sim application 2010

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  • 8/14/2019 SIM Application 2010

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    Attach photo here

    (Returned if required)

    2010

    STUDENTS IN MISSION

    I. BASIC FACTS ABOUT YOURSELF

    A. Name____________________________ Preferred/or nickname______________

    B. Date of Birth ________________ Place of Birth_________________________

    C. Permanent Home Address______________________________________________Street City

    ________________________________ Home Phone_______________________ State Zip

    D. College/University________________________________Year in School________

    E. Complete College Mailing Address_______________________________________

    Street City

    __________________________ College Phone___________________________ State Zip

    F. If attending college, spring semester ends when?____________________________

    G. Name and address of your local church____________________________________

    Name

    ____________________________________________________________________

    Street City State Zip

    H. Email address________________________________________________________

    I. Best Way to Contact You_______________________________________________

    II. YOUR PAST LIFEA. In what towns, cities, or areas have you lived?

    B. What do you consider to have been your most significant personal achievement during

    high school?

    C. What has given you the most difficulty during college? (BE VERY SPECIFIC)

    D. Briefly describe your activities and responsibilities in your local church and college.

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    III. YOUR FUTUREA. What are your plans for future education and/or career employment? (Give Details)

    B. What are your feelings about the future? Do you consider yourself basically optimistic orpessimistic? Explain your response.

    C. Do you intend to apply for other jobs or projects for the summer of 2010?

    Circle Yes / No If your answer is yes, where would Students In Mission rank in yourorder of preference? You may explain if you wish.

    D. Are there any factors, such as demanding family situations (long-term illness of familymembers), previously made commitments (such as promises to be in a wedding etc.), vacation

    plans of your family, high school graduation of a friend or relative which you will attend, or

    any such matters which might infringe in any way upon your freedom to totally commityourself to the dates ofJune 10 July 31, 2010, with possible additional training June 7-9depending on your site? If so write your response here.

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    IV. YOUR SELF UNDERSTANDINGA. List all of the specific skills, which you have, giving examples of how you may have

    used these skills in the past. (BE VERY SPECIFIC) Examples of skills: playing

    piano, carpentry, swimming, teaching, sports activities, specific crafts, etc.

    From the above list, tell which skills are your strongest ones, the one you can do best.

    B. Write an original essay (50- 75 words), which describes your own concept ofmission.

    C. In the light of your talents, abilities, aspirations, skills and your own concept of

    mission, what type of SIM assignment would be most or least suited to you? Explain.

    FYI sites range from those primarily dealing with construction to those working with

    children. All deal with people in need and the church in mission.

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    V. OTHER INFORMATIONA. Are you in good physical heath?_________ Do you have any physical problems which

    would need to be considered in making your assignment in SIM? Explain.

    B. Do you have a driver's license?_________ Will you have a car available to use during

    the summer?_________Note: These two questions are for information in making

    SIM assignments and in no way have any bearing on your possible acceptance.

    C. Please give the names and addresses of the people who will be asked to provide

    references for you:

    1. Your Pastor_________________________________________________________

    ________________________________________________

    2. An employer or teacher:_______________________________________________

    _________________________________________

    VI. YOUR RESPONSE OF AVAILABILITY:

    If you can declare yourself free from schedule conflicts so as to totally commit

    yourself to SIM June 10 July 31, 2010, with possible additional training June 7-9

    depending on your site, please sign here:

    Signature_____________________________________

    IMPORTANT NOTES:

    1. PLEASE INCLUDE A $15 CHECK(NON-REFUNDABLE APPLICATION FEE.)

    MAKE CHECKS PAYABLE TO: WINTHROP WESLEY FOUNDATION

    2. PLEASE ATTACH RECENT PHOTO TO TOP CORNER OF PAGE 13. THEN RETURN THIS FORM AS EARLY AS POSSIBLE, BUT NOLATER THAN

    FEBRUARY 26, 2010.

    Mail to: Reverend Narcie M. JeterWinthrop University

    P.O Box 5009

    Rock Hill, SC 29733