The Residency Application - Points of Light

What are you applying for?

Social Media Handles

Do you have children?

Do you currently have a driver’s license? Or are you working towards obtaining one?

Are there any conflicts or impediments with the following office hours schedule? Tuesday: 9:30 AM - 6:00 PM Wednesday: 9:30 AM - 6:30 PM Thursday: 10:15 AM - 6:00 PM Friday: 2:00 PM - 10:00 PM Saturday: 8:00 AM - 2:00 PM

Are there any barriers to obtaining a CDL for transporting children and youth?

How many hours per week are you available to serve in this ministry capacity?

Are you a Citizen of the US?

Yes No

Have you accepted Christ?

Yes No

Do you regularly attend church?

Yes No

How long have you attended church?

Name of your senior Pastor

How did you hear about POL?

What is your country of origin?

Please list any languages you speak other than English and whether fluent/conversational

Select the highest degree of education completed

Are you currently employed?

Physical Health

Excellent Good Fair Poor

List any allergies or physical limitations

Mental Health

Excellent Good Fair Poor

List any medications you are currently using (Optional)

Have you ever used illegal drugs?

Do you currently smoke?

If you answered Yes. When was the last time you used or engaged in these activities.

Do you currently drink alcoholic beverages?

If you answered Yes. When was the last time you used or engaged in these activities.

Have you ever been arrested?

If you are accepted, are you willing to commit and comply with the program?

List some qualities you think are necessary to be a leader?

Please write a brief personal testimony. 200 words minimum

Upload a 2-3 minute video telling us a little bit of yourself and why you want to join the Points of Leadership school or the Points of Light BootCamp

Health - The Bay Area Urban Network’s Points of Light Youth and Mighty Blaze Children programs are passionate about serving youth, children, and families. During the course of your job, you may be required to lift up to 50 lbs while setting up tents, games, activities etc., loading and unloading vehicles for events and outreaches, be on your feet for long periods of time (4 to 8 hrs), and maybe even stop altercations between children and teenagers. Would you be able to serve in all capacities explained above?

PERSONAL EVALUATION Please give an honest estimation of yourself in the following areas. Rate 1-10 (10 being highest)

What tends to upset you the most & how do you deal with frustration, disappointment, or anger?

How much time do you spend watching TV?

Internet / Video games / Movies?

How do you generally spend free time?

Describe your family and your relationship with them

PERSONAL SKILLS AND EXPERIENCE Indicate your personal skills and experience (if any) in the following areas including a brief explanation. (Youth Ministry, Music/Worship, Missions, Media/Video/Audio, Computer, Administration, Social Services, Other Languages Spoken, Other)

Define your idea of ministry in general.

What qualities do you perceive to be necessary for a spiritual leader?

What leadership experience have you had in church, etc?

In what areas of ministry are you currently involved and serving?

List any previous work involving youth. Please include the name of the organization and contact person.

In what areas of ministry are you currently involved and serving?

Pledge of Honor - Confession of Faith: Have you personally accepted Jesus Christ as your Lord and Savior and are you committed to having the character of Jesus live through you?

If so, for how long?

I, am fully persuaded that it is the will of God for me to be enrolled in the Points of Light program. I sincerely believe that I am led by direction of the Holy Spirit and that God desires to do a unique work in my life that includes a deeper understanding of His word and works, the development of a stronger personal relationship to God, the further maturing of my Christian character, the strengthening of personal disciplines in my life, the sharpening of my ministry skills and the development of life-long friends.

Because of this, as a Points of Light Director I make the following pledge: INTIMACY - I pledge to deepen my relationship with God and make knowing Him my first priority.

CHARACTER I pledge to let God shape my character and transform me into His image.

AUTHORITY I pledge to come under the authority and covering of Points of Light and its leaders. _______

STUDY I pledge to study to show myself approved and grow in my knowledge of the Word of God.

STEWARDSHIP I pledge to be responsible in the area of my finances and all my financial commitments.

HEALTH I pledge to maintain my body as God’s temple and practice sound eating, sleeping, and exercise habits.

FAITHFULNESS I pledge to be prompt and faithful in my attendance to all gatherings and to fulfill all assignments due.

PURITY I pledge to avoid immoral or illegal activities that engage in any behavior that is contrary to biblical conduct and ethics.

FELLOWSHIP I pledge to be an encouragement to my fellow interns and build solid relationships with others.

LEADERSHIP I pledge to develop my leadership gifts by taking initiative, both verbally and practically.

FOCUS I pledge to keep my relationship with God and members of the opposite sex in proper standing. I pledge to develop my leadership gifts by taking initiative, both verbally and practically.

EXCELLENCE I pledge to communicate a spirit of excellence in my speech, conduct, appearance and attitude.

I accept the entire Pledge of Honor and agree that I must comply with the Pledge of Honor to remain active as a Youth Director for the Bay Area Urban Networks Youth & Children’s program.

ACKNOWLEDGMENT AND AUTHORIZATION FOR BACKGROUND CHECK I acknowledge receipt of the separate stand-alone Disclosure and certify that I have read and understand it and this authorization. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” by Bay Area Urban Network, DBA Points of Light and Mighty Blaze at any time after receipt of this authorization and throughout my employment, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by IntelliCorp Records, 3000 Auburn Drive, Suite 410, Beachwood, Ohio 44122; Tel. No. 1.888.946.8355; www.intellicorp.net.

I authorize you to contact, through IntelliCorp Records, my current employer for Employment and Reference Verifications. (Checking the box will authorize inquiries to the Human Resources Department and to any listed supervisors.) I also consent to have any legally required notices sent electronically.

Parent or Legal Guardian Signature (For searches conducted on minor under the age of 18)

Social Security Number

Drivers License State

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