ for$ any$ loss$ or$ liability$ arising$ out$ of$ any$ Super$ Summer$ Camp$ or$ activity,$ even$ if$ Super$ Summer,$it s$agents,$servants,$employers$are$negligent$or$alleged$to$be$negligent.$ Parent/Guardian$or$Student$if$18 $Date$$ $ Address$ $Phone$ $$ Last$Name$ $First$Name $Circle$School$$$Red$$Blue$$Orange$$Yellow$$Green$$Silver$

6 SUPER SUMMER OKLAHOMA STUDENT APPLICATION Every student desiring to attend Super Summer Oklahoma must be personally interviewed by their Minister of Youth or Leader of his/her youth group. This interview is a part of the Registration. You will need to attach this completed Interview with your Registration Form. 1. Have you ever accepted Jesus Christ as your personal Lord and Savior? Yes No Please write your journey with Christ in the space below. Use the following outline below: Describe how you came to Christ. Be Clear Pg. 1 Student Name: Church: Super Summer School Color: Describe how this has impacted your life. Be specific. A. Provide an accurate description of your walk with Christ at this time. Be honest. 2. Attendance and active participation in your church and its total youth program is extremely important in the standards expected by Super Summer. Fill in the bubble which accurately describes your attendance in the following. Small Groups/Discipleship Church Worship Services Mid-week Bible Studies Camps, Retreats Other: (mission opportunities etc.) Weekly Often Seldom Never 3. Please write a sentence to give us your prayer and/or vision for each group listed below. Your youth group? Your family? Please run interview pages 1 & 2 back to back or staple these pages together

7 Pg. 2 Your friends outside your youth group? 4. Check the appropriate box for the following: A. Moral Purity is: B. Drugs/Alcohol is: 1. A Struggle/Stronghold 1. A Struggle/Stronghold 2. A Victory/Testimony 2. A Victory/Testimony 3. Never Been an Issue 3. Never Been an Issue C. Tobacco is: D. Self Worth is: 1. A Struggle/Stronghold 1. A Struggle/Stronghold 2. A Victory/Testimony 2. A Victory/Testimony 3. Never Been an Issue 3. Never Been an Issue 5. Activities you do daily, or with some degree of regularity: Read my Bible Have a daily intimate time with Christ Memorize Scripture Prayer Life 6. Witnessing to the lost is very important to Super Summer. Briefly and specifically describe your most recent witnessing encounter. 7. If you attended Super Summer last year, specifically explain how you applied what you learned when you returned home. Check here if you did not attend last year. 8. Any other questions or issues that you would like to discuss with your Youth Pastor/leader. My Contract with Super Summer Oklahoma I am a dedicated Christian and sign this contract with Super Summer Oklahoma and the Lord Jesus Christ promising to support and uphold all rules and regulations set forth for Super Summer. I will attend all school sessions, be on time, participate in every activity planned by Super Summer Officials, be in my dorm by curfew each night, and conduct myself in a Christ-like manner in every way. I desire God to speak to me and to others during Super Summer. BY SIGNING MY NAME, I AGREE TO WILLINGLY ABIDE BY THE RULES, GUIDELINES, AND SCHEDULES SET FORTH BY SUPER SUMMER OKLAHOMA AND ITS LEADERSHIP STAFF. Print Name Signature of Youth Pastor or Group Leader Signature Church/City Grade (Fall 201 ) Please run interview pages 1 & 2 back to back or staple these pages together

8 Name & Church& & & & Date&of&birth &! Student!Health!History! Medical(Release(Information( Allergies:&&(Food,&Insect,&Seasonal,&Environmental&or&Medications)& & Does&the&student&take&medications&regularly?&If&so,&please&list:& Medication& Dosage& How&often&(Example:&&once&daily)& Reason&for&taking& & & & & & & & & & & & & &Please&list&any&medication&conditions&that&would&be&helpful&to&know:&& & && &Date&of&Last&Tetanus& &&&&&Immunizations&Current?&&&&&&&&Yes&&&&&&No& Medical&Insurance& &Policy&# & Over4the4Counter(Medications( I&do&authorize&Super&Summer&Oklahoma&nursing&staff&to&assess&and&provide&treatment&for& health&related&problems,&minor&illnesses/injuries.&&this&may&include,&but&not&limited&to&overtthet counter&medications&such&as:&&tylenol,&ibuprofen/advil,&antacids&(tums),&antihistamines& (Claritin)&etc.& &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& & Signature&of&guardian&(consent&for&treatment)& & & Date& & I&DO(NOT(authorize&Super&Summer&Oklahoma&nursing&staff&to&provide&treatment/administer& overtthetcounter&medications&to&my&child&for&minor&health&related&problems.& & & & & & Signature&of&guardian&(refusal&of&treatment)&& & & &&Date& Wavier(and(Release(of(Liability( ( & Last&Name& &First&Name &Church &

9 SILVER SCHOOL STUDENT INTERVIEW INFORMATION Super Summer has seen the positive, outreaching results of Silver School students making connections as they enter their first year of adulthood. In helping to establish a supporting network, Super Summer is gathering the following information from attending Silver School Students. Name Church Name City Social Networks: FaceBook Twitter Other Plans after high school: Higher Education: College Name Vo-Tech/Trade School: Institution Name Workforce Military: What Branch? My greatest fear for this next year is: My greatest excitement for this next year is:

10 ADDITIONAL SUPER SUMMER OKLAHOMA STUDENT APPLICATION QUESTIONS 1. In what ways would you say you have led in the Student Ministry over the last year (or since coming to Eagle Heights)? 2. If you attend Super Summer, how do you hope to lead in the Student Ministry in the future? 3. If you do not attend Super Summer, how will you seek to lead in the Student Ministry? 4. What social media platforms do you use? Twitter Instagram Facebook Other Twitter name: Instagram name: 5. Is there anything on any of your social media feeds that Super Summer leadership might find inappropriate?

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