Lead Now! Candidate Application
Date of entry (today's date)
- Select -
May
June
July
August
September
October
November
December
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2008
 General information
First Name
Last Name
Address
City
State
-Please select a state-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennesse
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
US Virgin Islands
Armed Forces Africas
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
Zip
Home Phone Number
Cell Phone Number
Email
Age
Birth Date
- Select -
January
February
March
April
May
June
July
August
September
October
November
December
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1988
1989
1990
1991
1992
1993
1994
Gender
Male
Female
 Emergency Information
Who should be contacted in an emergency?
First Name
Last Name
Phone Number
Relationship to you?
Alternate Phone Number
City
State
--Please select a state--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennesse
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
US Virgin Islands
Armed Forces Africas
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
Zip
 Church Affiliation
Name of church
Conference
Who encouraged you to apply?
Their phone number
Your church activities
 Experience
EDUCATION
High school name
Grade in school now
Sophomore
Junior
Senior
Areas of involvement in school
VOLUNTEER OR JOB EXPERIENCE
Organization Name
Your Job
Dates of employment
Phone Number
Would you like to list another volunteer or job opportunity?
Yes
No
Organization Name
Your Job
Dates of Employment
Phone Number
 References
List 2 references with knowledge of your abilities, experience and character. Do not list relatives, pastors or former employers.
Reference #1
First Name
Last name
E-mail address
Street address
City
State
-Please select a state-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennesse
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
US Virgin Islands
Armed Forces Africas
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
Zip
Reference #2
First name
Last name
E-mail address
Street address
City
State
-Please select a state-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennesse
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
US Virgin Islands
Armed Forces Africas
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
Zip
 Availability
Would you be available to participate in the following
required
program blocks at Amigo Centre or Camp Friedenswald?
Training Weekend I
Oct 31-Nov 2, 2008
(at Camp Friedenswald)
yes
no
1-2 Jr High Winter Youth Weekend Retreats
(in Jan, Feb or Mar)
yes
no
Training Weekend II
April 17-19, 2009
(at Amigo Centre)
yes
no
 Questions
Please complete the following questions:
What motivated you to apply for Lead Now? What do you hope to give to or gain from the program?
What do you think are important characteristics of a Christ-like leader?
List two personal qualities/characteristics that would make you a strong candidate for Lead Now:
In what meaningful ways do you express your Christian faith in your day-to-day life?
 Qualities
Please rate yourself on the following qualities. Circle the number which best describes you.
(1=Needs improving, 5=One of my strongest traits)
Able to set and achieve goals
1
2
3
4
5
Emotional stability
1
2
3
4
5
Friendly
1
2
3
4
5
Trustworthy
1
2
3
4
5
Outgoing
1
2
3
4
5
Able to get along with others
1
2
3
4
5
Sense of humor
1
2
3
4
5
Temper control
1
2
3
4
5
Respect of others' views
1
2
3
4
5
Christian maturity
1
2
3
4
5
Openness to new experience
1
2
3
4
5