TEAM LEADER APPLICATION PACKET

The Team Leader is vital to the Super Summer experience. The role of Team Leader is one of overall support, discussion leader, discipline assistant, and dorm supervisor. Please note the requirements and

qualifications listed below before submitting a Team Leader application.

a. Be at least 20 years of age or have completed their sophomore year of college.

b. Those less than 20 years of age that have attended Super Summer for at least 3 years in order

to be considered for Team Leader.

c. A team leader does not have to be a college student.

Team Leader selection will be made in mid to late May by Sue McAllister, Team Leader Coordinator. For

Team Leader questions contact Sue, suem23@gmail.com, 662-891-8622.

Team Leader Training Prep Weekend: July 14 – 15, 2018

Staff and Team Leader training begins on Saturday, July 14 at 3 p.m. and is required of all Staff and

Team Leaders. This time is for training, set up of school rooms, staff fellowship, worship and prayer.

Requirements and Qualifications 1. Recommended by their student minister, BSU campus minister, or pastor (if you don’t have a

Student minister). Other recommendations as indicated on the Integrity and StandardsQuestionnaire.

2. A spiritually mature person who has completed two years of college, or has several years of Super

Summer experience with unquestionable dedication and character.

3. Alcohol-free, smoke-free, & drug-free.

4. Has a positive, happy, motivated personality.

5. Able to assist in sports program (official, coach, etc.).

6. Able to lead a small group discussion, quiet time, Bible Study, prayer, devotion, etc.

7. Willing to observe the rules of Super Summer.

8. Submit all application forms and $75 fee by Team Leader registration deadline by March 1.Deposits are only refundable if you are not accepted. Sue McAllister will contact accepted Team Leadersin mid to late May.

9. Committed to attend Prep Weekend July 14-15, 2018.

Deadline for completed application packets, (see checklist above) is March 1, 2018

PACKET CHECKLIST

Please make sure you have all the following information before your application is submitted.

*Incomplete applications will not be accepted.*

1) Pages 1 & 2 (with a copy of insurance card)2) ALL required signatures3) Notarized (if under 21)4) Background Check/Release Form (page 3)5) Application Questionnaire (pages 4 & 5)6) Integrity and Standards Questionnaire (page 6)7) 2 references8) $75 fee (total cost for Team Leader)

OFFICE USE ONLY

Release Form

Notarized

Insurance Card

Questionnaire

Reference Forms

Fee paid

TEAM LEADER APPLICATION FORM

INSTRUCTIONS FOR TL APPLICATIONS Because of the crucial role Team Leaders play, prospective TL’s must go through an application process. Please send in your application by March 1. Applications received prior to this date will be given first priority.

Registration Fee – $75 (fee will be returned only if applicant is not accepted).

All required forms (refer to the office only box) and fee are to be mailed together to:

MBCB Super Summer PO Box 530 Jackson, MS 39205

IF your church is paying your fee please indicate below, Paid by Church Paid by Applicant (please send check in with your application)

NAME OF CHURCH YOU ARE ATTENDING SUPER SUMMER WITH

CITY CHURCH IS LOCATED CHURCH PHONE NUMBER

PLEASE PRINT LEGIBLY (USE THE NAME YOU WOULD LIKE TO BE CALLED)

NAME GENDER (M/F) AGE T-SHIRT

ADDRESS (location you receive mail year round)

CITY STATE ZIP EMAIL ADDRESS (THE ONE YOU USE ALL THE TIME)

CELL PHONE ALTERNATIVE PHONE NUMBER

EMERGENCY CONTACT NAME RELATIONSHIP BEST PHONE # TO CONTACT

Do you have any character or spiritual weaknesses that would jeopardize your leadership at SUPER SUMMER or damage your ministry during the week? Yes No If you wish to talk about the above question, please call Ken Hall, MBCB, at 1.800.748.1651 ext. 286 or 601.292.3286

MY CONTRACT WITH JESUS CHRIST AND SUPER

SUMMER MISSISSIPPI

I am a dedicated Christian and sign this contract with Jesus

Christ and Super Summer Mississippi, committing myself to study

and having the best week of my life. I commit to attend the prep

weekend and all school sessions, to be on time, participate in

every activity planned, enter into organized sports competitions,

be in my dorm room by curfew each evening, conduct myself in a

Christ-like manner, and pray every day that God will speak to me

and others during Super Summer Mississippi.

PASTOR/STAFF RECOMMENDATION OF TEAM LEADERS

This person desires to be like Jesus. He/She is a

disciple who displays a servant attitude and desires

to be used by God as a Team Leader. This person has

the maturity to lead students at Super Summer.

YOUR SIGNATURE PASTOR, STUDENT MINISTER, OR BSU CAMPUS MINISTER’S SIGNATURE

PHOTO PERMISSION RELEASE Photographs and videos are taken during Super Summer. These are used for posting on our website and for promotion in various publications. By signing below you are giving permission is to be photographed/filmed at Super Summer.

YOUR SIGNATURE

Prep Weekend: July 14 - 15, 2018 Super Summer: July 16 - 20, 2018

APPLICATION PAGE 1

TEAM LEADER MEDICAL PERMISSION AND RELEASE FORM Please complete all information and attach a copy of insurance I.D.card

NAME BIRTH DATE AGE

EMERGENCY CONTACT PERSON

RELATIONSHIP CELL PHONE WORK PHONE

FAMILY PHYSICIAN PHYSICIAN PHONE

INSURANCE COMPANY (ATTACH COPY OF I.D. CARD) ID NO. GROUP NO.

INSURANCE COMPANY PHONE NUMBER

Immunizations current? Yes No

PAST MEDICAL HISTORY

Date of last tetanus shot?

Does applicant have special needs (wheelchair accessibility, food allergies, etc.)?

Special diet?

Childhood diseases: Chickenpox Measles Mumps Whooping Cough Other

Drug allergies:

Other allergies:

PRESCRIPTION MEDICATIONS: CONDITION TAKEN FOR:

NON-PRESCRIPTION MEDICATIONS: CONDITION TAKEN FOR:

Past and Present Illnesses: Please list surgeries:

Did you attach a copy of Insurance I.D. card to this form? Yes No (if no, please explain):

*Changes in medication or medical status must be reported to camp nurse at registration. *COMPLETE IF UNDER 21

PERMISSION FOR TREATMENT My permission is granted for the Super Summer Mississippi coordinator (director), assistant coordinator (director), camp nurse, or other staff

person in charge to obtain necessary medical attention in case of sickness or injury to my child. I, the undersigned, do hereby verify that the above

information is correct and I do hereby release and forever discharge all sponsors and the Discipleship and Family Ministry Department of the Mississippi Baptist

Convention Board from any and all claims, demands, actions, or cause of action, past, present, or future arising out of any damage or injury while participating in

Super Summer Mississippi.

Dated this day of , 20 , State of County of

Parent’s Signature

On this day of , 20 , personally appeared before me ,

personally known by me, and in my presence executed the within and foregoing permission and release form. Witness my hand and

Official seal this day of , 20 .

My commission expires Notary Public

APPLICATION PAGE 2

TEAM LEADER

MISSISSIPPI BAPTIST CONVENTION BOARD

DISCLOSURE & AUTHORIZATION RELEASE FORM - VOLUNTEER

DISCLOSURE

As a volunteer for the Mississippi Baptist Convention Board, certain consumer reports may be requested from First Advantage Screening Solutions Inc. (“First Advantage”). These reports may include the following types of information: names and dates of previous employers, reason for termination of employment, work experience, accidents, professional credentials, and drugs/ alcohol use. Such reports may also contain public record information concerning your driving record, workers' compensation claims, criminal records (both felonies and misdemeanors), etc., from federal, state, and other agencies, which maintain such records; as well as information from First Advantage concerning previous driving record requests made by others from such state agencies and state provided driving records. Furthermore, the Mississippi Baptist Convention Board may obtain informal- tion from law enforcement files concerning any history of sex offenses or offenses against children with which you may have been charged or convicted.

You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report by contacting First Advantage Screening Solutions Inc, P. O. Box 105108, Atlanta, GA 30348-5108, 1-800-845-6004.

RELEASE

I AUTHORIZE, WITHOUT RESERVATION, First Advantage AND ANY PARTY OR AGENCY CONTACTED BY First Advantage,

TO FURNISH THE ABOVE-MENTIONED INFORMATION.

First Advantage is authorized to disclose all information obtained to the Mississippi Baptist Convention Board for making a determination as to my eligibility to participate as a volunteer for the Mississippi Baptist Convention Board. This authorization shall remain on file and shall serve as ongoing authorization for the procurement of such consumer reports at any time during my tenure as a volunteer.

By signing below, I certify that I have read and fully understand this release, that prior to signing I was given any opportunity to ask questions and to have those questions answered to my satisfaction, and that I executed this release voluntarily and with the knowledge that the information being released could affect my eligibility to serve as a volunteer for the Mississippi Baptist Convention Board.

PRINTED FULL NAME (first, middle & last) SOCIAL SECURITY NUMBER DATE OF BIRTH

STREET ADDRESS (NO P.O. BOXES)

CITY STATE ZIP

HOME PHONE CELL PHONE

SIGNATURE DATE

PARENT/GUARDIAN SIGNATURE (REQUIRED IF APPLICANT IS UNDER AGE 18)

THIS FORM IS FOR VOLUNTEERS WORKING FOR THE MISSISSIPPI BAPTIST CONVENTION BOARD (MBCB).

THIS FORM CANNOT BE PROCESSED THROUGH THE EXECUTIVE DIRECTOR-TREASURER’S OFFICE OF THE MBCB UN- LESS WE

KNOW THE NAME OF THE DEPARTMENT THAT HAS REQUESTED YOU TO WORK FOR THEM.

NAME OF MBCB DEPARTMENT REQUESTING INFORMATION: SUPER SUMMER

POSITION APPLIED FOR: TEAM LEADER

Please send this form to the department requesting the information at the following address: Rene´ Edwards

MISSISSIPPI BAPTIST CONVENTION BOARD

P O. Box 530

Jackson MS 39205-0530

Fax: 601-714-7432

VOLUNTEER RELEASE FORM

APPLICATION PAGE 3/RELEASE FORM

12-2016

TEAM LEADER QUESTIONNAIRE

Cell Ph#

City:

Pastor/Student Minister:

Name:

Church Name:

Email Address: (The one you check year-round)

(IMPORTANT: we will use this address to mail your team leader assignment and other important info to)

CITY STATE ZIP

Please complete. If you need extra space to answer questions, feel free to write on the back or attach additional sheet.

1. Favorite Scripture:

2. Write out the most recent scripture you have memorized:

3. Briefly share your testimony of faith and what you believe about Jesus and the Bible.

4. Discuss areas where you have been involved in ministry – with your home church (or college church) or otherministry/mission endeavors within the past two years:

APPLICATION PAGE 4/QUESTIONNAIRE

CURRENT MAILING ADDRESS

5. Discuss an area in your walk with Christ where you are …

Growing

Struggling

Spiritual Gifts / Talents (name them)

6. What experience have you had in leading a small group?

7. List personal prayer requests, so that we might pray for you as we prepare for Super Summer

8. Are you currently in college? If so, what year are you in college?

9. If you are not a student, what is your occupation?

10. How old will you be during Super Summer?

11. How many years did you attend Super Summer as a student ?

12. What schools were you in?

13. Have you served as a Team Leader before? If so, how many years?

In what schools?

14. Roommate Request (if any)Particular Church group you need to room near?Any Special Needs?

15. Have you been recruited by a particular school or dean?

If yes, which one?

16. Do you have a Dean or School/Color/Year Request?*Please note: We are not always able to grant school requests.

This application questionnaire and all other forms must be returned by March 1, 2018 to MBCB

ALL TEAM LEADER QUESTIONS: Contact Sue Mc, suem23@gmail.com, 662-891-8622

APPLICATION PAGE 5/QUESTIONNAIRE

TEAM LEADER INTEGRITY & STANDARDS

Name: Church: Phone #:

Please answer the following questions concerning your spiritual leadership in an honest manner:

1. Are you living a Christian life worthy of imitation? (I Cor.11:1; Eph.4:1-3) Yes No (if no please explain)

2. Are you faithful to The Lord’s Church where you live / when you come home? (Heb.10:25; Psalm 122:1; Deut.5:12-15)

Yes No(if no please explain)

3. If in college, list the Campus Support Group you involved are in and/or serving in.(i.e., BSU, Crusade, RUF or FCA)

None (if none please explain)(Hebrews 10:23-25; I Peter 4:10)

4. Within the social media you use, if someone looked at your Facebook page or followed your Twitter account, would

they be able to tell that you are a true Christ-follower? Yes NoWould you be comfortable giving permission for the Directors/Leaders of Super Summer friending or following you?

Yes No Why or why not?

(I Tim. 4:12; Rom.12:2; Ephesians 4:29-32; Psalm 34:13; Colossians 3:1-17)

5. Are you currently alcohol and drug free? Yes No Are you living a life of sexual purity? Yes No If no to either question please explain

(I Thess. 4:3, II Timothy 2:22; Romans 12:12-13, 19-21; Proverbs 20:1)

Part B - 2 References Required

Please ask the following individuals to fill out a brief recommendation form. Mail to the address listed below.

1. College professor(s) or employer.2. Church staff member or a campus ministry leader.

MBCB Discipleship & Family Ministry-Super Summer

P.O. Box 530 Jackson, MS 39205

APPLICATION PAGE 6/INTEGRITY & STANDARDS

MS SUPER SUMMER

TEAM LEADER REFERENCE FORM

Name of applicant:

Home Church:

Church Phone:

The person referenced above has applied to serve as a team leader at Mississippi Super Summer, a Christian leadership and discipleship camp sponsored by the Mississippi Baptist Convention. His/her primary duty will be serving as a group leader for 8-12 high school students. We strive to use college students/young adults who exhibit strong moral and spiritual character in all areas of their lives. Will you help us maintain this high standard by filling out the following brief reference form and returning it to MBCB? Thank you for your time.

Ken Hall, Director Sue McAllister, Assistant Director/Team Leader Coordinator

Your Name: Relationship to applicant:

Please rate the applicant in the following areas by circling the number (10 is the highest and 1 is lowest)

Honesty and Integrity in the classroom or your organization:

1 2 3 4 5 6 7 8 9 10

High Moral Standards:

1 2 3 4 5 6 7 8 9 10

Maturity Level:

1 2 3 4 5 6 7 8 9 10

Do you feel this person’s behavior reflects his/her relationship with Christ? Yes No

Do you feel this person would be a person of good influence for high school students at Super Summer? Yes No

Would you be comfortable if this person was your student’s small group leader? Yes No

Is there anything you feel we should know concerning your observation of the applicant? Yes No

Additional comments:

Please Mail to: MBCB Super Summer Office

Discipleship & Family Ministry P.O. Box 530 Jackson, MS 39205

Reference Form